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Shoulder Fracture in Children
A shoulder fracture
is a break in a shoulder bone. The shoulder bones include the humerus (arm bone), scapula (shoulder blade), and clavicle (collarbone).
Signs and symptoms:
- Pain and swelling
- A change in the shape of your child's shoulder or a bump near the shoulder
- Trouble moving the shoulder or arm
- A grinding or cracking noise when your child moves the shoulder or arm
- Numbness or tingling in your child's arm, hand, or fingers
Seek care immediately if:
- Your child's pain gets worse, even after he or she rests and takes pain medicine.
- Your child's arm, hand, or fingers feel numb or cold and look pale.
- Your child's arm is swollen, red, and feels warm.
- Your child cannot move his or her hand or fingers.
Call your child's doctor if:
- Your child has a fever or chills.
- Your child's splint becomes damaged.
- You have questions or concerns about your child's condition or care.
Treatment for your child's shoulder fracture
may depend on your child's age, the location of the fracture, and how severe the fracture is. It may take several weeks for your child's fracture to heal. Your child may need any of the following:
- NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him or her. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
- Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Read the labels of all other medicines your child uses to see if they also contain acetaminophen, or ask your child's doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.
- Prescription pain medicine may be given. Ask your child's healthcare provider how to give this medicine safely. Some prescription pain medicines contain acetaminophen. Do not give your child other medicines that contain acetaminophen without talking to a healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your child's healthcare provider how to prevent or treat constipation.
- A sling or elastic bandage may be used to prevent your child's shoulder from moving. This will keep your child's bones together and let them heal. Rarely, a cast may be used to hold your child's bones together.
- Closed reduction is done to put your child's bones back into the correct position without surgery.
- Surgery is done to put your child's bones back in the correct position. Pins, screws, or metal plates may be used to help hold your child's bones together.
Care for your child:
- Use the sling or elastic bandage to prevent movement as directed. Instead, your child's healthcare provider may show you how to pin your child's sleeve to his or her chest. Only remove the sling, bandage, or pin to bathe or dress your child.
- Apply ice on your child's shoulder for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel before you apply it to your child's skin. Ice helps prevent tissue damage and decreases swelling and pain.
- Have your child rest his or her shoulder as much as possible. Do not let your child put pressure on his or her shoulder or arm. Do not let your child use the arm to lift anything. Do not let your child do activities that may cause another injury. Examples include sports, riding a bike, or playing on the playground. Ask your child's healthcare provider when he or she can return to usual activities.
- Handle your child gently to prevent more injury. Gently turn your baby or small child. Do not pick up your baby or child by the arm.
- Take your child to physical therapy as directed. A physical therapist teaches your child exercises to help improve movement and strength, and to decrease pain.
Prevent a shoulder fracture:
- Have your child wear protective sports equipment that fit properly. Examples include shoulder pads and a chest protector.
- Feed your child foods high in calcium. Examples include milk, cheese, and yogurt. Calcium helps keep your child's bones strong.
Follow up with your child's doctor as directed:
Write down your questions so you remember to ask them during your visits.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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