FIGURE 111.30 Colles fracture (A ) shows the classic appearance on physical examination with wrist swelling and obvious deformity B: Demonstrates the typical radiographic appearance with distal radial fracture with dorsal angulation (Courtesy of William Phillips, MD In: Chung EK, Atkinson-McEvoy LR, Lai NL, et al., eds Visual Diagnosis and Treatment in Pediatrics 3rd ed Philadelphia, PA: Wolters Kluwer; 2015 With permission.) Disposition Minimally or nondisplaced fractures may be discharged with orthopedic follow-up after immobilization Fractures with adequate reduction and casting may be discharged with orthopedic follow-up ED clinicians can provide anticipatory guidance on factors that may increase risk for subsequent redisplacement, including: significant initial displacement (>50% translation, >30-degree angulation, bayonet apposition), incomplete reduction, combined distal radial and ulna fractures, and inadequate molding of cast or splint to maintain the reduction Admission should be considered for patients with significant pain or swelling, and those with fractures that could not be adequately reduced with procedural sedation in the ED INJURIES OF THE LOWER EXTREMITIES Injuries of the Pelvis and Hip