Humerus fracture (peds): Difference between revisions
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*Occurs predominantly during adolescence | *Occurs predominantly during adolescence | ||
*Proximal fractures classified using the Neer classification system based on number of component fractures | *Proximal fractures classified using the Neer classification system based on number of component fractures | ||
[[File:Prox humerus fracture.jpeg|thumbnail]] | |||
=== Treatment === | === Treatment === | ||
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*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 == | ||
Revision as of 15:47, 11 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