Tratamiento conservador de las fracturas diafisarias de húmero en niños

Abstract

Trauma or injury in pediatric patients is a public health problem, leading to major childhood morbidities and more frequent hospitalization and rehabilitation. Humeral diaphysis fracture in infants has a low incidence of 2% to 5%, common in children under three years of age and older than 12 years; most of them are treated conservatively, offering successful results, because of the great potential of bone remodeling in childhood. Objectives: To Conduct a literature review on the conservative treatment of humerus diaphyseal fractures in children. Methodology: A bibliographic review was performed via the parameters of the PRISMA statement using a descriptive and qualitative study, through a search in bibliographic databases, and keywords described in the inclusion and exclusion criteria. Results: It was found that humerus diaphyseal fractures in childhood are unusual, reaching a maximum of 5%, caused primarily by sports or traffic accidents, eventual falls, and possible child abuse; conservative treatment has been the ideal and most utilized throughout history since the different immobilization techniques provide excellent results, as well as less recurrence of possible complications. Conclusions: Diaphyseal humerus fractures in children respond successfully to conservative treatment, facilitating their recovery because of bone characteristics and their extraordinary capacity for remodeling and consolidation.