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Journal of Shoulder and Elbow Surgery, 2018 Fractures of the humeral shaft are common injuries with multiple management strategies. Many still regard nonoperative management as the standard of care; however, as the understanding of these injuries increases, treatment recommendations are also evolving.
Gary F. Updegrove +2 more
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Fractures of the Humeral Shaft
, 1981 The incidence of humeral shaft fractures is relatively low compared to that of other long bone fractures. Generally, they do not represent major problems when treated by closed techniques. Internal fixation is rarely used even by the most aggressive surgeons and it has been long recognized that complications from surgery are likely to occur.
Augusto Sarmiento, Loren L. Latta
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Aseptic humeral shaft nonunion
Orthopaedics & Traumatology: Surgery & Research, 2023Aseptic humeral shaft nonunions are rare lesions, with less than 700 cases per year in France. This low frequency explains why they are difficult to manage. They can be hypertrophic or atrophic, with or without a defect. The diagnosis is made based on radiographs and/or CT scan images.
Thierry, Bégué +2 more
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Clinical Orthopaedics and Related Research, 1987
Retrospective review of records of 26 patients with nonunion of the humeral shaft revealed several factors frequently associated with the development of nonunion. The fractures were transverse and short oblique and treated per primam with hanging casts or open reduction. Surgical fixation was unstable. The types of nonunion were atrophic in 19 patients,
W L, Healy +4 more
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Retrospective review of records of 26 patients with nonunion of the humeral shaft revealed several factors frequently associated with the development of nonunion. The fractures were transverse and short oblique and treated per primam with hanging casts or open reduction. Surgical fixation was unstable. The types of nonunion were atrophic in 19 patients,
W L, Healy +4 more
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Union Rate After Operative Treatment of Humeral Shaft Nonunion – A Systematic Review
Injury, 2015 INTRODUCTION: Humeral shaft nonunions can lead to morbidity from subsequent operations, complications and impaired function. Currently there is no evidenced-based consensus for treatment of humeral shaft nonunions.
Ronald Diercks, Rinne M Peters
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The epidemiology of humeral shaft fractures
The Journal of Bone and Joint Surgery. British volume, 1998We have analysed 249 consecutive fractures of the humeral shaft treated over a three-year period. The fractures were defined by their AO morphology, position, the age and gender of the patient and the mechanism of injury. Open fractures were classified using the Gustilo system and soft-tissue injury, and closed fractures using the Tscherne system ...
G, Tytherleigh-Strong +2 more
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Management of Humeral Shaft Fractures
Journal of the American Academy of Orthopaedic Surgeons, 2012Humeral shaft fractures account for approximately 3% of all fractures. Nonsurgical management of humeral shaft fractures with functional bracing gained popularity in the 1970s, and this method is arguably the standard of care for these fractures. Still, surgical management is indicated in certain situations, including polytraumatic injuries, open ...
Eben A, Carroll +4 more
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Humeral shaft fractures: a review
Journal of Shoulder and Elbow Surgery, 2011Summary Humeral shaft fractures are common orthopaedicinjuries that can often be managed nonoperatively withhigh union rates and excellent results as the generaloutcome. Specific indications exist for operativemanagement and include polytrauma patients, openfractures, certain fracture patterns, and failure to main-tain an acceptable closed reduction ...
Matt, Walker +5 more
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Humeral Shaft Fractures in Adults
Southern Medical Journal, 1981After evaluating the results of treatment of 100 humeral shaft fractures in adults, we found the simplest, most comfortable, and most satisfactory treatment to be that of a sling and coaptive splinting. In all of the 15 patients who had radial nerve injury, the fracture occurred in the distal half of the humerus.
T B, Dameron, S A, Grubb
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Intramedullary Nailing of Humeral Head and Humeral Shaft Fractures
European Journal of Trauma and Emergency Surgery, 2007There is an increasing interest in intramedullary nailing for humeral fractures. Starting with diaphyseal fractures, now also proximal metaphyseal fractures of the humerus can be nailed with satisfying results. Basic ideas for humeral nailing are less invasive approaches to the humerus, less soft tissue damage, e.g.
Jochen, Blum +4 more
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