Transverse Humeral Shaft Fracture
- 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.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Thursday, June 7, 2012 6:03 pm