Paediatric BOASTs

BOASTs are short standards documents that are produced by the BOA Trauma and Orthopaedic Committees.  You can find a full list of BOASTs on the BOA website here.

Current Paediatric BOASTs include;

The Management of Children with Acute Musculoskeletal Infection

This BOAST was jointly developed by the BOA and the British Society for Children's Orthopaedic Surgery (BSCOS) and the British Paediatric Allergy, Immunity and Infection Group (BPAIIG).  This document considers the initial diagnosis, special investigations, and surgical and non-surgical management of children with osteo-articular and soft tissue infection.  This is an important consensus document that will reduce variance and encourage the multidisciplinary management of these patients.

Management of Anterior Cruciate Ligament Injury in the Skeletally Immature Patient

This BOAST was jointly developed by the BOA, the British Society for Children's Orthopaedic Surgery (BSCOS), and the British Association for Surgery of the Knee (BASK).  It suggests the skill set required to manage this patient group, in addition to providing advice on the diagnosis, special investigations and operative and non-operative management.  It makes general recommendations about the operative detail and stresses the importance of surveillance until skeletal maturity.

Early Managment of the Paediatric Forearm Fracture

This BOAST was jointly developed by the BOA , BSCOS, The Orthopaedic Trauma Society, and the Royal College of Emergency Medicine. The most common site of fractures in children is the forearm. Casting is the gold standard of care for most fractures as children have a capacity to remodel following fracture union, permitting the bones to heal with a greater degree of angulation or displacement than could be accepted in an adult without long-term consequences. The wrist is more tolerant of angulation and displacement than the forearm shaft. For the majority of forearm fractures that exceed remodelling potential, early closed reduction by manipulation, avoiding the need for admission and general anaesthesia is the treatment of choice.

Supracondylar Fractures of the Humerus in Children

This BOAST was jointly developed by the BOA and BSCOS. Supracondylar fractures of the humerus are the most common elbow fractures seen in children. They may be difficult to manage and can be associated with significant complications including nerve injury, vascular compromise, malunion and compartment syndrome.

Assessment & Management of First Time Lagteral Patella Dislocation

This BOAST was jointly developed by the BOA, BSCOS and British Association for Surgery of the Knee (BASK). This guideline provides recommendations for the assessment and initial management of FTLPD, including suspected dislocations,
within any age group.