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My Child Has a Buckle Fracture, Now What? – Fracture Clinic Tips

My Child Has a Buckle Fracture, Now What? – Fracture Clinic Tips

by | Jul 3, 2020 | Fractures

A buckle fracture, also known as a torus fracture, is a very common injury for children. Because pediatric bones are softer and more flexible than adult bones, one side of the bone may buckle (or bend) upon itself without disrupting the other side of the bone. These fractures are most commonly seen in the wrist and are often caused by a “FOOSH” (fall on outstretched hand) injury. Buckle fractures can also occur in other bones throughout the body.

These are common injuries that tend to heal quickly with low risk for complications. The typical treatment for a buckle fracture is aimed at keeping the patient comfortable while allowing the bone to heal. Sometimes this may include a cast or splint. Deciding which treatment is best for your child depends on the fracture pattern, the child’s comfort and the parent’s comfort level with the treatment plan.

Most buckle fractures heal well with no long-term complications. Our Fracture Clinic staff are experts at managing fractures in growing children. Learn more about our walk in hours and watch a video to learn what to expect when you visit our Fracture Clinic.

Get to Know our Staff: Kelsei Graham, Fracture Clinic

Get to Know our Staff: Kelsei Graham, Fracture Clinic

by | Apr 20, 2020 | Spotlight

What is your role at Scottish Rite for Children?  I am a nurse coordinator at the Fracture Clinic in Frisco. I coordinate the flow and care of patients who enter our clinic, as well as monitor patients during reductions. I also speak with pediatricians to help triage patients and manage any patient phone calls or needs. The Fracture Clinic has a morning walk-in clinic from 7:30 – 9:30 a.m. for acute fractures, as well as afternoon acute slots and follow-up visits. Every day is exciting as we never know what will come through the doors. Not one single day is the same! This team is like a small family that works like a well-oiled machine. Each teammate has a key role in the clinic process – Child Life, nursing, cast techs, medical assistants, nurse practitioners and front desk staff.  
What led you to Scottish Rite? How long have you worked here?  Before coming to Scottish Rite, I was a nurse at Children’s Plano for 10 years. Taking the opportunity here turned out to be the best decision I have ever made. Scottish Rite is truly one of a kind and it is such an honor to work for an organization who not only cares about their patients, but also about their entire staff. I have been here for five months.

What do you enjoy most about Scottish Rite? I love how every person is a team player and treats one another like family. My favorite part is how involved and visible leadership is – this is unlike anywhere else I have been, and I am truly proud to tell everyone where I work.      What was your first job? What path did you take to get here? My first job was a nanny. I have wanted to be a nurse since I was very little and always was the kid walking around with a first aid kit, taking care of everyone I could. I started internships my senior year of high school and after graduation, started nursing school at Texas Woman’s University. After obtaining my nursing license, I started my nursing career at Texas Health Plano as a NICU nurse. What do you like to do in your spare time? I love to spend time with my husband Jason, and daughters Hailey (10) and Emerson (6). We love being outside (walking, fishing, playing) and baking together. Our daughters are active in volleyball, soccer and jiu-jitsu – their activities keep us fairly busy on the weekends.       Three words to best describe you: Caring, loving, passionate   What would you do (for a career) if you weren’t doing this? I would open my own gluten free bakery.   What’s the most adventurous thing you’ve ever done? I let my husband’s best friend take us on a flight over downtown Dallas in a tiny crop plane.
Learn More About Our Fracture Clinic Walk-In Hours

Learn More About Our Fracture Clinic Walk-In Hours

by | Feb 21, 2020 | Fractures

In many cases, a visit to your pediatrician, urgent care or emergency room is your first stop when your child is hurt. If you are told to follow up with a pediatric orthopedic specialist for a fracture, you can come to the Scottish Rite for Children’s Fracture Clinic during our convenient walk-in hours.

Our Fracture Clinic is open Monday – Friday. Bring your X-ray images on a disc and arrive at our Frisco campus between 7:30 to 9:30 a.m. No appointment needed.

If you have not had X-rays for the child’s new injury, that is okay too. Parents can call 469-515-7200 to request an appointment.

Learn more about our Fracture Clinic.

Get to Know our SRH Staff: Kat Petty, Fracture Clinic

Get to Know our SRH Staff: Kat Petty, Fracture Clinic

by | Jul 15, 2019 | Fractures

What is your role at the hospital? What do you do on a daily basis? 
I am the R.N. coordinator for the Fracture Clinic at our Frisco campus. I coordinate patients’ needs (orders, medications, supplies, phone calls) and manage the overall flow of the clinic. 
The clinic serves patients that have been injured and may have a fracture. We have walk-in clinic hours from 7:30 – 9:30 a.m., as well as scheduled appointments throughout the day. It’s a busy place!
What led you to Texas Scottish Rite Hospital for Children? How long have you worked here?
I have been here for exactly two years. When I was looking to transfer out of the hospital setting, I came across a job posting for Scottish Rite Hospital. I did one of my nursing school clinicals at the hospital back in 2010 and I remembered how great of an experience that was. The building was a happy place, the employees were friendly and of course the popcorn smell wafting through the building left an impression on me!
 
What do you enjoy most about Texas Scottish Rite Hospital for Children?
I really enjoy making a difference in children’s lives. Bonus, the management is unlike any I have worked for!
 
What was your first job? What path did you take to get here?
My very first job was when I was 14. I was a daycare worker at a facility that also doubled as a themed party event center on the weekends. My specialty was dressing up as Snow White.
 
What do you like to do in your spare time?
Read, spend time with my husband, feed people, craft, travel, volunteer at my church and plan events.
 
Three words to best describe you:
Patient, considerate, disciplined
 
What would you do (for a career) if you weren’t doing this?
I would be a home decorator or a professional crafter!
 
What’s the most adventurous thing you’ve ever done?
When I was 19, I did a leadership internship and participated in an event called E.S.O.A.L. – Emotionally Stretching Opportunity Of A Lifetime. 
 
This event was fashioned after the Navy Seals boot camp training. For 96 hours, with little to no sleep, we hiked for what felt like a million miles and ran rounds and rounds of obstacle courses. I ate some pretty interesting things (think live mealworms with ketchup and ice cream) and stayed really dirty as we rolled down hills and waded through mud pits. Through the nights, we had sleep-wake cycles: seven minutes to sleep with a rude awakening to jump in a pool of ice water. I’m proud to say that I lasted to the end (only 25% of us made it to the finish line). To date, the hardest and most adventurous thing I have ever done!

An Injury Not to Ignore: Hand & Finger Fractures in Young Athletes

An Injury Not to Ignore: Hand & Finger Fractures in Young Athletes

by | Jan 29, 2019 | Fractures

Believe it or not, hand and finger injuries in kids, especially young athletes are very common. In fact, almost 20 percent of the injuries we see in the Fracture Clinic are hand related injuries. For children, these injuries can occur in a number of ways. For athletes, some of the more common mechanisms we see are from a finger getting struck by a ball, a hand getting stepped on or a finger getting caught in a jersey. While most injuries to the hand or fingers will get better with some time, rest and immobilization, others may require more extensive care or even a surgery to correct alignment or restore function. As the parent of a young athlete, it is important to know when to seek medical treatment.

Recognizing a hand injury in a child is not always easy and may require the attention from an expert who specializes in caring for patients whose bones are still developing. Sometimes, X-rays can appear normal and exam findings can be subtle making it easy to miss or ignore injuries to the hand. If rest is not healing the injury, it is important to know the signs and symptoms where being evaluated by a pediatric specialist is necessary.

Some general “redflags” with finger injuries include:

  • Hearing or feeling a “pop” or “crack” at the time of the injury.
  • Seeing significant swelling immediately after the injury occurs.
  • Noticing differences compared to the same finger on the other hand. Seeing bleeding or drainage at or around the nailbed.
  • Inability to move, straighten or bend the finger or a joint more than two days after the injury.

Gerad Montgomery, M.S.N., FNP-C, tells us that most pediatric hand and finger injuries can be managed with immobilization in a cast or splint. However, when there is significant displacement of fracture, injuries to ligaments and tendons or damage to the nailbed, surgery may be needed.

Advice for parents of young athletes

  • Teach proper techniques with catching, hitting or throwing a ball.
  • Discourage grabbing a shirt or jersey in fast-moving games like football or tag.
  • Encourage athletes to be aware of surroundings during team sports.

  • Insist that athletes wear proper protective sports equipment when appropriate.
  • Never ignore an injury to the hand or fingers. Though it may be tempting to “push through the pain” and keep playing, these injuries can have serious consequences if they are overlooked. Don’t wait to have it evaluated by a medical professional.

Learn more about fracture care at Scottish Rite for Children in Frisco.