Treatment can be nonoperative or operative depending on location of fracture, fracture morphology, and association with other ipsilateral injuries. Diagnosis is made with orthogonal radiographs of the humerus. (n1), insufficient reduction (n4), and varus displacement of the humeral head (n3). Humeral shaft fractures are common fractures of the diaphysis of the humerus, which may be associated with radial nerve injury. Caregivers did not provide a mechanism of injury for half of children with abusive fractures, whereas caregivers provided some explanation for all children with non-abusive fractures.Ĭhild abuse Fractures Humerus injuries.Ĭopyright © 2017 Elsevier Ltd. greater tuberculum (n1) with oblique placement of the plate. A younger age, non-ambulatory developmental stage, and the presence of additional injuries were significantly associated with abusive fractures. Child Protection Teams evaluated 44 patients (45%) and determined that 24 of those had 25 fractures caused by abuse (25% of the total study population).Among children with fractures determined to have been caused by abuse, the most common location was the distal humerus (50%) and the most common types were transverse and oblique (25% each) however, transverse and oblique fractures were also seen in patients whose injuries were determined to have been non-abusive. Digital elbow with plaster cast x-ray showing lower humerus fracture, lateral view. The most common fracture location was the distal humerus (65%) and the most common fracture type was supracondylar (48%). This protocol is intended to guide clinicians through the post-operative course for Proximal Humeral Fracture Open. The 97 eligible patients had 100 humerus fractures. The main outcome measures were the type of fracture and the etiology of the fracture (abuse vs not abuse). The transverse section of the shaft of the humerus is somewhat circular in shape which gets more flattered as it descends down to. The Supracondylar fracture of the humerus is a fracture of the distal end of the humerus just above the elbow joint. Electronic medical records were reviewed for eligible patients evaluated between Septemand Januat two children's hospitals in Chicago, IL. Relation of distal end of arm with brachial artery and median nerve. ![]() To better identify factors discriminating between abusive and non-abusive humerus fractures, this retrospective study examined the characteristics and mechanisms of injuries causing humerus fractures in children less than 18 months of age. Fractures are the second most common abusive injury occurring in young children, particularly those under 2 years of age.
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