![]() p.119-34.Ĭontent developed by Victorian Paediatric Orthopaedic Network.ICD-10-CM/PCS MS-DRG v37. Lippincott Williams & Wilkins, Philadelphia 2005. Pediatric Orthopaedic Society of North America. 2,20 Several authors have reports that the majority (46-81 in 5 different studies) of humerus fractures in children younger than 3 years of age are intentional, and in infants younger than 15 months, 67-100 of humerus fractures are thought to be secondary to abuse. Proximal humerus fractures in the pediatric population: a systematic review. The humerus is the most commonly fractured bone in battered children. Pahlavan S, Baldwin K, Pandya N, Namdari S, Hosalkar H. The usual treatment for this fracture is. In Tachdjian's Pediatric Orthopedics, 4 th Ed. Most proximal humeral fractures do not require reduction as remodelling is extremely effective in the proximal humerus. Lippincott Williams & Wilkins, Philadelphia 2010. The artwork programme - which so characterises the appeal and success of previous editions - has been fully updated although its clarity remains as strong as ever and the logical sequence of illustrations with their succinct captions affords a rewarding and effective way to learn.New edition of this popular and highly respected book.Practical. In Rockwood and Wilkins' Fractures in Children, 7 th Ed. ![]() Fractures of the proximal radius and ulna. Fractures of the proximal humerus and shaft in children. Proximal humeral fractures in children and adolescents. Mild malunion can occur but is not a functional problem.įracture clinics for other potential complications References (ED setting)īahrs C, Zipplies S, Ochs BG, et al. What are the potential complications associated with this injury?Ĭomplications are rare and usually due to associated soft tissue and neurological injuries, i.e. ![]() Physeal injuries in adolescents are typically Salter-Harris type I and II with very low subsequent growth arrest rates. Mild shortening of the humerus and mild angular malunion are not noticeable cosmetically, and function is unaffected. Nonunion is rare and shoulder function usually returns to normal even if there is residual deformity on xray. What advice should I give to parents?ĭue to the remodelling potential of this region, the outcome from this fracture is usually excellent. Patients should be seen in the fracture clinic or by an interested GP within seven days for follow-up with radiographs to assess further displacement. Analgesia and thorough neurovascular assessment are essential. The usual treatment for this fracture is immobilisation of the shoulder in a sling, body swathe or shoulder immobiliser. What is the usual ED management for this fracture?
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