Humerus fracture (peds)
Revision as of 01:05, 27 June 2011 by Jswartz (talk | contribs) (moved Humerus Fracture (peds) to Humerus Fracture (Peds))
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
Disposition
- Ortho f/u
See Also
Source
Tintinalli