Orthopedics Hip, Knee, and Shoulder Injuries Forum - Broken Elbow/humerus.......please Help
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Broken Elbow/humerus.......please Help

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Medical Questions-> Health Forums -> Orthopedics Hip, Knee, and Shoulder Injuries -> Broken Elbow/humerus.......please Help
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scaredmama

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Broken Elbow/humerus.......please Help
Posted: 04-13-07 19:35pm

Sad My 5 year old daughter fell from a swing and broke her left humerus,
near the elbow. It was called a supracondylar fracture. The break was
right above the growth plate. The pediatric orthopedic surgeon performed
surgery (he did not have to make incisions, it was a closed reduction.)
He put 2 pins through the bones (crosswise.) It has been one week and
no matter how hard I try, my daughter keeps running around, getting her
arm bumped and jarred. I am so worried this will cause the bones to
shift or not heal properly. Could running cause the broken bones to shift
apart? Or will the pins keep them tightly secure, even with running or
bouncing? I am very worried. Her arm is in a splint, not a cast. They
do this because they remove the pins at 3 weeks (so they say).
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JuLeen

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Posted: 04-21-07 11:26am

When pins are placed to secure the fracture they are intended to hold the bones in the correct anatomical position. Typically a post-op splint is made of a fiberglass or ridgid materal as a backing and wrapped in an ace bandage over that. So it should be ok.

A pediatric orthopedic surgeon is going to expect that a 5 year old will be running and playing. Actually that is a good sign.

Good luck.
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JuLeen

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Posted: 04-21-07 11:33am

When pins are placed to secure the fracture they are intended to hold the bones in the correct anatomical position. Typically a post-op splint is made of a fiberglass or ridgid materal as a backing and wrapped in an ace bandage over that. So it should be ok.

A pediatric orthopedic surgeon is going to expect that a 5 year old will be running and playing. Actually that is a good sign.

Good luck.
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scaredmama

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Posted: 04-23-07 13:24pm

I hope you are right. Trying to keep her calm and still has proved impossible. I have told her if she jumps around, etc, she risks reinjuring it. She says she understands and the next minute she is running across the house. I feel like tying her down! ha ha. They will remove the pins and splint this Friday. It will have only been 3 weeks and I feel like that is WAY too soon but I am trying to trust the surgeon.
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sillyakchick

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Posted: 04-23-07 13:31pm

They usually splint the injury at first and wait to cast it until swelling goes down. Are they planning to cast it when they remove the pins? Good luck getting her to slow down. I don't know anything to do that short of Benadryl. Wink
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scaredmama

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Posted: 04-24-07 15:54pm

Nope, once they take the pins out at 3 weeks, they are not casting her. They say the bone is not fully healed and she cannot do contact sports and such for a while longer. It just seems WAY too soon to me. And to my 5 year old, taking off the splint will make her feel like she has free reign to do whatever she wants. I am concerned it will re-break. 3 weeks can't be enough time.
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JuLeen

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Posted: 04-24-07 18:49pm

When you return to the surgeon to have the pins removed they will also take x-rays. Based upon the regrowth of bone at the site of the fracture they will decide whether to cast it or leave it. Typically it does take 6-8 weeks for a fracture to completely heal. But children can heal quicker than an adult and they are resilient!

Discuss your concerns with the surgeon. Let he or she know that your daughter is extemely active and that you're concerned about the possibility of her hitting her arm at the site of the fracture. If you have specific questions write them down prior to going in to ensure that you don't forget a question. Then you will be assured to get all your answers.

Good Luck.
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sillyakchick

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Posted: 04-25-07 09:17am

scaredmama wrote:
Nope, once they take the pins out at 3 weeks, they are not casting her. They say the bone is not fully healed and she cannot do contact sports and such for a while longer. It just seems WAY too soon to me. And to my 5 year old, taking off the splint will make her feel like she has free reign to do whatever she wants. I am concerned it will re-break. 3 weeks can't be enough time.


I have worked in orthopaedics for about 10 years. I am not a doctor, but I agree with you in that this seems pretty soon for a fracture to heal. In my experience with patients, this is what usually happens (bear in mind, I am generalizing here)

Pins are placed and the arm is splinted for 10 days.
Splint removed, X-rays taken and plaster cast is placed
6 weeks later, x-rays taken and cast removed if proper healing is present
Splint is placed and followed for 2 weeks
Xrays are taken and splint is removed, if appropriate

Again, this is generally what patients experienced for fractures. I guess if you aren't comfortable with her plan of care, I would suggest a second opinion. At the very least, please address your concerns with your physician. I wish you the best.
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