Humerus fracture (peds)

Revisión del 00:07 27 jun 2011 de Jswartz (discusión | contribs.) (Created page with "==Proximal Fracture== ===Background=== *Occurs predominantly during adolescence ===Treatment=== *Depends on the age of the child and degree of displacement **Ortho consult is ne...")
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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

Dispo

  • Ortho f/u

See Also

Supracondylar Fracture

Source

Tintinalli

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