Oberarmschaftfrakturen im Wachstumsalter.

Most cases of unstable humeral fractures in children can be treated by elastic stable intramedullary nailing (ESIN); however, it is essential to realize the limitations of this procedure. Good indications are transverse or short oblique fractures. In the case of multifragment or open fractures it could be necessary to use external fixation. Plate osteosynthesis is indicated in exceptional circumstances. In cases of nerve irritation the findings have to be recorded in the patients file and in certain cases should be treated or referred to institutions with the necessary experience. [ABSTRACT FROM AUTHOR]