Humerus fracture (peds): Difference between revisions
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= Proximal Fracture = | |||
[[Image:Prox humerus fracture.jpeg|thumb| | |||
=== Background === | [[Image:Prox humerus fracture.jpeg|thumb|Alt]] | ||
=== Background === | |||
*Occurs predominantly during adolescence | *Occurs predominantly during adolescence | ||
*Proximal fractures classified using the Neer classification system based on number of component fracutes | *Proximal fractures classified using the Neer classification system based on number of component fracutes | ||
===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 | |||
*Displaced | *Slightly displaced fx: Sling and ortho f/u | ||
*Displaced >30 degrees: may need closed reduction | |||
==Diaphysis Fracture== | ==Diaphysis Fracture== | ||
Revision as of 00:39, 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