Management of Pediatric Proximal Humerus Fractures

Proximal humerus fractures are commonly seen by orthopaedic providers. Its incidence peaks in adolescent patients and these injuries most occur after a fall or direct trauma. The muscle attachments of the proximal act as deforming forces anatomic structures such periosteum biceps tendon may blocks to reduction. These often classified using Neer-Horowitz classification system Salter-Harris system. helps guide treatment since it is based on displacement, used literature. have an outstanding potential remodel due their proximity humeral physis. majority young children can be treated nonoperatively with excellent outcomes. Operative management considered older displaced fractures, open associated neurovascular injury poly-trauma patients. common techniques for fixation include use percutaneous elastic nailing. In general, good outcomes operative nonoperative fractures.