The therapy of proximal humeral fractures in children

Abstract

Due to the outstanding remodeling capacity of the proximal humerus region in children, the majority of proximal humeral fractures and epiphyseal separations are managed without reduction by application of a Gilchrist bandage for 3 weeks. This overview aims to describe the indications for reduction and operative fracture stabilization and to describe the techniques applied to treat these injuries in children and adolescents. A visible valgus deformity in children and displaced epiphyseal fractures in adolescents with reduced remodeling capacity of the proximal end of the humerus represent the main indications for operative treatment. When closed reduction and percutaneous Kirschner (K) wire f..