Humerus shaft fracture (peds): Difference between revisions
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== Background == | {{Peds top}} [[humerus shaft fracture]] | ||
==Background== | |||
*Uncommon | *Uncommon | ||
**Consider abuse | **Consider abuse | ||
**Direct trauma: transverse | **If low energy mechanism, also consider pathologic fracture | ||
**Violent rotation: spiral | **Direct trauma: transverse fracture | ||
**Violent rotation: spiral fracture | |||
*Fracture fragment may injure radial nerve | *Fracture fragment may injure radial nerve | ||
**Assess wrist extensors/supinators | **Assess wrist extensors/supinators | ||
**Sensation of dorsoradial hand, thumb, and second digits | **Sensation of dorsoradial hand, thumb, and second digits | ||
== | ==Differential Diagnosis== | ||
{{Proximal arm fracture DDX}} | |||
== | ==Evaluation== | ||
* | *AP lateral humerus, include shoulder and elbow views | ||
== | ==Management== | ||
* | '''Non-Operative''' | ||
*Up to 30 degrees angulation is well tolerated | |||
{{Humerus shaft fracture (peds) splint}} | |||
*ROM exercises in 2-3 weeks | |||
== | '''Operative''' | ||
* | *Open fractures | ||
*Ipsilateral forearm injury "Floating elbow" | |||
*Shoulder injury or poly trauma | |||
==Disposition== | |||
{{Humerus shaft fracture (peds) disposition}} | |||
==See Also== | |||
*[[Humerus fracture (peds)]] | |||
==References== | |||
<references/> | |||
*Harwood Nuss | *Harwood Nuss | ||
*Orthobullets | |||
[[Category: | [[Category:Pediatrics]] | ||
[[Category: | [[Category:Orthopedics]] | ||
Latest revision as of 23:16, 28 November 2019
This page is for pediatric patients. For adult patients, see: humerus shaft fracture
Background
- Uncommon
- Consider abuse
- If low energy mechanism, also consider pathologic fracture
- Direct trauma: transverse fracture
- Violent rotation: spiral fracture
- Fracture fragment may injure radial nerve
- Assess wrist extensors/supinators
- Sensation of dorsoradial hand, thumb, and second digits
Differential Diagnosis
Humerus Fracture Types
Evaluation
- AP lateral humerus, include shoulder and elbow views
Management
Non-Operative
- Up to 30 degrees angulation is well tolerated
- Long arm posterior splint, sling and swathe splint, or coaptation splint
- ROM exercises in 2-3 weeks
Operative
- Open fractures
- Ipsilateral forearm injury "Floating elbow"
- Shoulder injury or poly trauma
Disposition
Non-emergent Ortho f/u
See Also
References
- Harwood Nuss
- Orthobullets