Not Neerly That Funny: An Unfortunate Injury In A Young Gymnast

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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. Return To The Case Studies List.		Back
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