Benson Elizabeth M, Torrez Timothy, Obinwa Chibuike, Conklin Michael
Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, USA.
Department of Orthopaedic Surgery, University of Utah, Salt Lake City, USA.
Cureus. 2022 Nov 6;14(11):e31169. doi: 10.7759/cureus.31169. eCollection 2022 Nov.
Pediatric midshaft humerus fractures are typically managed with a hanging arm cast, Sarmiento bracing, coaptation splint, or a combination of these treatment options. Here we report a novel use of a shoulder spica cast in the treatment of a midshaft humerus fracture in the presence of limb deficiency. Current treatments proved unsuccessful in maintaining adequate alignment, specifically the varus deformity of the fracture. A shoulder spica was able to successfully maintain acceptable alignment throughout the duration of the patient's healing process. This nontraditional use of a shoulder spica cast shows the practicality of its ability to be utilized for the treatment of unique upper extremity orthopedic obstacles.
小儿肱骨干骨折通常采用悬垂石膏、萨米恩托支具、接合夹板或这些治疗方法的组合进行处理。在此，我们报告了肩人字石膏在治疗存在肢体缺损的肱骨干骨折中的一种新用途。事实证明，目前的治疗方法在维持骨折的足够对线方面并不成功，尤其是骨折的内翻畸形。肩人字石膏能够在患者整个愈合过程中成功维持可接受的对线。肩人字石膏的这种非传统用途显示了其用于治疗独特上肢骨科障碍的实用性。
