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Wheeless' Textbook of Orthopaedics
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Type I Epiphyseal Injury: of Proximal Humerus




- Discussion:
    - encountered in infants and young children;
    - this frx is difficult to diagnose since humeral epiphysis since it is
          mostly cartilage;

- Treatment:
    - if arm is shortened and abducted then restore length & alignment by applying
          longitudinal traction w/ arm in 90 deg of abduction, 90 deg of flexion, and
          15-25 deg of external rotation;
    - shoulder & upper limb are immoblized in a modified Velpeau bandage;
          for 3-4 weeks;



Original Text by Clifford R. Wheeless, III, MD.