Proximal Humerus Open Fracture in Pediatrics: A Case Report and Literature Review

Reza Zandi; Shahin Talebi; Fargol Farahmandi; Saeed Nodehi; Akbar Ehsani

doi:10.18502/jost.v11i3.19408

Reza Zandi Associate Professor, Department of Orthopedic Surgery, Musculoskeletal Injuries Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Shahin Talebi Associate Professor, Department of Orthopedic Surgery, Musculoskeletal Injuries Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Fargol Farahmandi Intern, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Saeed Nodehi Resident, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Akbar Ehsani Orthopedic Surgeon, Musculoskeletal Injuries Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v11i3.19408

Keywords: Pediatrics; Fractures; Open Fractures; Humerus Fractures; Treatment Outcome

Abstract

Background: Proximal humerus fracture (PHF) in pediatrics is managed with different options: nonoperative or operative. However, proximal humerus open fractures are sparse in the literature.

Case Report: We present a 9-year-old boy who presented to our institution with proximal humerus open fracture (type IIIA of Gustilo classification). After irrigation and debridement, reduction was satisfactory. We preferred to immobilize the fracture using slingand-swathe and U-slab splint.

Conclusion: Satisfactory union, angulation, and range of motion (ROM) were achieved.