Humerus shaft fracture (peds): Difference between revisions

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== Background ==
{{Peds top}} [[humerus shaft fracture]]
==Background==
*Uncommon  
*Uncommon  
**Consider abuse  
**Consider abuse  
**If low energy mechanism, also consider pathologic fx
**If low energy mechanism, also consider pathologic fracture
**Direct trauma: transverse fx
**Direct trauma: transverse fracture
**Violent rotation: spiral fx
**Violent rotation: spiral fracture
*Fracture fragment may injure radial nerve  
*Fracture fragment may injure radial nerve  
**Assess wrist extensors/supinators  
**Assess wrist extensors/supinators  
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{{Proximal arm fracture DDX}}
{{Proximal arm fracture DDX}}


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


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


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


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

Latest revision as of 23:16, 28 November 2019

This page is for pediatric patients. For adult patients, see: 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

Humerus Fracture Types

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