[Humeral shaft fractures]. 2018

R Biber, and H J Bail, and M Geßlein
Klinik für Unfallchirurgie, Kliniken Dr. Erler, Kontumazgarten 4-18, 90429, Nürnberg, Deutschland. r.biber@erler-klinik.de.

There is still no gold standard for the treatment of humeral shaft fractures. This might be attributed to the fact that several commonly used treatment methods have shown good clinical results. A bimodal age distribution of humeral shaft fractures with frequency peaks between 20 and 30 years old and above 60 years old is reported. Decision making for conservative or operative treatment depends not only on the injury pattern but is also dependent on individual patient needs. Currently available operative techniques include antegrade and retrograde interlocking medullary nailing as well as the use of longer proximal humeral nails. Plate osteosynthesis can be performed as open reduction and internal fixation (ORIF) or as minimally invasive plate osteosynthesis (MIPO). There is currently insufficient evidence for a clear superiority of either of the methods. Radial nerve palsy is the most typical complication of humeral shaft fractures but an improved outcome is not achieved by an emergency revision of the nerve.

UI MeSH Term Description Entries
D005592 Fracture Fixation The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals. Skeletal Fixation,Fracture Reduction,Fixation, Fracture,Fixation, Skeletal,Fixations, Fracture,Fixations, Skeletal,Fracture Fixations,Fracture Reductions,Reduction, Fracture,Reductions, Fracture,Skeletal Fixations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006810 Humeral Fractures Fractures of the HUMERUS. Humeri Fractures,Humerus Fractures,Fracture, Humeral,Fracture, Humeri,Fracture, Humerus,Humeral Fracture,Humeri Fracture,Humerus Fracture
D006811 Humerus Bone in humans and primates extending from the SHOULDER JOINT to the ELBOW JOINT. Humeri,Greater Tubercle,Humeral Greater Tuberosity,Humeral Lesser Tuberosity,Lesser Tubercle,Olecranon Fossa,Olecranon Fossi,Greater Tubercles,Greater Tuberosities, Humeral,Greater Tuberosity, Humeral,Humeral Greater Tuberosities,Humeral Lesser Tuberosities,Lesser Tubercles,Lesser Tuberosities, Humeral,Lesser Tuberosity, Humeral,Tubercle, Greater,Tubercles, Greater
D020425 Radial Neuropathy Disease involving the RADIAL NERVE. Clinical features include weakness of elbow extension, elbow flexion, supination of the forearm, wrist and finger extension, and thumb abduction. Sensation may be impaired over regions of the dorsal forearm. Common sites of compression or traumatic injury include the AXILLA and radial groove of the HUMERUS. Crutch Palsy,Saturday Night Palsy,Cheiralgia Paresthetica,Crutch Paralysis,Lesion, Superficial Radial Nerve,Posterior Interosseous Nerve Syndrome,Radial Mononeuropathy,Radial Nerve Compression,Radial Nerve Diseases,Radial Nerve Entrapment,Radial Nerve Palsy,Radial Palsy,Radial Tunnel Syndrome,Superficial Radial Nerve Lesion,Supinator Syndrome,Wartenberg Syndrome,Wrist-Drop,Cheiralgia Parestheticas,Compression, Radial Nerve,Crutch Palsies,Crutch Paralyses,Entrapment, Radial Nerve,Mononeuropathy, Radial,Nerve Compression, Radial,Nerve Entrapment, Radial,Neuropathy, Radial,Night Palsies, Saturday,Night Palsy, Saturday,Palsies, Saturday Night,Palsy, Crutch,Palsy, Radial,Palsy, Radial Nerve,Palsy, Saturday Night,Paralysis, Crutch,Paresthetica, Cheiralgia,Radial Mononeuropathies,Radial Nerve Compressions,Radial Nerve Disease,Radial Nerve Entrapments,Radial Nerve Palsies,Radial Neuropathies,Radial Palsies,Radial Tunnel Syndromes,Saturday Night Palsies,Supinator Syndromes,Syndrome, Supinator,Tunnel Syndrome, Radial,Wrist Drop

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