title: Evaluation of upper extremity function of displaced diaphyseal humeral fractures in children treated by elastic stable intramedullary nailing: preliminary results.
abstract: The aim of this study was to retrospectively evaluate the outcome of displaced humeral shaft fractures in children and adolescents treated by elastic stable intramedullary nailing (ESIN) and to evaluate upper extremity function using the Quick-DASH questionnaire. Correction was maintained over time in 14 of 16 patients. All patients were pain free at last follow-up. Shoulder and elbow ranges of motion were comparable with the noninjured side. The mean Quick-DASH score was 1. This study reports good functional outcomes in children with displaced humeral shaft fractures surgically treated with ESIN, even in the presence of residual deformity. ESIN enables stable reduction, good rotational control, and good functional outcome.
authors.affiliation: aDepartment of Pediatric Surgery, University Hospital Estaing, Clermont Ferrand bFaculty of Medicine, University of Montpellier, Montpellier, France cDepartment of Pediatric Orthopedic Surgery, Regina Margherita Children's Hospital, Torino, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Canavese
authors.forename: Lorenza
authors.initials: L
authors.lastname: Marengo
authors.forename: Antoine
authors.initials: A
authors.lastname: Samba
authors.forename: Marie
authors.initials: M
authors.lastname: Rousset
authors.forename: Mounira
authors.initials: M
authors.lastname: Mansour
authors.forename: Antonio
authors.initials: A
authors.lastname: Andreacchio
authors.forename: Alain
authors.initials: A
authors.lastname: Dimeglio
mesh_terms: D000293:Adolescent; D001858:Bone Nails; D002648:Child; D018483:Diaphyses; D004551:Elbow Joint; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary; D017102:Fracture Healing; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D006811:Humerus / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D034941:Upper Extremity