Humerus fracture (peds): Difference between revisions
Ostermayer (talk | contribs) |
Ostermayer (talk | contribs) |
||
| Line 12: | Line 12: | ||
*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 | ||
[[Image:Prox humerus fracture.jpeg|thumb|alt=Alt|Prox. Humerus Neer Classification]] | |||
==Diaphysis Fracture== | ==Diaphysis Fracture== | ||
Revision as of 00:38, 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