Humeral shaft fractures: a review

Walker, Matt P.; Palumbo, Brian T.; Badman, Brian L.; Brooks, Jordan; Gelderen, Jeffrey Van; Mighell, Mark A.

doi:10.1016/j.jse.2010.11.030

Cited by 170 publications

(191 citation statements)

References 66 publications

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“…Traditional plate fixation has the drawback of requiring larger incisions, violation of the fracture hematoma, and higher incidence of iatrogenic radial nerve palsy [1,12]. In an effort to avoid these drawbacks, Minimally Invasive Plate Osteosynthesis (MIPO) has been developed for humeral shaft fractures.…”

Section: Operative Management Of Humeral Shaft Fracturesmentioning

confidence: 99%

“…Use of these implants, however, has been infrequent due to concerns of nonunion, reoperation, stiffness, start site fracture, and adjacent joint pain [1,12]. Interest in this mode of treatment has been renewed due to shifts in humeral shaft fracture epidemiology, implant design, and surgical technique.…”

Section: Operative Management Of Humeral Shaft Fracturesmentioning

confidence: 99%

“…The deltoid, pectoralis major, teres major, latissimus dorsi, and coracobrachialis all insert on the humeral shaft and depending on the location of the fracture, all will have specific deforming forces acting on the fracture fragments. The blood supply to the humeral shaft is provided predominantly by the nutrient artery that should be protected during surgical dissection [12].…”

mentioning

confidence: 99%

“…About 10-14 cm from the lateral acromion, the nerve and artery travel along the posterior humerus in the spiral groove, separating the medial and lateral heads of the triceps at about the level of the deltoid tuberosity. It enters the anterior compartment though the lateral intermuscular septum approximately 10 cm from the distal articular surface, here it is tightly bound by the septum and therefore susceptible to traction injuries and radial nerve palsies [12,13].…”

mentioning

confidence: 99%

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Humeral shaft fractures

Spiguel

Steffner

2012

Curr Rev Musculoskelet Med

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Management of humeral shaft fractures has historically been largely conservative. A significant body of literature, dating back to the 1970s, has shown that functional bracing may achieve greater than 90 % union rates and acceptable functional outcomes. More recently, however, with the advent of new surgical techniques and implant options, less tolerance for acceptable deformity and functional deficits, and less patience with conservative management, many treating orthopaedic surgeons are increasingly likely to consider surgical intervention. This article reviews the current recommendations for treatment of humeral shaft fractures, including both nonoperative and operative intervention. It also discusses the current thinking and operative trends in humeral shaft fracture fixation.

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Section: Operative Management Of Humeral Shaft Fracturesmentioning

confidence: 99%

Section: Operative Management Of Humeral Shaft Fracturesmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Humeral shaft fractures

Spiguel

Steffner

2012

Curr Rev Musculoskelet Med

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“…Fractures of the humeral shaft represent 1-3 % of all fractures seen in accident and emergency departments, with approximately 20 % of all humeral fractures, and it is the third most common fracture in individuals older than 65 years after hip fractures and distal radial fractures [1][2][3]. Most humeral shaft fractures are undisplaced or minimally displaced and can be managed non-operatively with satisfactory outcomes in more than 90 % of patients [1].…”

Section: Introductionmentioning

confidence: 99%

Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff?

Verdano

Pellegrini

Schiavi

et al. 2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to investigate the clinical and sonographic impact on the rotator cuff (RC) of the use of the anterolateral approach for nailing. Clinical assessment using the Constant score, simple shoulder test and through shoulder examination tests was carried out. The sonographic study investigated the integrity of the RC. Results Mean score on Constant's scale was 78.21 points, with most patients achieving a good result (79 % obtained more than 65 points). One patient had a limited functional outcome (Constant's score of 49 points). The sonographic findings described for supraspinatus tendon were a partial ruptures of less than 30 mm in three patients and a complete tendon rupture in one case.Conclusions The results of this study suggest that the use of the anterolateral approach for antegrade humeral nailing ensures a good functional result with no significant clinicalsonographic impact on the rotator cuff and a satisfactory long term clinical outcome.

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