Humeral shaft fractures

被引:42
作者
Andre R. Spiguel
Robert J. Steffner
机构
[1] University of California - Davis Medical Center, Ellison Ambulatory Care Center, Sacramento, CA 95817, 4860 Y Street
[2] University of Chicago Medical Center, Chicago, IL 60637, 5841 S. Maryland Ave
关键词
Anatomy; Fracture; Functional bracing; Humeral shaft; Intramedullary nail; Musculoskeletal; Nonunion; Operative management; Plate fixation; Surgical approaches; Traumad;
D O I
10.1007/s12178-012-9125-z
中图分类号
学科分类号
摘要
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 outcomes. More recently, however, with the advent of new surgical techniques and implant options, less tolerance for acceptable deformity and functional deficits, and less patience with conservative management, many treating orthopaedic surgeons are increasingly likely to consider surgical intervention. This article reviews the current recommendations for treatment of humeral shaft fractures, including both nonoperative and operative intervention. It also discusses the current thinking and operative trends in humeral shaft fracture fixation. © Springer Science+Business Media, LLC 2012.
引用
收藏
页码:177 / 183
页数:6
相关论文
共 51 条
[1]  
Cole P.A., Wijdicks C.A., The Operative Treatment of Diaphyseal Humeral Shaft Fractures, Hand Clinics, 23, 4, pp. 437-448, (2007)
[2]  
Templeman D.C., Sims S.A., Humeral shaft fractures, Surgical Treatment of Orthopaedic Trauma, pp. 263-84, (2007)
[3]  
Ekholm R., Adami J., Tidermark J., Hansson K., Tornkvist H., Ponzer S., Fractures of the shaft of the humerus. An epidemiological study of 401 fractures, Journal of Bone and Joint Surgery - Series B, 88, 11, pp. 1469-1473, (2006)
[4]  
Tytherleigh-Strong G., Walls N., McQueen M.M., The epidemiology of humeral shaft fractures, J Bone Joint Surg Br, 802, pp. 249-253, (1998)
[5]  
Brorson S., Management of fractures of the humerus in ancient Egypt, Greece, and Rome: An historical review, Clin Orthop Relat Res, 467, pp. 1907-1914, (2009)
[6]  
Sarmiento A., Kinman P.B., Galvin E.G., Functional bracing of fractures of the shaft of the humerus, Journal of Bone and Joint Surgery - Series A, 59, 5, pp. 596-601, (1977)
[7]  
Zagorski J.B., Latta L.L., Zych G.A., Et al., Diaphyseal fractures of the humerus. Treatment with prefabricated braces, J Bone Joint Surg Am, 70, pp. 607-610, (1988)
[8]  
Sarmiento A., Zagorski J.B., Zych G.A., Latta L.L., Capps C.A., Functional bracing for the treatment of fractures of the humeral diaphysis, Journal of Bone and Joint Surgery - Series A, 82, 4, pp. 478-486, (2000)
[9]  
Rutgers M., Ring D., Treatment of diaphyseal fractures of the humerus using a functional brace, Journal of Orthopaedic Trauma, 20, 9, pp. 597-601, (2006)
[10]  
Denard Jr. A., Richards J.E., Obremskey W.T., Et al., Outcomes of nonoperative vs operative treatment of humeral shaft fractures: A retrospective study of 213 patients, Orthopedics, 33, (2010)