Site Map

Fractures of the shoulder girdle, shoulder and arm of the child

| Share


These fractures generally require orthopedic treatment with the use of a sling for 3-4 weeks + 3 weeks of sports protection (Figure 10).

Surgical treatment is recommended when there is risk of cutaneous perforation of bone ends.


Figure 10
. Fractured of the middle clavicle, angled and slightly displaced. Treatment was performed with a sling.

Obstetric clavicular fracture  (Fig 6)


It is the most frequent obstetric fracture (produced during labor). It is produced in difficult births and it is very important to rule out congenital brachial plexus palsy (objectify active flexion of the elbow). This type of fracture heals very rapidly, forming a large callus, that remodels over time. Placing the extremity under clothing for a week is enough.

No X-ray is needed for diagnosis nor monitoring of repair.

Proximal humerus

Fractures of the proximal humerus have a great capacity for remodeling, since its physis has great growth potential. Thus, we can use non-surgical treatment for fractures with fair displacement or angulation (especially in young patients) (Fig. 11).

Figure 11. Proximal humerus fracture in a young child. Complete remodeling.

Most are Salter-Harris physeal fractures type I and II. They are immobilized with a sling for 2-3 weeks.
We propose surgical treatment for severely displaced fractures in adolescents, by closed reduction and percutaneous fixation with Kirschner wires or screws.

Shaft of the humerus

In general, the recommended treatment is non-surgical, by immobilization with a U cast.
In adolescence there is a greater tendency to shift. Therefore, closed reduction and internal fixation with intramedullary elastic needles (Metaizeau) is the treatment of choice. Fig 12.


Figure 12. Low humeral shaft fracture treated with elastic intramedullary pins.

Obstetrical humerus fracture

It is the second most common obstetric fracture. Treatment by tube traction for 10 days (Fig 13). With this “crafty” method, residual angulation is perfectly reshaped due to early age.


Figure 13
. Obstetric humeral fracture treated with tube traction.

Obstetric brachial palsy
Brachial Plexus Birth Palsy: Definition and Mechanisms of Injury:
Risk of brachial plexus birth palsy. Necessary diagnostic tests.
BPBP treatment: physical therapy and surgery
Shoulder problems in children with BPBP
Prevention and Risk of IRCS and DGH
Diagnosis and Treatment of Shoulder Dysplasia
What doctor does my baby need?
Clinical experience of Dr Soldado
Short or absent thumb: thumb hypoplasia
Deviated wrist: radial and ulnar clubhand
Short fingers: Brachydactyly, symbrachydactyly, amniotic band syndrome
Less fingers: cleft hand and ulnar clubhand
Extra fingers or thumb: Polydactyly
Glued fingers or syndactyly
Cerebral Palsy
Definition, overview and assessment of cerebral palsy
Upper extremity problems in children with spastic hemiparesis
Nonsurgical treatment of spastic hemiparesis
The upper extremity in cerebral palsy with spastic tetraparesis
Surgical treatment of spastic hemiparesis
Pediatric vascular microsurgery: overview
Bone loss reconstruction I: Vascularized fibula transfer
Bone loss reconstruction II: Periosteum transfer of vascularized fibula
Bone recalcitrant nonunion or pseudoarthrosis
Bone revascularization (osteonecrosis, aseptic necrosis)
Joint reconstruction. Transfer of epiphysis and growth plate of the vascularized fibula
Reimplantation and revascularization
Functional muscle transfer (vascularized and innervated)
Skin loss coverage
Overview of fractures
Typical bone fractures in children
Treatment of fractures in children: overview
Classification and treatment of physeal fractures
Fractures of the shoulder girdle, shoulder and arm of the child
Elbow fractures of the child
Fractures of the forearm and wrist of the child
Hand fractures in children
Upper extremity injuries of the child
Francisco Soldado
Doctor Francisco Soldado Videos
Research Support
Known cases like yours
Cooperación internacional: Misiones quirúrgicas
© 2001-2019 Francisco Soldado.Privacy PolicyLegal NoticeQuality Policy Website by