- Discussion:
- simple transverse frxs w/out comminution may have delayed healing which
requires close observation to avoid distraction & angulation;
- this is especially true if a gap exists at frx site which cannot
be closed by non operative means;
- Closed Reduction:
- note these fractures are prone to significant varus;
- a junior resident should attempt to produce a valgus reduction, because these
frxs often tend to remain in slight varus (as is seen below);
- Operative Indications:
- transverse frx which is over distracted, either as a result of initial trauma or
closed treatment, will require surgery;
- if gap exists at frx site, prolonged immobilization will not work;
- this 30 yo non smoker had a non-union of a humeral fracture which at 3 mo.,
showed no signs of radiographica healing, and which at surgery
was found to have fat, muscle, and scar tissue w/ in the frx site;
Diaphyseal fractures of the humerus. Treatment with prefabricated braces.
