Humerus fracture (peds): Difference between revisions
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{{Peds top}} [[Humerus fracture]].'' | |||
==Background== | |||
[[File:Communitive midshaft humeral fracture callus.jpg|thumb|Comminuted midshaft humeral fracture with callous formation]] | |||
{{Proximal arm fracture DDX}} | |||
== | ==Clinical Features== | ||
* | *History of trauma | ||
* | *Pain over fracture site | ||
=== | ==Differential Diagnosis== | ||
{{Shoulder DDX}} | |||
== | ==Evaluation== | ||
=== | ===Workup=== | ||
=== | ===Diagnosis=== | ||
== | ==Management & Disposition== | ||
{{General Fracture Management}} | |||
{{Pediatric Humerus Fracture Management Table}} | |||
==See Also== | ==See Also== | ||
[[ | *[[Fractures (main)]] | ||
*[[Splinting]] | |||
==External Links== | |||
== | ==References== | ||
<references/> | |||
[[Category: | [[Category:Orthopedics]] | ||
Latest revision as of 18:55, 22 March 2023
This page is for pediatric patients. For adult patients, see: Humerus fracture.
Background
Humerus Fracture Types
Clinical Features
- History of trauma
- Pain over fracture site
Differential Diagnosis
Shoulder and Upper Arm Diagnoses
Traumatic/Acute:
- Shoulder Dislocation
- Clavicle fracture
- Humerus fracture
- Scapula fracture
- Acromioclavicular joint injury
- Glenohumeral instability
- Rotator cuff tear
- Biceps tendon rupture
- Triceps tendon rupture
- Septic joint
Nontraumatic/Chronic:
- Rotator cuff tear
- Impingement syndrome
- Calcific tendinitis
- Adhesive capsulitis
- Biceps tendinitis
- Subacromial bursitis
- Cervical radiculopathy
Refered pain & non-orthopedic causes:
- Referred pain from
- Neck
- Diaphragm (e.g. gallbladder disease)
- Brachial plexus injury
- Axillary artery thrombosis
- Thoracic outlet syndrome
- Subclavian steal syndrome
- Pancoast tumor
- Myocardial infarction
- Pneumonia
- Pulmonary embolism
Evaluation
Workup
Diagnosis
Management & Disposition
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Pediatric Humerus Fracture Management Table
| Fracture | Splint | Disposition |
| Proximal | Non-emergent Ortho follow up | |
| Shaft | Non-emergent Ortho f/u | |
| Supracondylar | Long Arm Posterior Splint | Ortho consult for Type 2 or 3 |