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LO SCALPELLO-OTODI Educational

, Volume 32, Issue 3, pp 235–239 | Cite as

Le fratture diafisarie di omero in età pediatrica

  • Antonio CasaburiEmail author
  • Daniela Lamberti
  • Teresa Busiello
  • Biagio Sorrentino
  • Vito Siesto
  • Pasquale Guida
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Humeral shaft fractures in the paediatric age

Abstract

Humeral shaft fractures are uncommon in children. They occur with bimodal distribution, presenting peaks in the first and third childhood. The treatment differs according to age and fracture complexity. Most of them generally occur at the medial third of humeral bone, below the distal insertion of the deltoid. The management of minimally dislocated fractures is non-surgical, thanks to children bone remodelling capacity. Surgery is indicated in open fractures, multiple trauma, compartment syndromes and inadequate closed reduction. The elastic intramedullary nailing is the most used therapeutic approach. It is a minimally invasive, simple technique with a very low complication rate.

Notes

Conflitto di interesse

Gli autori Antonio Casaburi, Daniela Lamberti, Teresa Busiello, Biagio Sorrentino, Vito Siesto e Pasquale Guida dichiarano di non avere alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

Per questo tipo di studio non è richiesto l’inserimento di alcuna dichiarazione relativa agli studi effettuati su esseri umani e animali.

Bibliografia

  1. 1.
    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 26:453–459 CrossRefGoogle Scholar
  2. 2.
    Marengo L, Canavese F, Cravino M et al. (2015) Outcome of displaced fractures of the distal metaphyseal-diaphyseal junction of the humerus in children treated with elastic stable intramedullary nails. J Pediatr Orthop 35:611–616 CrossRefGoogle Scholar
  3. 3.
    Carnesale PG (1998) Benign tumors of bone. In: Canale ST (ed) Campbell’s operative orthopaedics, 9th edn. Mosby, St. Louis, pp 683–702 Google Scholar
  4. 4.
    Landin LA (1997) Epidemiology of children’s fractures. J Pediatr Orthop 6:79–83 CrossRefGoogle Scholar
  5. 5.
    Charnley J (1950) The closed treatment of common fractures, Edinburg, London Google Scholar
  6. 6.
    Böhler L (1929) Treatment of fractures. Wilhelm Maudrich, Vienna Google Scholar
  7. 7.
    Dietz HG, Schmittenbecher PP, Slongo T, Wilkins K (2006) Elastic stable intramedullary nailing (ESIN) in children. In: AO manual of fracture management. Thieme, New York Google Scholar
  8. 8.
    Flynn JM et al. (2010) Changes in the philosophy of management of fractures in children: recent years have witnessed a shift toward a greater role for operative treatment. In: Rockwood Wilkins (ed) Fractures in children, 7th edn. Lippincott Williams & Wilkins, Philadelphia Google Scholar
  9. 9.
    von Laer L (2001) Pediatric fractures and dislocation. Thieme, New York Google Scholar
  10. 10.
    Webb L, Mooney J (2003) Fractures and dislocations about the shoulder. In: Green N, Swiontkowski M (eds) Skeletal trauma in children. Saunders, Philadelphia, pp 322–343 Google Scholar
  11. 11.
    Caviglia HH, Garrido CP, Palazzi FF, Meana NV (2005) Pediatric fractures of the humerus. Clin Orthop Relat Res 432:49–56 CrossRefGoogle Scholar
  12. 12.
    Beaty JH (1992) Fractures of the proximal humerus and shaft in children. Instr Course Lect 41:369–372 Google Scholar
  13. 13.
    Shrader MW (2007) Proximal humerus and humeral shaft fractures in children. Hand Clin 23:431–435 CrossRefGoogle Scholar
  14. 14.
    Rang M (1983) Children’s fractures, 2nd edn. JB Linpincott, Philadelphia, pp 154–161 Google Scholar
  15. 15.
    Asche G (1986) Use of external fixation in pediatric fractures. Zentralbl Chir 111:391–397 Google Scholar
  16. 16.
    Bukvić N, Marinović M, Bakota B et al. (2015) Complications of ESIN osteosynthesis. Experience in 270 patients. Injury 46:40–43 CrossRefGoogle Scholar
  17. 17.
    Shah JJ, Bhatti NA (1983) Radial nerve paralysis associated with fractures of the humerus: a review of 62 cases. Clin Orthop 172:171–176 Google Scholar
  18. 18.
    Lewallen RP, Peterson HA (1985) Nonunion of long bone fractures in children: a review of 30 cases. J Pediatr Orthop 5:135–142 CrossRefGoogle Scholar
  19. 19.
    Bukvic N, Kvesic A, Brekalo Z et al. (2011) The validity of ESIN method of osteosynthesis compared to other active surgical method of treatment of diaphyseal fractures of long bones in children and adolescents. Coll Antropol 2:403–408 Google Scholar

Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2018

Authors and Affiliations

  • Antonio Casaburi
    • 1
    Email author
  • Daniela Lamberti
    • 2
  • Teresa Busiello
    • 1
  • Biagio Sorrentino
    • 1
  • Vito Siesto
    • 1
  • Pasquale Guida
    • 1
  1. 1.U.O.C. Ortopedia e TraumatologiaA.O.R.N. Santobono PausiliponNapoliItalia
  2. 2.A.I.F. U.O.C. Ortopedia e TraumatologiaA.O.R.N. Santobono PausiliponNapoliItalia

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