Humerus fracture (peds): Difference between revisions
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**Sensation of dorsoradial hand, thumb, and second digits | **Sensation of dorsoradial hand, thumb, and second digits | ||
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*Long-arm plaster splint | *Long-arm plaster splint | ||
Revision as of 00:07, 27 June 2011
Proximal Fracture
Background
- Occurs predominantly during adolescence
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
Dispo
- Ortho f/u
See Also
Source
Tintinalli