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Proximal Humerus Fractures in the Pediatric Population
Arin E Kim1, Hannah Chi2, Ishaan Swarup3,4
1Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA.
Current Reviews in Musculoskeletal Medicine
|October 28, 2021
Summary
Nonoperative treatment is effective for minimally displaced proximal humerus fractures, avoiding complications. Operative management is often chosen for severe injuries, older patients, and specific fixation methods, with pediatric cases requiring age-based treatment decisions.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Pediatric Orthopedics
Background:
- Proximal humerus fractures are common injuries with varied treatment approaches.
- Understanding anatomy and epidemiology is crucial for effective management.
- Recent literature offers insights into diagnosis and clinical outcomes.
Purpose of the Study:
- To review current literature on proximal humerus fractures.
- Focus on anatomy, epidemiology, diagnosis, and treatment.
- Evaluate clinical outcomes of different management strategies.
Main Methods:
- Literature review of recent studies.
- Analysis of diagnostic methods and treatment options.
- Assessment of clinical outcomes and complications.
Main Results:
- Minimally displaced fractures treated nonoperatively have good outcomes.
- Operative management is associated with older age and higher injury severity.
- Various surgical techniques (pinning, nailing, plating) show positive results.
- Pediatric fractures require age-specific, displacement-based treatment decisions.
Conclusions:
- Nonoperative management is suitable for select proximal humerus fractures.
- Operative interventions offer good outcomes but are indicated in specific scenarios.
- Anatomical understanding and patient factors guide pediatric fracture management.
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