Indications Most humeral shaft fractures can be effectively managed without surgery utilizing functional bracing. However, displaced or comminuted humeral shaft fractures, fractures with extension into the proximal humerus, and patients following polytrauma with multiple extremity fractures may benefit from surgical…
Indications Surgical treatment of humeral shaft fractures is indicated after inadequate closed reduction, polytrauma, open fractures, bilateral injuries, and ipsilateral forearm fractures requiring surgical intervention. Excessive body mass index (BMI) or habitus forces the humerus into an unacceptable varus posture…
Indications The majority of isolated humeral shaft fractures can be managed nonoperatively. It is widely accepted that acute, closed, isolated fractures in a cooperative, ambulatory patient will achieve union with nonoperative management without a significant angular deformity or any functional…
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Introduction Fractures of the humeral shaft represent 1% to 3% of all fractures and have an annual incidence of 4.5 per 100,000 patients. The distribution of fractures follows a bimodal distribution with peaks occurring in the seventh and third decades…
Indications Proximal humerus fractures are common injuries, and in certain patients, surgical fixation can restore anatomy, provide stability, improve pain, and restore function. Mitigating the risk of postoperative complications is critical for optimizing patient outcomes, and multiple studies have demonstrated…
For a patient sustaining a proximal humerus fracture, the goal of treatment is to maximize functional outcome and patient satisfaction. While no clear consensus exists as to the optimal management of these injuries, and the results of closed treatment are…
Intramedullary Fixation for Proximal Humerus Fractures Indications Proximal humeral fractures continue to increase in frequency with projected rates of emergency visits in the United States alone annually to exceed 275,000 by 2030 and well over a million visits worldwide. Although…
Indications Several options exist for the management of proximal humerus fractures including nonoperative care, closed reduction and percutaneous pinning, open reduction and internal fixation (ORIF) with a plate and screw construct, intramedullary nailing, and arthroplasty. The majority of these injuries…
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