Humerus shaft fracture (peds)

Background

  • Uncommon
    • Consider abuse
    • If low energy mechanism, also consider pathologic fracture
    • Direct trauma: transverse fracture
    • Violent rotation: spiral fracture
  • Fracture fragment may injure radial nerve
    • Assess wrist extensors/supinators
    • Sensation of dorsoradial hand, thumb, and second digits

Differential Diagnosis

Humerus Fractures

Humeral anatomy

Evaluation

  • AP lateral humerus, include shoulder and elbow views

Management

Non-Operative

Operative

  • Open fractures
  • Ipsilateral forearm injury "Floating elbow"
  • Shoulder injury or poly trauma

Disposition

Non-emergent Ortho f/u

See Also

References


  • Harwood Nuss
  • Orthobullets