Humeral shaft fracture pdf free

Plating find, read and cite all the research you need on researchgate. Adult humerus shaft fractures an atomy the humerus is the long, tubular bone that makes up the upper arm. Humeral shaft fractures are common in elderly osteoporotic patients with low energy. Surgical intervention was more common with younger. The humeral shaft is the middle portion of the bone with the shoulder joint at the top end and the elbow joint at the bottom. Evaluation of the surgical treatment of humeral shaft fractures and. Fractures of the humerus account for 35% of all fractures. Surgical treatment of humeral shaft fractures has nonetheless been greatly facilitated by the development of new implants. Your digital gateway to expertise, education, and innovation.

A patients guide to adult humerus shaft fractures compliments of. Acute and chronic humeral shaft fractures in adults emconsulte. Utilization of orif for humeral shaft fractures has been steadily increasing with time. Proximal means it is the end of the bone that is closest to the body. Ebraheims educational animated video describes fracture fixation of the humerus. Humeral shaft fracture, humeral anatomy, radial nerve palsy. Springer nature is making sarscov2 and covid19 research free. Most humeral shaft fractures unite if left alone in the same room. Appointments no pt for 3 weeks, unless otherwise specified by md rehabilitation goals modalities to control pain and swelling protect fracture site maintain rom in surrounding joints prevent deconditioning. This is certainly still the contemporary view but there is an obvious trend towards surgical stabilization. Nonunion occurred in two patients in group 1 and in no patients in group 2.

It also discusses the current thinking and operative trends in humeral shaft fracture fixation. Wallny et al14 retrospectively compared 44 patients with humeral shaft fractures treated with functional bracing group 1 with 45 patients treated with a locking intramedullary im nail group 2. The anterolateral approach is a distal continuation of the deltopectoral approach and splits the brachialis muscle. Shoulder functioning following surgery was good with a mean ases score of.

Operative versus nonoperative treatment of humeral shaft fractures. Conservative treatment is inexpensive and has a low complication rate. Pdf on jan 1, 2008, youngkyu kim and others published humeral shaft fracture. Predominant condition resulting in operative management was humeral shaft fracture in poly trauma patients n27, 60%. Backgroundhumeral shaft fractures are common but debate still occurs as to whether these are best managed operatively or nonoperatively. These fractures are regarded as the domain of nonsurgical management. A proximal humerus fracture is a break in the arm bone near the shoulder, or a broken shoulder. Proximal humerus fracture book twin cities orthopedics. Humeral shaft fractures hsfs are one of the most common injuries in trauma centers. Humeral shaft fracture everything you need to know dr.

Review article management of humeral shaft fractures. There is a high incidence of radial nerve injury associated with humeral shaft fracture, especially. Humeral shaft fractures account for about % of all fractures. To access free multiple choice questions on this topic, click here. Intramedullary nailing of humeral head and humeral shaft fractures figures 1a to 1c. This typically happens after a fall on the affected side, followed by pain in that arm or shoulder. Hanging arm cast apex anterior angulation shortening of the sling apex posterior angulation lengthening the sling.