Consideration should be given to imaging joints above and below an injury humeral radiographs will generally adequately visualize the elbow and shoulder joints, but dedicated imaging of those sites should be performed if clinically indicated. , Comparative views are generally not indicated. , Two-view imaging (AP and lateral projections) of the affected extremity is generally sufficient when evaluating pediatric long bone injuries and is appropriate to diagnose humeral shaft fractures in these patients.
#Brisk capillary refill series
The proximal humerus can be visualized with a shoulder series and typical views include anteroposterior (AP), scapular Y, and axillary views. A child may not be able to indicate exactly where the source of their pain might be and shoulder imaging may be obtained rather than dedicated imaging of the humerus if a shoulder injury is initially suspected.
The classification of humerus fractures depends on their location: proximal physeal fractures are classified using the Salter-Harris Classification, with the majority being Salter-Harris type I or II fractures, whereas humeral shaft fractures are classified by angulation, displacement, and location.
There are no lacerations or abrasions of the skin. He has brisk capillary refill and a strong radial pulse. There is no apparent weakness or numbness. His vital signs are age appropriate and there is no obvious injury other than mild edema and tenderness of his proximal right humerus. There is no reported loss of consciousness and he denies neck pain, abdominal pain, back pain, or elbow pain. A 6-year-old boy presents with right upper arm and shoulder pain after falling off a horse while riding at a brisk trot.
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