Brachial artery injury with a proximal humerus fracture in a 10-year-old girl.

摘要

Proximal humerus fractures in children are uncommon; their incidence is 1.2 to 4.4 per 1000 per year or fewer than 5% of all pediatric fractures. Nearly all these fractures are treated conservatively because of the potential to heal and remodel without significant residual functional deficits. Pediatric orthopedic textbooks describe complications associated with proximal humerus fractures, but none of those reviewed describes a concomitant vascular injury. To our knowledge, there have been only 2 published reports of such an injury, and both involved a Salter-Harris type II fracture of the proximal humerus and associated vascular injury.