Humeral Shaft Fracture Flashcards

1
Q

What is the MOI

A
  1. Direct blow to arm OR
  2. FOOSH
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2
Q

What are the symptoms?

A
  1. Pain
  2. Swelling
  3. Deformity
  4. Motion at fracture site
  5. Inability to extend wrist/fingers (Wrist drop)
  6. Loss of sensation of dorsal hand
    *must r/o radial nerve injury
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3
Q

What will be found on the PE?

A
  1. Swelling
  2. Contusion
  3. Puncture wounds (maybe)
  4. Neurovascular exam
  5. Shoulder and elbow assessment
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4
Q

What diagnostic test should be completed?

A
  1. XRays of humerus
    *AP, int, oblique
    *need to include the shoulder and the elbow
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5
Q

What are some adverse outcomes of a humeral shaft fracture?

A
  1. Radial nerve injury
  2. Malunion (angulation)
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6
Q

What are the non surgical treatment options?

A
  1. Done with most fracture
    *up to 20 degrees of Angulation
    *splinting and sling used for treatment
    *sugar tong splint/coaptation splint
    *sling & swathe
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7
Q

When are surgical treatment options recommended?

A
  1. Open fractures
  2. Neurovascular injury
  3. “Floating elbow” syndrome
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8
Q

What are the adverse outcomes of the fracture and/or treatment?

A
  1. Radial nerve injury
  2. Refer all cases to ortho
  3. With peds suspect child abuse
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