Humerus shaft fracture (peds): Difference between revisions
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== Treatment == | == Treatment == | ||
'''Non-Operative''' | |||
*Up to 30 degrees angulation is well tolerated | |||
{{Humerus shaft fracture (peds) splint}} | {{Humerus shaft fracture (peds) splint}} | ||
*ROM exercises in 2-3 weeks | *ROM exercises in 2-3 weeks | ||
'''Operative''' | |||
*Open fractures | |||
*Ipsilateral forearm injury "Floating elbow" | |||
*Shoulder injury or poly trauma | |||
== Disposition == | == Disposition == | ||
Revision as of 05:11, 26 May 2016
Background
- Uncommon
- Consider abuse
- If low energy mechanism, also consider pathologic fx
- Direct trauma: transverse fx
- Violent rotation: spiral fx
- Fracture fragment may injure radial nerve
- Assess wrist extensors/supinators
- Sensation of dorsoradial hand, thumb, and second digits
Differential Diagnosis
Humerus Fracture Types
Diagnosis
- AP lateral humerus, include shoulder and elbow views
Treatment
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
Source
- Tintinalli
- Harwood Nuss