Humerus fracture (peds)
Revision as of 00:37, 10 January 2012 by Ostermayer (talk | contribs)
Proximal Fracture
Background
- Occurs predominantly during adolescence
- Proximal fractures classified using the Neer classification system based on number of component fracutes
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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