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Bei j\u00fcngeren Kindern \u00fcberwiegen indirekte, bei \u00e4lteren direkte Traumata. Einheitliche Empfehlungen zu Diagnostik und therapeutischem Vorgehen gibt es bisher nicht. Daher wurde die Behandlung im Rahmen des 13.\u00a0und 14.\u00a0wissenschaftlichen Arbeitstreffens der Sektion Kindertraumatologie (SKT) der Deutschen Gesellschaft f\u00fcr Unfallchirurgie (DGU) und der Deutschen Gesellschaft f\u00fcr Kinder- und Jugendchirurgie (DGKJCH) auf Grundlage aktueller Literatur im Expertengremium diskutiert und ein Konsensus formuliert.<\/jats:p>\n                  <jats:p>Die Behandlung erfolgt weiterhin \u00fcberwiegend konservativ, auch wenn die Zahl der operativ versorgten Kindern steigt. Ein m\u00f6glicher L\u00e4ngenunterschied des Humerus ist meist unproblematisch, Achsfehlstellungen \u00fcber 10\u00b0 sind aber kosmetisch relevant. Aufgrund des sehr guten Bewegungsumfangs der Schulter sind funktionelle Beeintr\u00e4chtigungen nicht zu erwarten. Bei konservativer Therapie erfolgt die Ruhigstellung je nach Frakturtyp und Alter f\u00fcr 3 bis 6\u00a0Wochen. Absolute Operationsindikationen sind offene Frakturen\u00a0(&gt;\u202fTyp\u00a0II), instabile Mehretagenverletzungen des Arms und ein schwerer Weichteilschaden, der die notwendige Ruhigstellung unm\u00f6glich macht. Relative Operationsindikationen umfassen Polytrauma, Sch\u00e4del-Hirn-Trauma (SHT), Mehrfachverletzungen\/beidseitige Verletzungen, einfache Querfrakturen aufgrund der Instabilit\u00e4t und der verl\u00e4ngerten Heilungszeit, vorhersehbare mangelnde Compliance sowie Patientenpr\u00e4ferenz. Der Goldstandard der operativen Versorgung ist die elastisch-stabile intramedull\u00e4re Nagelung (ESIN). Typische Komplikationen sind Radialisl\u00e4sionen, technische Probleme bei der operativen Versorgung und die Pseudarthrose.<\/jats:p>\n                  <jats:p>Traumatische\u00a0N.-radialis-L\u00e4sionen treten in etwa 4\u202f% auf. Das aufgrund der Frakturmorphologie gew\u00e4hlte Therapieverfahren soll beibehalten werden. Eine prim\u00e4re Nervenexploration ist initial nicht erforderlich. Eine Nervensonographie soll sowohl bei prim\u00e4ren als auch bei sekund\u00e4ren Radialisl\u00e4sionen innerhalb einer bis 2\u00a0Wochen durchgef\u00fchrt werden. Nichtstrukturelle L\u00e4sionen regenerieren meist innerhalb von 3 bis 6\u00a0Monaten. Fr\u00fchzeitige Physio- und Ergotherapie sind bei bestehenden Nervenl\u00e4sionen indiziert. Bei inad\u00e4quatem Trauma sind pathologische Frakturen oder Hinweise auf Kindeswohlgef\u00e4hrdung zu pr\u00fcfen.<\/jats:p>","DOI":"10.1007\/s00113-026-01679-x","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T04:46:40Z","timestamp":1769748400000},"page":"320-328","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Behandlung der Humerusschaftfraktur im Kindes- und Jugendalter","Management of humeral shaft fractures in childhood and adolescence"],"prefix":"10.1007","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0015-5209","authenticated-orcid":false,"given":"Nikos","family":"Karvouniaris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Illian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Kertai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Reineke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hauke","family":"R\u00fcther","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristofer","family":"Wintges","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rn","family":"Zwingmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"1679_CR1","doi-asserted-by":"crossref","unstructured":"Caviglia H, Garrido CP, Palazzi FF, Meana NV. 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Statt Klinik fur Orthopadie und Unfallchirurgie, Universitatsklinikum Freiburg, Freiburg, Deutschland h\u00e4tten sie bei Christian Illian Abteilung Kinder- und Jugendtraumatologie, BG Klinikum Duisburg, Duisburg, Deutschland Michael Kertai, Klinik f\u00fcr Kinderchirurgie, Kinderorthop\u00e4die und Neuroorthop\u00e4die., Klinikum St. Marien Amberg, Amberg, Deutschland Sebastian Reineke Klinik f\u00fcr Kinderchirurgie und Kinderurologie und Zentrum f\u00fcr schwerbrandverletze Kinder, Klinikum Kassel, Kassel, Deutschland Hauke R\u00fcther Klinik f\u00fcr Unfallchirurgie, Orthop\u00e4die und Plastische Chirurgie, Universit\u00e4tsmedizin G\u00f6ttingen, G\u00f6ttingen, Deutschland Kristofer Wintges Klinik und Poliklinik f\u00fcr Kinderchirurgie, Universit\u00e4tsklinikum Hamburg Eppendorf, Hamburg, Deutschland J\u00f6rn Zwingmann Klinik f\u00fcr Unfallchirurgie und Orthop\u00e4die, St. Elisabethen-Klinikum Ravensburg, Ravensburg, Deutschland lauten m\u00fcssen.","order":8,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Der Originalbeitrag wurde korrigiert.","order":9,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"N.\u00a0Karvouniaris, C.\u00a0Illian, M.\u00a0Kertai, S.\u00a0Reineke, H.\u00a0R\u00fcther, K.\u00a0Wintges und J.\u00a0Zwingmann geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patient\/-innen zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern\/Vertreterinnen eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}