Executive Editor: Fergal Monsell

General Editor: Chris Colton

Authors: Andrew Howard, Theddy Slongo

Pediatric distal humerus 13-E/4.1M

General considerations

The preferred treatment option for this fracture is an open approach and stable fixation.

In most cases it is possible to perform screw fixation. Only in the rare situation of a young child is K-wire fixation indicated.

Timing of treatment

Only severely displaced fractures with risk of secondary damage (eg, skin perforation by the pressure of the fragment) and open fractures are indications for emergency surgery.

There is evidence that in nonurgent cases a delay in treatment of up to 2-3 days has no negative effect on healing or outcome.

The following points influence the timing of the treatment:

Appendix

Shortcuts

Decision support

Authors' added material

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v1.0 2016-12-01