THÔNG TIN TÀI LIỆU
fracture displacement Notably, a spiral fracture in a child less than years old may be suspicious for nonaccidental trauma unless the mechanism is consistent with this pattern of injury ( Fig 111.14 ) Vascular injuries are uncommon, but there is risk of radial nerve injury in up to 5% of fractures, particularly for fractures involving the middle and distal thirds of the humeral shaft Fortunately, most injuries of the radial nerve represent neuropraxias, and full return of function may be expected within to months Nonoperative management is standard for uncomplicated diaphyseal fractures, using the same techniques described above for proximal humerus fractures Alternatively, the application of a sugar-tong splint to the upper arm with a sling to support the forearm is recommended for displaced fractures Some orthopedic surgeons advise reducing the angulation to less than 10 degrees before proceeding with nonoperative treatment, but this recommendation is not universal as gravity will help align the fracture over time Indications for surgical stabilization and/or urgent orthopedic consultation for isolated humeral shaft fractures include open fractures, neurovascular compromise after reduction, completely displaced fractures, or fractures angulated more than 20 degrees in children and 10 degrees in adolescents Children should follow up with orthopedic surgery within week of injury, and healing generally takes to weeks, depending upon the age of the child
Ngày đăng: 22/10/2022, 20:19
Xem thêm: