<prompt> A 6-year-old child is suspected with supracondylar fracture of right hand, complaining of pain and swelling. X-ray of right elbow was not significant. What is the next best step in this case?Compare with X-ray of left handClosed reduction and slabClosed reduction with K wire fixationCast  <response>: Supracondylar humerus fracture: - Suspected elbow fracture in a child - Supracondylar humerus fracture - Undisplaced of humerus - posterior fat is elevated - Fat pad sign - Fracture is displaced -distal fragments goes posteriorly - Extension - Common nv involved - AIN Median Radial Ulnar AMRU Posteromedial displacement posterolateral It is an extra -aicular injury TOC- CR slabfixed, stainless steel wire K wire placed in children for 4-6 weeks, then removed. If reduction is not proper, it can lead to cubitus Varus Gun stock deformity Management: Conservative Tx: 1. Smiths traction 2. Dunlop traction Sometimes, it can lead to damage of the brachial aery resulting in the pulselessness. Mgt: closed reduction look for reappearance - Pulse - Color- pink If no reappearance, then explore repair. Most common damaged aery in SCH is Brachial AeryQ - Since in the given options CR Cast is not given, CR Slab is the most appropriate answer 