Abstract
A 13-year-old female polytrauma patient presented with multiple injuries including a right closed transverse humeral shaft fracture. In this population, this fracture is commonly managed nonoperatively. However, for stability and mobilization indications, she was treated with flexible intramedullary nail fixation through a medial and lateral retrograde technique. Multiple options exist for flexible nail entry points, but key treatment strategy includes treating length-stable fractures, obtaining 80% intramedullary fill, and keeping a widespread of the nails at the fracture site. Care should be taken to avoid and protect the neurovascular bundles around the distal humeral entry points. She went on to robust healing and was allowed full weight-bearing at 6 weeks postoperatively.
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References and Suggested Readings
Garg S, Dobbs MD, Schoenecker PL et al (2009) Surgical treatment of traumatic pediatric humeral diaphyseal fractures with titanium elastic nails. J Child Orthop 3:121–127
Kelly DM (2016) Flexible intramedullary nailing of pediatric humeral fractures: indications, techniques, and tips. J Pediatr Orthop 36(Suppl 1):S49–S55
Lascombes P, Haumont T, Journeau P (2006) Use and abuse of flexible intramedullary nailing in children and adolescents. J Pediatr Orthop 26(6):827–834
Lascombes P, Nespola A, Poircuitte J-M et al (2012) Early complications with flexible intramedullary nailing in childhood fracture: 100 cases managed with precurved tip and shaft nails. Orthop Traumatol Surg Res 98:369–375
Marengo L, Rousset M, Paonessa M et al (2016) Displaced humeral shaft fractures in children and adolescents: results and adverse effects in patients treated by elastic stable intramedullary nailing. Eur J Orthop Surg Traumatol 26(5):453–459
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Bauer, J.M., Mackenzie, W.G. (2020). Humeral Shaft Fracture: Flexible Intramedullary Fixation. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-29980-8_12
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DOI: https://doi.org/10.1007/978-3-319-29980-8_12
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-29979-2
Online ISBN: 978-3-319-29980-8
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