![]() ![]() This will also help to reduce any swelling. It can be applied for 10 – 15 minutes every 2- 3 hours. If you have allergies or conditions, which prevent the use of pain-relieving or anti-inflammatory medication, please seek advice from your doctor or a pharmacist.Īdditionally in the first 72 hours, using ice packs on injured area may help with pain. To manage your pain, we advise that you regularly take simple pain relief, which can be bought over the counter. This fracture can be treated in a sling for 4 weeks. These fractures normally take between 6 to 12 weeks to heal. A fracture of the proximal part means that it is broken up near the shoulder joint. The humerus is the long bone in your upper arm. Contact details are available at the end of this leaflet. If after reading it, you have any concerns or require further explanation, please do not hesitate to contact the fracture clinic team. We understand you may not have seen a clinician face to face in fracture clinic however, most of your questions should be answered by this leaflet. This leaflet has been produced to give you general information about your injury. Need some help choosing a language? Please refer to Browsealoud Supported Voices and Languages. ![]() p.119-34.Ĭontent developed by Victorian Paediatric Orthopaedic Network.You can translate this page by using the headphones button (bottom left) and then select the globe to change the language of the page. Lippincott Williams & Wilkins, Philadelphia 2005. Pediatric Orthopaedic Society of North America. Proximal humerus fractures in the pediatric population: a systematic review. Pahlavan S, Baldwin K, Pandya N, Namdari S, Hosalkar H. ![]() In Tachdjian's Pediatric Orthopedics, 4 th Ed. Lippincott Williams & Wilkins, Philadelphia 2010. 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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