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.

Last updated by Data Trace Staff on Saturday, June 23, 2012 8:38 pm