Proximal humerus fracture (peds): Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
*XR AP Lateral, scapular Y - asses fx and r/o dislocation | |||
*US may be used in newborns before ossification centers present | |||
== Treatment == | == Treatment == |
Revision as of 04:38, 26 May 2016
Background
- Occurs predominantly during adolescence
- Proximal fractures classified using the Neer classification system based on number of component fractures
Clinical Features
Differential Diagnosis
Humerus Fracture Types
Diagnosis
- XR AP Lateral, scapular Y - asses fx and r/o dislocation
- US may be used in newborns before ossification centers present
Treatment
- Depends on the age of the child and degree of displacement
- Ortho consult is needed to determine the best approach
Disposition
- Slightly displaced fracture: Sling and ortho f/u
- Displaced >30 degrees: may need closed reduction
See Also
Source
- Tintinalli
- Harwood Nuss