Not Neerly That Funny: An Unfortunate Injury In A Young Gymnast - Page #4
 

Working Diagnosis:
Proximal humerus fracture with buckle appearance

Treatment:
The patient was placed in a sling for comfort. She was prescribed non-NSAID pain control.

Outcome:
Early range of motion exercises

Repeat x-rays at 1 week and 3 weeks

No gymnastics, dancing, or gym for at least 3 weeks

At 3 weeks, gradual progressive return to activity

At 6 weeks, full activity which she tolerated well

Editor's Comments:
In pediatric age athletes buckle fractures should always be considered after trauma. Physeal fracture, Salter Harris classification are also very common. In this case, traumatic impingement and ligamentous sprain should also be in the differential.

References:
Mathison, D and Agrawal, D. (2017, July). General principles of fracture management: Fracture patterns and description in children accessed from Uptodate online 1/4/2018.

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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