Humerus fracture (peds): Difference between revisions
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[[Supracondylar Fracture]] | [[Supracondylar Fracture]] | ||
==Source== | == Source == | ||
[[Category:Peds]] | Tintinalli | ||
[[Category:Ortho]] | |||
Harwood Nuss | |||
[[Category:Peds]] [[Category:Ortho]] | |||
Revision as of 00:39, 10 January 2012
Proximal Fracture
Background
- Occurs predominantly during adolescence
- Proximal fractures classified using the Neer classification system based on number of component fracutes
Treatment
- Depends on the age of the child and degree of displacement
- Ortho consult is needed to determine the best approach
Disposition
- Slightly displaced fx: Sling and ortho f/u
- Displaced >30 degrees: may need closed reduction
Diaphysis Fracture
Background
- Uncommon
- Consider abuse
- 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
Treatment
- Long-arm plaster splint
Disposition
- Ortho f/u
See Also
Source
Tintinalli
Harwood Nuss