儿童肱骨近端骨折探究.ppt

When is reduction (non-operative and operative) required?? The proximal physis contributes 80% of the length of the humerus.? Due to the enormous remodelling potential, most of these injuries do not require reduction. ?There is no role for attempted reduction in the ED. The older child with greater deformity may be treated with closed reduction. ?This is controversial and there are no agreed figures to guide closed operative reduction. Approximate indications are: 5-12 years - accept 60 degree angulation and 50% displacement 12 years - accept 30 degrees angulation and 30% displacement Isolated