View source for Humerus shaft fracture (peds)

{{Peds top}} [[humerus shaft fracture]]
==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==
{{Proximal arm fracture DDX}}

==Evaluation==
*AP lateral humerus, include shoulder and elbow views

==Management==
'''Non-Operative'''
*Up to 30 degrees angulation is well tolerated
{{Humerus shaft fracture (peds) splint}}
*ROM exercises in 2-3 weeks

'''Operative'''
*Open fractures
*Ipsilateral forearm injury "Floating elbow"
*Shoulder injury or poly trauma

==Disposition==
{{Humerus shaft fracture (peds) disposition}}

==See Also==
*[[Humerus fracture (peds)]]

==References==
<references/>
 
*Harwood Nuss 
*Orthobullets

[[Category:Pediatrics]] 
[[Category:Orthopedics]]