Evaluation and Management of Pediatric Humeral Shaft Fractures.
J Am Acad Orthop Surg
; 31(6): 265-273, 2023 Mar 15.
Article
em En
| MEDLINE
| ID: mdl-36729652
ABSTRACT
Diaphyseal humerus fractures in the pediatric population have dynamic treatment strategies that depend on injury pattern, mechanism, patient skeletal maturity, and size. Treatment strategies include closed reduction with various immobilization techniques, flexible nails, uniplanar or multiplanar external fixation, or plate osteosynthesis. Accepted parameters for sagittal and coronal alignment vary based on age and potential for remodeling, and the multiplanar motion of the shoulder joint can accommodate for greater variations in alignment than many other long bone fractures. Complications such as radial nerve palsy are possible with both open and closed injuries, and mal/nonunions, although rare, can occur. Overall, treatment should be predicated on a full evaluation of the patient, fracture, local soft tissues, and any concomitant injuries.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neuropatia Radial
/
Fraturas do Úmero
Limite:
Child
/
Humans
Idioma:
En
Revista:
J Am Acad Orthop Surg
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2023
Tipo de documento:
Article