Humerus shaft fracture (peds): Difference between revisions
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==Background == | {{Peds top}} [[humerus shaft fracture]] | ||
==Background== | |||
*Uncommon | *Uncommon | ||
**Consider abuse | **Consider abuse | ||
**If low energy mechanism, also consider pathologic | **If low energy mechanism, also consider pathologic fracture | ||
**Direct trauma: transverse fracture | **Direct trauma: transverse fracture | ||
**Violent rotation: spiral fracture | **Violent rotation: spiral fracture | ||
| Line 12: | Line 13: | ||
{{Proximal arm fracture DDX}} | {{Proximal arm fracture DDX}} | ||
== | ==Evaluation== | ||
*AP lateral humerus, include shoulder and elbow views | *AP lateral humerus, include shoulder and elbow views | ||
== | ==Management== | ||
'''Non-Operative''' | '''Non-Operative''' | ||
*Up to 30 degrees angulation is well tolerated | *Up to 30 degrees angulation is well tolerated | ||
| Line 26: | Line 27: | ||
*Shoulder injury or poly trauma | *Shoulder injury or poly trauma | ||
==Disposition == | ==Disposition== | ||
{{Humerus shaft fracture (peds) disposition}} | {{Humerus shaft fracture (peds) disposition}} | ||
==See Also == | ==See Also== | ||
*[[Humerus fracture (peds)]] | *[[Humerus fracture (peds)]] | ||
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