Diaphyseal fractures of the humerus treated with a ready-made fracture brace.

Balfour, George W; Mooney, Voigt; Ashby, ME

doi:10.2106/00004623-198264010-00002

Cited by 115 publications

(72 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…N onoperative treatment of diaphyseal humeral fractures is associated with a reported union rate of 92% to 98%, and angular deformity and shortening are well tolerated [1][2][3][4][5] . In contrast, nonunion is disabling because of pain and instability [6][7][8][9] .…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Fracture Mobility Six Weeks After Initiation of Brace Treatment of Mid-Diaphyseal Humeral Fractures

Neuhaus

Menendez

Kurylo³

et al. 2014

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

BACKGROUND: Recent studies have identified specific subsets of diaphyseal humeral fractures for which functional bracing is less effective. The present study tested the hypothesis that a gap between fracture fragments may be a risk factor (after accounting for other potential risk factors) for fracture instability six weeks after functional bracing of humeral shaft fractures. METHODS: We retrospectively identified seventy-nine adult patients (forty-six men, thirty-three women; forty-two fractures on the right side, thirty-seven fractures on the left), each with an acute, closed, AO type-A2 (oblique, 30°) or type-A3 (transverse, lt;30°) mid-diaphyseal humeral shaft fracture treated nonoperatively at three different level-I trauma centers from June 2004 to August 2011. The gap between the fracture fragments was measured on the first radiographs made after the affected upper extremity was placed in a brace. RESULTS: Sixty-three patients (80%) had documented healing of the fracture. Sixteen patients (20%) had motion at the fracture site and a persistent fracture line shown on radiographs six weeks or more after injury. In multivariable analysis, each millimeter of gap between the main fragments with the patient wearing the brace (odds ratio [OR] = 1.4, 95% confidence interval [CI] = 1.1 to 1.7), smoking (OR = 5.8, 95% CI = 1.4 to 25), and female sex (OR = 5.3, 95% CI = 1.2 to 23) increased the risk of fracture instability six weeks after injury (R2 = 0.38, area under the receiver operating characteristic [ROC] curve = 0.81). CONCLUSIONS: The magnitude of the gap between the fracture fragments is an independent risk factor for fracture instability and the lack of a bridging callus six weeks after a diaphyseal humeral fracture. LEVEL OF EVIDENCE: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

show abstract

Section: Discussionmentioning

confidence: 99%

Risk Factors for Fracture Mobility Six Weeks After Initiation of Brace Treatment of Mid-Diaphyseal Humeral Fractures

Neuhaus

Menendez

Kurylo³

et al. 2014

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

show abstract

“…Most humeral shaft fractures are undisplaced or minimally displaced and can be managed non-operatively with satisfactory outcomes in more than 90 % of patients [1]. Different treatment options exist for such lesions; although conservative treatment has achieved satisfactory results in 96-98 % of cases [4,5], indications for surgery have gradually been extended to less complex humeral fractures, such as spiral, long and transverse fractures [6]. The intramedullary nailing is an option for surgical treatment especially in patients with multiple injuries [7].…”

Section: Introductionmentioning

confidence: 99%

Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff?

Verdano

Pellegrini

Schiavi

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The purpose of this study was to investigate the clinical and sonographic impact on the rotator cuff (RC) of the use of the anterolateral approach for nailing. Clinical assessment using the Constant score, simple shoulder test and through shoulder examination tests was carried out. The sonographic study investigated the integrity of the RC. Results Mean score on Constant's scale was 78.21 points, with most patients achieving a good result (79 % obtained more than 65 points). One patient had a limited functional outcome (Constant's score of 49 points). The sonographic findings described for supraspinatus tendon were a partial ruptures of less than 30 mm in three patients and a complete tendon rupture in one case.Conclusions The results of this study suggest that the use of the anterolateral approach for antegrade humeral nailing ensures a good functional result with no significant clinicalsonographic impact on the rotator cuff and a satisfactory long term clinical outcome.

show abstract

“…Treatment option is based on the patient and fracture characteristics (patient's age, the presence of associated injuries, soft tissue status, and fracture pattern) [1].…”

Section: Introductionmentioning

confidence: 99%

“…Surgery is considered only in selective cases of humerus fracture in polytrauma patient, fractures with unacceptable alignment after closed reduction, segmental fracture, pathologic fracture, radial nerve injury, and radial nerve dysfunction after fracture manipulation, associated vascular injury, open fracture, and floating elbow [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Complications of external fixation, i.e., pin tract infection, neurovascular injury, tendon and muscle impalement and nonunion, though can be avoided by meticulous operative technique, make this less adopted approach [1,2]. Of two methods of internal fixation, intramedullary fixation is preferred as it offers advantages over plate and screws.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Does Closed Intramedullary Interlocking Nailing in Patients With Humeral Shaft Fractures Has Advantages: Evaluation Through a Clinical Study

Murari

Chandra

et al. 2017

Asian J Pharm Clin Res

View full text Add to dashboard Cite

Objective: Intramedullary interlocking nail fixation (IINF) for the fracture shaft humerus (FSH) offers good clinical outcome. Evaluating the functional outcome of IINF in FSH and assessing the complications of the technique, time taken for fracture consolidation, and union rates were the objectives.Methods: Adult patients with a clinical diagnosis of diaphyseal fracture of humerus were assessed clinically and radiologically for the functional outcome of IINF in FSH. Functional outcome of shoulder and elbow considered together was graded as excellent, moderate, and poor. Daily assessment was done along with active physiotherapy. All were followed up at monthly intervals for 6-12 months or till the union of fracture. Radiological assessment was done at immediate post-operative period, at months 1, 3, 6, 9, and 12 months.Results: 30 patients (males n=24, 80%) with a mean(±standard deviation) age of 39(±13.31) years were included. Road traffic accident was the frequent cause (n=18, 60%). Indirect injury was the cause in 66.66% patients. Middle 1/3 rd of shaft of humerus was fractured in 53.33% patients. 10 (33.3%) patients each had oblique fracture and transverse fracture, respectively; comminuted fracture was seen in another 26.6% patients. Radial nerve palsy (10%) was the frequent associated injury of the total nine. The overall functional outcome was excellent in 80%, moderate in 16.6%, and poor in 3.3% patients. Postoperatively, nonunion, superficial infection and shoulder stiffness was seen in one patient each. Conclusion:IIFN is an excellent, least invasive surgical option for FHS with early fracture consolidation and better union rates.

show abstract

Diaphyseal fractures of the humerus treated with a ready-made fracture brace.

Cited by 115 publications

References 0 publications

Risk Factors for Fracture Mobility Six Weeks After Initiation of Brace Treatment of Mid-Diaphyseal Humeral Fractures

Risk Factors for Fracture Mobility Six Weeks After Initiation of Brace Treatment of Mid-Diaphyseal Humeral Fractures

Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff?

Does Closed Intramedullary Interlocking Nailing in Patients With Humeral Shaft Fractures Has Advantages: Evaluation Through a Clinical Study

Contact Info

Product

Resources

About