The impact of residual angulation on patient reported functional outcome scores after non-operative treatment for humeral shaft fractures

Shields, Edward; Sundem, Leigh; Childs, Sean; Maceroli, Michael; Humphrey, Catherine A.; Ketz, John; Soles, Gillian; Gorczyca, John T.

doi:10.1016/j.injury.2015.12.014

Cited by 32 publications

(20 citation statements)

References 25 publications

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“…However, these were not associated with Quick-DASH scoring, which assesses patient outcomes. Considering the literature, a study by Shields et al investigating the residual radiological angulation and shortness, concluded that the residual deformities of the sagittal and coronal plane were not correlated with the functional outcome [18]. These results are similar to that of our study.…”

Section: Discussionsupporting

confidence: 90%

Evaluation of Clinical and Radiological Results of Humeral Diaphyseal Fractures with Treated Sarmiento Brace

Basa

Kaçmaz

Öztürk

et al. 2020

Cureus

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Section: Discussionsupporting

confidence: 90%

Evaluation of Clinical and Radiological Results of Humeral Diaphyseal Fractures with Treated Sarmiento Brace

Basa

Kaçmaz

Öztürk

et al. 2020

Cureus

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“…Klenerman [ 9 ] reported that a 30° varus or 20° anterior angulation were the limits for no risk of deformation, and these values have been considered as radiographic parameters for nonoperative treatment. Furthermore, Shields et al [ 10 ] reported that a valgus deformity less than 30°, rotational deformity below 15°, and shortening of less than 3 cm were acceptable. In the present study, surgery was performed in patients with varus angulation greater than 30° or anterior angulation of more than 20°.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study on Internal Fixation Using Long Proximal Intramedullary Nail for the Treatment of Humeral Shaft Fracture according to Fracture Types

Choi¹,

Jun²,

Kim³

2019

Clin Shoulder Elbow

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Background: This study was conducted to compare the radiological and clinical outcomes of internal fixation using a Polarus humeral nail for treatment of a humeral shaft fracture according to fracture types.Methods: From 43 patients, 13 were excluded and 30 patients were included. The 30 patients were divided into 2 groups: 15 in group I (Orthopaedic Trauma Association/Arbeitsgemeinschaft f?r Osteosynthesefragen classification type A and B) and 15 in group II (type C). The mean age was 63.1 years (range, 20?87 years), and mean follow-up period was 2.3 years (range, 1.0?6.1 years). The causes of injuries were as follows: 12, traffic accidents; 14, simple slips; 2, simple falls; 2, contusions after lower energy trauma. Radiological and clinical evaluations were performed.Results: Radiological union was confirmed by plain anteroposterior and lateral radiographs on average of 5.0 months in group I, and 8.4 months in group II, respectively. Differences between the two groups were statistically significant (p<0.01). The clinical union value was 1.6 in group I, and 2.0 months in group II, but these values did not differ significantly (p=0.441). The mean Korean shoulder scoring system scores were 89.7 and 90.6, which did not differ significantly (p=0.352).Conclusions: Intramedullary nailing using the Polarus humeral nail is considered to be a good treatment modality for all types of humeral shaft fractures. Additionally, the Polarus humeral nail can be an optimal choice for the treatment of complex type fractures such as segmental or comminuted humeral shaft fractures.

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“…In 1966, Klenerman reviewed 32 patients with humeral shaft fractures and noted that 20° in procurvatum or 30° of varus were the limits for the deformities to become clinically relevant. These values continue to be adopted as the acceptable radiographic parameters for bracing, including the addition of 30° of acceptable valgus deformity, 15° of acceptable rotational deformity and acceptable shortening of less than 3 cm 1, 12 . Persistent radial nerve deficits are due to the obvious impossibility of surgical exploration with conservative treatment, while elbow stiffness can be favored by a long period of brace immobilization.…”

Section: Non-operative Treatmentmentioning

confidence: 99%

Outcome of humeral shaft fractures

et al. 2020

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Humeral shaft fractures represent approximately 3% of all long-bone fractures and have historically been treated successfully in a non-operative way, but surgical management is indicated in several conditions. Although there are numerous randomized clinical trials and meta-analyses that have attempted to guide surgeons, there is little evidence and no consensus as to the most suitable treatment. Every treatment has its advantages and its complications, and many factors must be considered: not only the features of the fracture, but also patient compliance and surgeon experience.

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The impact of residual angulation on patient reported functional outcome scores after non-operative treatment for humeral shaft fractures

Cited by 32 publications

References 25 publications

Evaluation of Clinical and Radiological Results of Humeral Diaphyseal Fractures with Treated Sarmiento Brace

Evaluation of Clinical and Radiological Results of Humeral Diaphyseal Fractures with Treated Sarmiento Brace

A Comparative Study on Internal Fixation Using Long Proximal Intramedullary Nail for the Treatment of Humeral Shaft Fracture according to Fracture Types

Outcome of humeral shaft fractures

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