From the Research
The initial management for a pediatric distal acromion fracture typically involves immobilization with a sling for 3-4 weeks, along with appropriate pain control using acetaminophen (10-15 mg/kg every 4-6 hours) or ibuprofen (5-10 mg/kg every 6-8 hours) as needed, as most pediatric acromion fractures are non-displaced or minimally displaced and heal well with conservative management 1.
Key Considerations
- Immobilization with a sling for 3-4 weeks to allow for proper healing and alignment
- Pain control using acetaminophen or ibuprofen as needed to manage pain and discomfort
- Gentle pendulum exercises can be started after the acute pain subsides, usually after 1-2 weeks, to maintain range of motion
- Follow-up radiographs should be obtained at 2-3 weeks to ensure proper healing and alignment
- Surgical intervention is rarely needed for pediatric acromion fractures unless there is significant displacement (>1 cm), intra-articular involvement, or neurovascular compromise
Treatment Approach
The treatment approach for pediatric distal acromion fractures should prioritize conservative management, as children have excellent healing potential due to their thick periosteum and active growth plates, which contribute to faster bone healing and remodeling compared to adults 1.
Rehabilitation Program
After immobilization, a progressive rehabilitation program focusing on range of motion exercises followed by strengthening should be implemented to restore full function and mobility to the affected shoulder.
Indications for Surgical Intervention
Surgical intervention may be necessary in cases of significant displacement (>1 cm), intra-articular involvement, or neurovascular compromise, as these factors can impact the overall outcome and quality of life for the patient 2.