Humerus fracture (peds)

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

Supracondylar Fracture

Source

• Tintinalli
• Harwood Nuss