Humerus shaft fracture (peds): Difference between revisions
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==Background == | ==Background== | ||
*Uncommon | *Uncommon | ||
**Consider abuse | **Consider abuse | ||
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*AP lateral humerus, include shoulder and elbow views | *AP lateral humerus, include shoulder and elbow views | ||
==Treatment == | ==Treatment== | ||
'''Non-Operative''' | '''Non-Operative''' | ||
*Up to 30 degrees angulation is well tolerated | *Up to 30 degrees angulation is well tolerated | ||
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*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)]] | ||
Revision as of 23:56, 6 July 2016
Background
- Uncommon
- Consider abuse
- If low energy mechanism, also consider pathologic fx
- 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
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
References
- Harwood Nuss
- Orthobullets