QQCWB

GV

Management Of Humeral Shaft Fractures

Di: Ava

1. INTRODUCTION Humeral shaft fractures can occur both in the athlete and non-athletic individual, and in both young and elderly patients. These fractures can be managed both operatively and non-operatively with comparable results. Non-operative management typically involves the use of a functional brace, which allows individuals to use the affected limb

(PDF) Surgical Treatment of Humeral Shaft Fractures by Arthroscopy ...

The aim was to compare surgical and nonsurgical management for adults with humeral shaft fractures in terms of patient-reported upper limb function, health-related quality of life, radiographic outcomes, and complications.

Update on management options for the humeral shaft

Introduction Humeral shaft fractures can be treated non-operatively or operatively. The optimal management is subject to debate. The aim was to compare non-operative and operative treatment of a humeral shaft fracture in terms of fracture healing, complications, and functional outcome. Methods Databases of Embase, Medline ALL, Web-of-Science Core

Proximal humerus fractures account for approximately 6% of adult fractures and the incidence of these injuries is increasing. The clinical consequences are significant, with rehabilitation taking several months and many reporting chronic pain following treatment. Several systems are used to classify these injuries. Disruption of the vascular supply to the humeral

ABSTRACT Background: Trauma is most common cause of fracture in young adults and in elderly, patients from standing fall can have fracture of humerus. Around 10% of long bone fractures are from Upper limb. In this study we have observed the outcome of humeral shaft fracture managed with conservative treatment using functional brace.

Humeral 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 3.Rabi S., Evaniew N., Sprague S.A., Bhandari M., Slobogean G.P. Operative vs. non-operative management of displaced proximal humeral fractures in the elderly: a systematic review and meta-analysis of randomized controlled trials. Fractures of the humeral shaft are common, account for approximately 3% of all orthopaedic injuries, and result in a significant burden to society from lost productivity and wages.19,47,64 Treatment modalities have greatly evolved since their first description in ancient Egypt (circa 1600 bc); however, fundamental management principles have remained consistent

  • Evaluation and Management of Pediatric Humeral Shaft Fractures
  • Humerus shaft fractures, approaches and management
  • Update on management options for the humeral shaft
  • Humeral shaft fractures: a review

Humeral shaft fractures account for approximately 3 % of all fractures. Vascular injury in association with humeral shaft fractures occurs in only a small percentage of cases. Most humeral shaft fractures can be managed non-operatively with expected good or

Traditionally, humeral shaft fractures have been described according to the following features: Location – Proximal, middle, or distal Type of fracture line – Transverse, oblique, spiral, comminuted, or segmental Opened or closed status This article focuses on midshaft humerus fractures. No classification scheme for humeral shaft fractures Humeral shaft fractures are relatively common, representing approximately 1% to 5% of all fractures. Conservative management is the treatment of choice for most humeral shaft fractures and offers 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

The role of open treatment of fractures of the humerus remains controversial. Routine surgical management of humeral shaft fractures is probably not appropriate since the results of nonoperative treatment are generally satisfactory; acceptable alignment and healing occur in at least 90% of patients managed non-operatively. Management The mainstay of management is the re-alignment of the limb and the majority of humeral shaft fractures can be treated Classification of humeral fractures Classification of humeral fractures is difficult. One method is to classify them as: Proximal humeral fractures. Humeral shaft fractures. Distal humeral fractures. Fracture of the supracondylar (distal) humerus is one of the most common fractures encountered in children. 3 Fractures of the distal humerus in the adult account for

  • Clinical Practice Guidelines : Humeral shaft fractures
  • A Review of Management Options for Proximal Humeral Fractures
  • Humerus Fractures: Types and Treatment
  • Practice guidelines for proximal humeral fractures

Humeral shaft fractures are associated with pain, temporary disability and a reduced quality of life for the duration of treatment. Treatment goals are directed towards achieving and maintaining a fracture environment conducive to healing, pain relief and early restoration of function. The humerus (arm bone) is the upper arm’s only long bone. Humeral shaft fractures comprise 1-5% of all bony fractures (see Image. Oblique Humeral Shaft Fracture). These injuries have a bimodal age distribution. In young people, humeral shaft fractures are mostly caused by high-energy trauma. In older individuals, the damage may be caused by a low

All humeral fractures need an assessment before opting the conservative or operative management depending on patient expectations and characteristics of fractures and conservative management can be opted successfully as an effective method of

A Biomechanical Study of Tuberosity-Based Locked Plate Fixation Compared with Standard Proximal Humeral Locking Plate Fixation for 3-Part Proximal Humeral Fractures.

Humeral shaft fracture is a common injury which can be treated either conservatively with functional bracing or with surgical fixation. Current evidence shows an increase in the rate of nonunion after conservative treatment, suggesting that indications for conservative treatment may need to be re-examined. Abstract Humeral 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 fractures, vascular injury Humeral shaft fracture is a common injury which can be treated either conservatively with functional bracing or with surgical fixation. Current evidence shows an increase in the rate of nonunion after conservative treatment, suggesting that indications for conservative treatment may need to be re-ex

Introduction Humeral shaft fractures are common and account for 3% of all fractures. Even though the majority of these fractures are unstable, they typically do well with non-operative management [1,2]. Patients who sustain humeral shaft fractures fall under a bimodal age distribution.

Objectives: To compare radiographic and clinical outcomes in nonoperative management of humeral shaft fractures treated initially with coaptation splinting (CS) followed by delayed functional bracing (FB) versus treatment with immediate FB.

INTRODUCTION Proximal humeral fractures account for 10% of all fractures [1] and the incidence is rising [2]. Although the majority of minimally displaced fractures are successfully managed non-operatively [3] the optimal management of displaced or complex fracture remains controversial. The Holstein-Lewis humeral shaft fracture: aspects of radial nerve injury, primary treatment, and outcome Operative treatment of distal humeral fractures in the elderly. Fractures of the humeral shaft are relatively common and can occur in any age group. The anatomy of the humeral shaft is vital to understand, in order to plan management of these fractures: the relationship of the radial nerve with the humeral shaft in particular, plays an important role in these fractures. Though non-operative measures are employed for humeral

The aim of this study is to review the management of all paediatric humerus diaphyseal fractures treated at a single institution over a 20-year period. Retrospective review from between 1996 and 2016 identified 96 humerus shaft fractures in Humeral shaft fractures can be treated non-operatively or operatively. The optimal management is subject to debate. The aim was to compare non-operative and operative treatment of a humeral shaft fracture in terms of fracture healing, complications,

Abstract Background: It is generally agreed that a period of observation is appropriate for primary radial nerve palsy associated with humeral shaft fractures. There is no consensus, however, with regard to secondary radial nerve palsy, particularly when it is iatrogenic. Most texts state that surgical exploration is indicated for nerve palsy that occurs after fracture manipulation, but our 9. What is the usual ED management for this fracture? Middle third fractures of the humeral shaft are managed with a collar and cuff. Occasionally a hanging U-slab plaster of Paris (POP) is required (Figure 2). If a radial nerve injury is present, active manipulation is not recommended.

This randomized controlled trial was conducted to investigate the outcomes of humeral shaft–fracture management with the functional Sarmiento brace (nonoperative) versus open reduction internal fixation (ORIF). Sixty humeral shaft–fracture patients

Conservative management is the treatment of choice for most humeral shaft fractures and offers functional results and union rates that are not inferior to surgical manage-ment. Age and oblique fractures of the proximal third are risk factors for nonunion. Proximal humerus fractures (PHF) account for 5-6% of all adult fractures[1]. There is increasing recognition given in regard to managing these fractures in the setting of elderly, low-energy falls as these events are contributing to the global impact of direct and indirect costs of osteoporosis and fragility fractures. Moreover, as the general population continues to age and Introduction and background The most recent systematic reviews performed on the incidence of and factors associated with radial nerve palsies in humeral shaft fractures were performed in 2013 and 2019 [1 – 2]. Mangan et al. concluded that the overall prevalence of radial nerve palsy was 12.3% in a population of 7,262 fractures [2]. Further, surgical exploration and fracture repair

Abstract Purpose: Humerus shaft fractures are commonly acutely immobilized with coaptation splints (CS), which can be difficult to apply and poorly tolerated by the patient. Functional splints (FS), which work on the same principle as functional braces, are an alternative to CS. The purpose of this study was to directly compare CS and FS in terms of application and fracture