Treatment of humeral shaft fractures related to associated injuries: A retrospective study of 237 patients

Bleeker, WA; Nijsten, Mwn; Tenduis, Hj

doi:10.3109/17453679108999244

Cited by 71 publications

(38 citation statements)

References 19 publications

(26 reference statements)

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“…While treatment of upper extremity fractures follows management of the tibia, femur, pelvis and spine it precedes complex joint reconstructions, definitive treatment of maxillofacial injuries and soft tissue reconstruction [17]. As the multiply injured patient is always included in heterogeneous groups, there are no comparative studies that deal specifically with the most suitable operative procedure in fractures of the upper extremity [18-23]. …”

Section: Discussionmentioning

confidence: 99%

Risk stratification by injury distribution in polytrauma patients -- does the clavicular fracture play a role?

et al. 2013

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BackgroundThoracic and extremity injuries are common in polytraumatized patients. The clavicle limits the upper thoracic cage and connects the body and upper extremities. It is easy to examine and is visible on standard emergency room radiographs. We hypothesize that clavicular fracture in polytrauma patients indicates the presence of further injuries of the upper extremities, head, neck and thorax.Material and methodsRetrospective study including patients admitted between 2008 and 2012 to a level-I trauma center. Inclusion criteria: ISS > 16, two or more injured body regions, clavicular fracture. Control group: patients admitted in 2011, ISS > 16, two or more injured body regions, no clavicular fracture. Patient information was obtained from the patients’ charts; evaluation of radiographic findings was performed; scoring was based on the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS) AIS/ISS; data were analyzed using Pearson’s correlation and the Mann–Whitney U-test in SPSS (version 11.5.1); graphs were drawn using EXCEL®.ResultsThirty-four patients with clavicular fracture (C+) and 40 without (C-) were included; the mean ISS was 25 (range 16–57), m = 70%, f = 30%; age 43.3 years (range 9–88); clavicular fractures were positively correlated with severe thoracic (p = 0.011, OR 4.5: KI 1.3–15.3), external (p < 0.001, OR 9.2: KI 2.7–30.9) and upper extremity injuries (p < 0.001, OR 33.2: KI 6.9–16.04 resp. p = 0.004, OR 12.5: KI 1.5–102.9). C + showed a lower head/neck AIS (p = 0.033), higher thorax AIS (p = 0.04), arm/shoulder AIS (p = 0.001) and external AIS (0.003) than C-. Mean hospital stay and ICU treatment time were longer in the C + group (p = 0.001 and p = 0.025 respectively).ConclusionA clavicular fracture can be diagnosed easily and may be used as a pointer for further thoracic and upper extremity injuries in polytrauma patients that might have been otherwise missed. Special attention should be paid on second and tertiary survey.

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Section: Discussionmentioning

confidence: 99%

Risk stratification by injury distribution in polytrauma patients -- does the clavicular fracture play a role?

et al. 2013

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“…Rigid fracture fixation should be performed as soon as the wound is adequately debrided and the patient is medically stable. 7,34 Use of temporary external fixation as discussed previously may be advantageous in the setting of severe wound contamination to aid with subsequent surgical debridements and immediate stabilization of the extremity.…”

Section: Open Reduction/internal Fixationmentioning

confidence: 99%

Humeral shaft fractures: a review

Walker

Palumbo

Badman

et al. 2011

Journal of Shoulder and Elbow Surgery

172

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“…[1][2][3][4] Fixation systems used include elastic rods, locked or nonlocked intramedullary nails, external fixators, and plates. Some of these alternatives remain valid today, although important changes have appeared over recent years.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Diaphyseal Humeral Fractures With the Minimally Invasive Percutaneous Plate (MIPPO) Technique: A Cadaveric Study and Clinical Results

López-Arévalo

Llano-Temboury

Serrano-Montilla

et al. 2011

Journal of Orthopaedic Trauma

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Treatment of humeral shaft fractures related to associated injuries: A retrospective study of 237 patients

Cited by 71 publications

References 19 publications

Risk stratification by injury distribution in polytrauma patients -- does the clavicular fracture play a role?

Risk stratification by injury distribution in polytrauma patients -- does the clavicular fracture play a role?

Humeral shaft fractures: a review

Treatment of Diaphyseal Humeral Fractures With the Minimally Invasive Percutaneous Plate (MIPPO) Technique: A Cadaveric Study and Clinical Results

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