Naslov
Successful conservative treatment of proximal humerus fracture in children up to 10 years of age

Autori
Pešorda, Domagoj ; Bašković, Marko ; Čizmić, Ante ; Kljenak, Antun ; Mesić, Marko ; Žganjer, Mirko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
6. kongres Hrvatskog traumatološkog društva s međunarodnim sudjelovanjem: knjiga sažetaka / - , 2022, 1-1

Skup
6. kongres Hrvatskog traumatološkog društva s međunarodnim sudjelovanjem

Mjesto i datum
Vodice, Hrvatska, 31.03.2022. - 02.04.2022

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
proximal humerus ; conservative treatment ; children ; trauma ; pediatric surgery

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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