Lokesh BhatiaClosed Reduction K wire Fixation, as emergency, without hesitation involve Vascular surgeon to rule out Vascular injury, May have intimal damage which might not manifest initially.No harm in doing CT angio. Distal Radius to be addressed later, Prior anticipation of such problem considering the displacement, and more important explaining parents this eventuality, before taking him in Operating Room. High index of Suspicion is key to success in this pt.
Sachit Malhani am not sure but it seems DER is also affected.CR+k wires should looks okay for this fracture. and what is this double shadow around all the bones. is it scurvy, or artifacts. kindly detailks on these aspects.