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Pediatric Orthopedic Trauma Case Atlas pp 1–4Cite as

Humeral Shaft Fracture: Flexible Intramedullary Fixation

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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

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Author information

Authors and Affiliations

  1. Seattle Children’s Hospital, University of Washington, Seattle, WA, USA

    Jennifer M. Bauer

  2. Department of Orthopedic Surgery, Nemours: Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    William G. Mackenzie

Authors
  1. Jennifer M. Bauer
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  2. William G. Mackenzie
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Corresponding author

Correspondence to Jennifer M. Bauer .

Editor information

Editors and Affiliations

  1. Ohio State University, Nationwide Children’s Hospital Ohio State University, Columbus, Ohio, USA

    Christopher Iobst

  2. Department of Orthopedic Surgery, Nemours Children's Hospital, Orlando, Florida, USA

    Steven L. Frick

Section Editor information

  1. Division of Orthopedic Surgery, Nemours Children’s Specialty Care, Pensacola, FL, USA

    Richard Reynolds MD

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© 2018 Springer International Publishing AG

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Bauer, J.M., Mackenzie, W.G. (2018). Humeral Shaft Fracture: Flexible Intramedullary Fixation. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_12-1

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  • DOI: https://doi.org/10.1007/978-3-319-28226-8_12-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28226-8

  • Online ISBN: 978-3-319-28226-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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