Humerus fracture (peds): Difference between revisions
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= Proximal Fracture = | = Proximal Fracture = | ||
[[Image:Prox humerus fracture.jpeg|thumb | [[Image:Prox humerus fracture.jpeg|thumb]] | ||
=== Background === | === Background === | ||
*Occurs predominantly during adolescence | *Occurs predominantly during adolescence | ||
*Proximal fractures classified using the Neer classification system based on number of component | *Proximal fractures classified using the Neer classification system based on number of component fractures | ||
=== Treatment === | === Treatment === | ||
*Depends on the age of the child and degree of displacement | *Depends on the age of the child and degree of displacement | ||
**Ortho consult is needed to determine the best approach | **Ortho consult is needed to determine the best approach | ||
=== Disposition === | === Disposition === | ||
*Slightly displaced fx: Sling and ortho f/u | *Slightly displaced fx: Sling and ortho f/u | ||
*Displaced >30 degrees: may need closed reduction | *Displaced >30 degrees: may need closed reduction | ||
==Diaphysis Fracture== | == Diaphysis Fracture == | ||
===Background=== | |||
*Uncommon | === Background === | ||
**Consider abuse | |||
**Direct trauma: transverse fx | *Uncommon | ||
**Violent rotation: spiral fx | **Consider abuse | ||
*Fracture fragment may injure radial nerve | **Direct trauma: transverse fx | ||
**Assess wrist extensors/supinators | **Violent rotation: spiral fx | ||
*Fracture fragment may injure radial nerve | |||
**Assess wrist extensors/supinators | |||
**Sensation of dorsoradial hand, thumb, and second digits | **Sensation of dorsoradial hand, thumb, and second digits | ||
===Treatment=== | === Treatment === | ||
*Long-arm plaster splint | *Long-arm plaster splint | ||
===Disposition=== | === Disposition === | ||
*Ortho f/u | *Ortho f/u | ||
==See Also | == See Also == | ||
[[Supracondylar Fracture]] | |||
Harwood Nuss | == Source == | ||
*Tintinalli | |||
*Harwood Nuss | |||
[[Category:Peds]] [[Category:Ortho]] | [[Category:Peds]] [[Category:Ortho]] | ||
Revision as of 19:06, 10 January 2012
Proximal Fracture
Background
- Occurs predominantly during adolescence
- Proximal fractures classified using the Neer classification system based on number of component fractures
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