Gorham massive osteolysis.

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Abstract

[Indexed for MEDLINE] 16. Hand Clin. 2007 Nov;23(4):431-5, vi. doi: 10.1016/j.hcl.2007.09.002. Proximal humerus and humeral shaft fractures in children. Shrader MW(1). Author information: (1)The CORE Institute, Phoenix, AZ 85027, USA. wshrader@thecoreinstitute.com Proximal humerus fractures and fractures of the humeral shaft are relatively rare in children. The incidence of the former is about 1 to 3 cases/1000 population per year, comprising fewer than 3% of all pediatric fractures. Fractures of the humeral shaft represent fewer than 10% of all humerus fractures in children. Both types of fractures in babies and young children can be treated nonsurgically, because of the joint's ability to remodel. Simple swaddling with a sling or swaddling cloth can be the solution. For older children, splints and braces may be necessary for short periods of time. Fractures can sometimes be a sign of parental child abuse, so suspicion should remain high when evaluating children with these injuries. DOI: 10.1016/j.hcl.2007.09.002