Treatment of humerus fractures is divided into operative and non-operative treatment Fractures of the diaphysis of the humerus heal well. Surgeons today have many opportunities to treat them. The decision on the type of treatment to be applied depends on the location of the fracture, the existence of associated injuries, the age and the general condition of the patient. Non-operative treatment is most often applied, although there are fractures in which surgical intervention is necessary in order to perform healing and prevent complications. Non-operative treatment of fractures of the diaphysis of the humerus gives good results, with little angulation and minimal or no shortening of the arm. Adequate repositioning, appropriate plaster immobilization and regular X-rays heal the fracture within the allotted time. Disciplined early physical therapy in terms of circular movements prevents shoulder contracture and allows later physical therapy to last significantly shorter. Non-operative treatment lasts from 7-11,5 weeks.
References
1.
William MO, Thomas HC, Catriona G, OW T, Nicholas DC, Andrew DD, et al. A prospective randomised controlled trial of operative versus non-operative management of fractures of the humeral diaphysis.
2.
Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Vol. 37, Injury. 2006. p. 691–7.
3.
Ekholm R, Adami J, Tidermark J, Hansson K, Törnkvist H, Ponzer S. Fractures of the shaft of the humerus. Vols. 88-B, The Journal of Bone and Joint Surgery. British volume. 2006. p. 1469–73.
4.
Bergdahl C, Ekholm C, Wennergren D, Nilsson F, Möller M. Epidemiology and patho-anatomical pattern of 2,011 humeral fractures: data from the Swedish Fracture Register. Vol. 17, BMC Musculoskeletal Disorders. 2016.
5.
Kellam J, Audigé L, Rüedi T, Buckley R, Moran. In 2007. p.
6.
Sarmiento A, Kinman P, Galvin E, Schmitt R, Phillips J. Functional bracing of fractures of the shaft of the humerus. Vol. 59, The Journal of Bone & Joint Surgery. 1977. p. 596–601.
7.
Sharma VK, Jain AK, Gupta RK, Tyagi AK, Sethi PK. Non-operative treatment of fractures of the humeral shaft: a comparative study. Vol. 60. 1991.
8.
Camden P, Nade S. Fracture bracing the humerus. Vol. 23, Injury. 1992. p. 245–8.
9.
Papasoulis E, Drosos GI, Ververidis AN, Verettas DA. Functional bracing of humeral shaft fractures. A review of clinical studies. Vol. 41, Injury. 2010. p. e21–7.
10.
Balfour GW, Mooney V, Ashby ME. Diaphyseal fractures of the humerus treated with a ready-made fracture brace. Vol. 64, The Journal of Bone & Joint Surgery. 1982. p. 11–3.
11.
SARMIENTO A, ZAGORSKI JB, ZYCH GA, LATTA LL, CAPPS CA. Functional Bracing for the Treatment of Fractures of the Humeral Diaphysis*. Vol. 82, The Journal of Bone and Joint Surgery-American Volume. 2000. p. 478–86.
12.
Naver L, Aalberg JR. Humeral shaft fractures treated with a ready-made fracture brace. Vol. 106, Archives of Orthopaedic and Traumatic Surgery. 1986. p. 20–2.
13.
Koch PP, Gross DFL, Gerber C. The results of functional (Sarmiento) bracing of humeral shaft fractures. Vol. 11, Journal of Shoulder and Elbow Surgery. 2002. p. 143–50.
14.
Toivanen JAK, Nieminen J, Laine HJ, Honkonen SE, J�rvinen MJ. Functional treatment of closed humeral shaft fractures. Vol. 29, International Orthopaedics. 2005. p. 10–3.
15.
Rutgers M, Ring D. Treatment of Diaphyseal Fractures of the Humerus Using a Functional Brace. Vol. 20, Journal of Orthopaedic Trauma. 2006. p. 597–601.
16.
Harkin FE, Large RJ. Humeral shaft fractures: union outcomes in a large cohort. Vol. 26, Journal of Shoulder and Elbow Surgery. 2017. p. 1881–8.
17.
Bell M, Beauchamp C, Kellam J, McMurtry R. The results of plating humeral shaft fractures in patients with multiple injuries. The Sunnybrook experience. Vols. 67-B, The Journal of Bone and Joint Surgery. British volume. 1985. p. 293–6.
18.
Jawa A, McCarty P, Doornberg J, Harris M, Ring D. Extra-Articular Distal-Third Diaphyseal Fractures of the Humerus. Vol. 88, The Journal of Bone & Joint Surgery. 2006. p. 2343–7.
19.
Denard A, Richards JE, Obremskey WT, Tucker MC, Floyd M, Herzog GA. Outcome of Nonoperative vs Operative Treatment of Humeral Shaft Fractures: A Retrospective Study of 213 Patients. Vol. 33, Orthopedics. 2010.
20.
Mahabier KC, Vogels LMM, Punt BJ, Roukema GR, Patka P, Van Lieshout EMM. Humeral shaft fractures: Retrospective results of non-operative and operative treatment of 186 patients. Vol. 44, Injury. 2013. p. 427–30.
21.
Matsunaga FT, Tamaoki MJS, Matsumoto MH, Netto NA, Faloppa F, Belloti JC. Minimally Invasive Osteosynthesis with a Bridge Plate Versus a Functional Brace for Humeral Shaft Fractures. Vol. 99, Journal of Bone and Joint Surgery. 2017. p. 583–92.
22.
Mahabier KC, Van Lieshout EM, Bolhuis HW, Bos PK, Bronkhorst MW, Bruijninckx MM, et al. HUMeral Shaft Fractures: MEasuring Recovery after Operative versus Non-operative Treatment (HUMMER): a multicenter comparative observational study. Vol. 15, BMC Musculoskeletal Disorders. 2014.
23.
Basa CD, Kacmaz IE, Ozturk AM, Kucuk L, Coskunol E. Evaluation of Clinical and Radiological Results of Humeral Diaphyseal Fractures with Treated Sarmiento Brace. Cureus. 2020.
24.
Updegrove GF, Mourad W, Abboud JA. Humeral shaft fractures. Vol. 27, Journal of Shoulder and Elbow Surgery. 2018. p. e87–97.
25.
Ali E, Griffiths D, Obi N, Tytherleigh-Strong G, Van Rensburg L. Nonoperative treatment of humeral shaft fractures revisited. Vol. 24, Journal of Shoulder and Elbow Surgery. 2015. p. 210–4.
26.
Day JS, Lau E, Ong KL, Williams GR, Ramsey ML, Kurtz SM. Prevalence and projections of total shoulder and elbow arthroplasty in the United States to 2015. Vol. 19, Journal of Shoulder and Elbow Surgery. 2010. p. 1115–20.
27.
Dehghan N, Chehade M, McKee MD. Current Perspectives in the Treatment of Periprosthetic Upper Extremity Fractures. Vol. 25, Journal of Orthopaedic Trauma. 2011. p. S71–6.
28.
Sarmiento A, Waddell JP, Latta LL. Diaphyseal Humeral Fractures: Treatment Options. Vol. 83, The Journal of Bone and Joint Surgery-American Volume. 2001. p. 1565–79.
29.
Arealis G, Faria G, Kucera M, Crisan C, Murthy S. Treatment of Midshaft Humerus Fractures Using Early Functional Bracing: Results and Prognostic Factors. Cureus. 2021.
30.
Wallny T, Westermann K, Sagebiel C, Reimer M, Wagner UA. Functional Treatment of Humeral Shaft Fractures: Indications and Results. Vol. 11, Journal of Orthopaedic Trauma. 1997. p. 283–7.
31.
Brennan S, Murphy D. Fractures of the humeral diaphysis -degree of distraction in hanging cast and a high rate of non-union. 2010.
32.
Lasse R, Bakir OS, Vesa L, Tuomas L, Jonas R, Mika P, et al. Effect of Surgery vs Functional Bracing on Functional Outcome Among Patients With Closed Displaced Humeral Shaft Fractures.
33.
McKee MD. Management and complications of humeral shaft fractures. 2004.
34.
Cole PA, Wijdicks CA. The Operative Treatment of Diaphyseal Humeral Shaft Fractures. Vol. 23, Hand Clinics. 2007. p. 437–48.
35.
An Z, Zeng B, He X, Chen Q, Hu S. Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique. Vol. 34, International Orthopaedics. 2010. p. 131–5.
36.
Patino JM, Ramella JC, Michelini AE, Abdon IM, Rodriguez EF, Corna AFR. Plates vs. nails in humeral shaft fractures: Do plates lead to a better shoulder function? Vol. 5, JSES International. 2021. p. 765–8.
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