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Elbow / forearm VFC

Distal Biceps tendon rupture

A&E management

Broad arm sling

Follow-up

Refer to Ortho on-call

Distal humeral fracture

A&E management

Above elbow backslab

Follow-up

Refer to Ortho on-call

Olecranon fractures

A&E management

Above elbow backslab

Follow-up

If undisplaced - On-line referral to VFC.
If displaced - Refer to Ortho on-call

Radial head/neck fractures

A&E management

Broad arm sling

Follow-up

On-line referral to VFC

Dislocated elbow

A&E management

Relocate, above elbow backslab (90 degrees flexion), repeat XR

Follow-up

Refer to Ortho on-call

Ulna shaft fractures

A&E management

Above elbow backslab (90deg flexion, neutral rotation)

Follow-up

On-line referral to VFC

Radial and ulna shaft fractures

A&E management

Above elbow backslab

Follow-up

Refer to Ortho on-call

Monteggia / Galeazzi fractures

A&E management

Document neurovascular status, apply above elbow backslab and check xr

Follow-up

Refer to Ortho on-call

Soft tissue injuries

A&E management

Broad arm sling

Follow-up

Discharge with advice

Contact Us

Trauma Coordinator: ext 35831 

Oncall Registrar: bleep 5599

Oncall SHO: bleep 5500

Plaster Room: ext 35443

Ward 30: ext 35412, 35868

Ward 31: ext 35626, 35355

Ward 30 doctor - bleep 5501 (8am-5pm)

Ward 31 doctor - bleep 5502 (8am-5pm)

T&O outlier doctor - bleep 5503 (8am-5pm)

Post-take doctor - bleep 5503 (8am-5pm)

Twilight doctor - bleep 5503 (2.45-10:45pm)

Orthogeriatric team - bleep 1458 (not for referrals)

Oncall email: mtw-tr.ortho-oncall@nhs.net

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