Humerus shaft fracture (peds): Difference between revisions
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**Consider abuse | **Consider abuse | ||
**If low energy mechanism, also consider pathologic fx | **If low energy mechanism, also consider pathologic fx | ||
**Direct trauma: transverse | **Direct trauma: transverse fracture | ||
**Violent rotation: spiral | **Violent rotation: spiral fracture | ||
*Fracture fragment may injure radial nerve | *Fracture fragment may injure radial nerve | ||
**Assess wrist extensors/supinators | **Assess wrist extensors/supinators | ||
Revision as of 01:55, 3 July 2016
Background
- Uncommon
- Consider abuse
- If low energy mechanism, also consider pathologic fx
- 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 Fracture Types
Diagnosis
- AP lateral humerus, include shoulder and elbow views
Treatment
Non-Operative
- Up to 30 degrees angulation is well tolerated
- Long arm posterior splint, sling and swathe splint, or coaptation splint
- ROM exercises in 2-3 weeks
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