Successful conservative treatment of proximal humerus fracture in children up to 10 years of age (CROSBI ID 716385)
Prilog sa skupa u zborniku | sažetak izlaganja sa skupa | međunarodna recenzija
Podaci o odgovornosti
Pešorda, Domagoj ; Bašković, Marko ; Čizmić, Ante ; Kljenak, Antun ; Mesić, Marko ; Žganjer, Mirko
engleski
Successful conservative treatment of proximal humerus fracture in children up to 10 years of age
Aim: The aim is to present cases of children up to 10 years of age with a fracture of the proximal humerus and to establish or refute the fact that a conservative approach is sufficient. Case description: The first case is an 8-year-old girl who fell off a roller skates and suffered a fracture of the proximal part of the left humerus. On X-ray, a shift towards the medial (for width of the bone) and shortening of the bone axis by 15 mm were observed. After immobilization, cast was removed after 3 weeks. The result was ideal after four months of follow-up. Another case is a 9- year-old girl who suffered a left humerus fracture in a car accident. The X-ray showed complete ad latus dislocation and marked shortening of the bone axis. She was treated with ESIN method in another hospital, but the result was unsatisfactory, so after a week in our hospital we decided to remove elastic stable intramedullary nails. In the following, we opted for conservative treatment. After four months of follow-up, the result was ideal. Conclusion: As early as 1965, Charles Neer stated in his paper that, regardless of the degree and severity of the displacement, open treatment of proximal humerus fractures in children is rarely justified. Proximal humerus fractures in skeletally immature patients, especially those up to 10 years of age, can certainly be treated non- operatively due to the enormous potential for remodelling and the wide functional arc of motion of the shoulder.
proximal humerus ; conservative treatment ; children ; trauma ; pediatric surgery
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Podaci o prilogu
1-1.
2022.
objavljeno
Podaci o matičnoj publikaciji
6. kongres Hrvatskog traumatološkog društva s međunarodnim sudjelovanjem: knjiga sažetaka
Podaci o skupu
6. kongres Hrvatskog traumatološkog društva s međunarodnim sudjelovanjem
predavanje
31.03.2022-02.04.2022
Vodice, Hrvatska