Coaptation and functional bracing of adolescent humeral shaft spiral fracture: a case report and review of literature

<p class="abstract">Adolescent humerus shaft fractures are uncommon. Direct injuries lead to transverse fractures and indirect injuries lead to spiral and most oblique fractures. There is fracture displacement, angulation and internal rotation of the proximal fragment. There is difficulty in maintaining reduction after closed manipulation of spiral fractures. Paediatric humeral shaft fractures are treated by elastic intramedullary nails more often nowadays. We present a case of isolated spiral fracture of the middle1/3rd and distal 1/3rd junction of the humerus shaft with displacement and angulation treated successfully with closed reduction, coaptation U slab followed by functional orthosis.</p>

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Nonunion after Interlocking intramedullary Nails for Humeral Shaft Fractures

The Journal of the Korean Orthopaedic Association ◽

10.4055/jkoa.1997.32.3.735 ◽

1997 ◽

Vol 32 (3) ◽

pp. 735

Author(s):

Jeong Woung Lee ◽

Lee Jean Hong ◽

Jai Young Cho ◽

Won Tai Choi ◽

Je Gyun Chon ◽

...

Keyword(s):

Humeral Shaft ◽

Intramedullary Nails ◽

Humeral Shaft Fractures ◽

Shaft Fractures

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Comparison of the results of treatment of humeral shaft fractures by different methods

Medicinski pregled ◽

10.2298/mpns1110490r ◽

2011 ◽

Vol 64 (9-10) ◽

pp. 490-496 ◽

Cited By ~ 1

Author(s):

Vladimir Ristic ◽

Mirsad Maljanovic ◽

Miroslav Arsic ◽

Radmila Matijevic ◽

Miroslav Milankov

Keyword(s):

Traffic Accidents ◽

Callus Formation ◽

Functional Results ◽

Humeral Shaft ◽

External Fixators ◽

Rigid Fixation ◽

Intramedullary Nails ◽

Humeral Shaft Fractures ◽

Shaft Fractures ◽

Comparison Of The Results

The aim of this study was to compare the functional results of non-operative and different operative techniques of managing humeral shaft fractures. The average follow-up was one year after the trauma in 61 patients with united fracture, where the initial method of treatment was the definitive one. The patients were divided into four groups: 22 were treated with hanging cast, 20 with intramedullary nails, 10 with dynamic-compressive plates and screws and 9 with external fixators. We estimated the presence of bone union by radiographic and clinical evaluation and compared the results with Constant and Mayo scores. The etiology of injuries was falls and traffic accidents in 87% of cases. The hanging cast group had the most of elbow contractures and insufficient results of functional scales. The plating group had lower average values of scores than nails, especially considering the elbow function. Among subgroups, the locked intramedullary nails had better results than Ender nails. The most complicated cases treated with Ilizarov and Mitkovic?s external fixators had good results, especially in the treatment of open humeral shaft fractures; however, the rehabilitation period was longer. The best average functional results were recorded in the nailing group because of rigid fixation, solid callus formation and return to everyday activities in the shortest time.

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