Player FM 앱으로 오프라인으로 전환하세요!
Podcast 693: Humerus Fractures
Manage episode 297511023 series 2942787
Contributor: Nick Tsipis, MD
Educational Pearls:
- Humerus fractures can be characterized as proximal, midshaft, and distal fractures
- Proximal humerus fracture is the second-most common fracture in elderly patients
-
- Primary complication is with the axillary nerve and axillary artery
- Vast majority are managed nonoperatively with a sling, reduction usually not indicated
- Women comprise 70% of proximal humerus fractures, often secondary to fall with osteoporosis
- Midshaft humerus fractures are more often managed operatively, but can be managed nonoperatively
-
- Primary complication is with radial nerve, look for wrist drop!
- May require reduction and splinting
- Distal humerus fractures can include supracondylar fractures and involve the radius or ulna
-
- One atypical is the Holstein-Lewis fracture, that can cause radial nerve damage
- Management is varied depending on the exact type of distal humerus fracture
- Assess degree of angulation, neurovascular status, and likelihood of compartment syndrome both before and after splint application
References
Attum B, Thompson JH. Humerus Fractures Overview. [Updated 2020 Aug 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482281/
The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.org/cme-courses/ and create an account.
1042 에피소드
Manage episode 297511023 series 2942787
Contributor: Nick Tsipis, MD
Educational Pearls:
- Humerus fractures can be characterized as proximal, midshaft, and distal fractures
- Proximal humerus fracture is the second-most common fracture in elderly patients
-
- Primary complication is with the axillary nerve and axillary artery
- Vast majority are managed nonoperatively with a sling, reduction usually not indicated
- Women comprise 70% of proximal humerus fractures, often secondary to fall with osteoporosis
- Midshaft humerus fractures are more often managed operatively, but can be managed nonoperatively
-
- Primary complication is with radial nerve, look for wrist drop!
- May require reduction and splinting
- Distal humerus fractures can include supracondylar fractures and involve the radius or ulna
-
- One atypical is the Holstein-Lewis fracture, that can cause radial nerve damage
- Management is varied depending on the exact type of distal humerus fracture
- Assess degree of angulation, neurovascular status, and likelihood of compartment syndrome both before and after splint application
References
Attum B, Thompson JH. Humerus Fractures Overview. [Updated 2020 Aug 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482281/
The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.org/cme-courses/ and create an account.
1042 에피소드
모든 에피소드
×플레이어 FM에 오신것을 환영합니다!
플레이어 FM은 웹에서 고품질 팟캐스트를 검색하여 지금 바로 즐길 수 있도록 합니다. 최고의 팟캐스트 앱이며 Android, iPhone 및 웹에서도 작동합니다. 장치 간 구독 동기화를 위해 가입하세요.