Humeral shaft fracture ao trauma. Proximal humeral shaft fractures require a device which can provide a good hold in the small proximal fragment, which consists mainly of the humeral head. . Posterior triceps-split approach to the humeral shaft. A prospective randomised controlled trial of operative versus non-operative management of fractures of the humeral diaphysis: the HUmeral Shaft Fracture FIXation (HU-FIX) Study protocol. If in doubt about the stability, it is recommended to check the In fractures of the proximal humerus which consist of a lesser tuberosity fragment, it might be beneficial to open up the joint through the fracture between the greater and lesser tuberosity. Anterolateral approach to the humerus (after Henry) See details. Anterolateral transdeltoid approach to the humerus for antegrade nailing. There are two typical scenarios for using an external fixator for humeral shaft fractures: Polytraumatized patients with multiple injuries of the extremities Severe injuries of the humerus including extensive soft-tissue damage with or without neurovascular injuries In both situations, the patient is typically placed in supine position. Aug 4, 2025 · Most closed fractures of the humeral shaft may be managed nonoperatively. All approaches to the humeral shaft. Dec 13, 2023 · Up to 5% of fractures involve the humeral area. The periosteum, especially the medial hinge, is typically not ruptured. See details. The third edition of the book has been fully updated and extended to describe the latest techniques and covers the complete content of the AO Principles Course of today. Lesser degrees of shortening or angulation are tolerated satisfactorily. The environment should be one in which the child and the parents AO Principles of Fracture Management is an essential resource for orthopedic trauma surgeons and residents in these specialties. The PHILOS plate achieves this, as do some modern humeral nailing systems with proximal locking options. After initial, immobilization, humeral shaft fractures may be treated nonoperatively with: U-slab splint (temporary treatment) Sarmiento Brace Hanging cast Application of a splint or brace is performed without sedation in older children and in compliant younger children. In the elderly, impaction of the osteoporotic humeral head onto the shaft medially is acceptable. These are varus impacted 4-part fractures with slight displacement. Posterior triceps-sparing approach (triceps-on) to the humeral shaft. A prospective randomized study of operative treatment for noncomminuted humeral shaft fractures: conventional open plating versus minimal invasive plate osteosynthesis. Treatment can be nonoperative or operative depending on location of fracture, fracture morphology, and association with other ipsilateral injuries. We help you diagnose your Humeral shaft case and provide detailed descriptions of how to manage this and hundreds of other pathologies Jun 5, 2025 · Diagnosis is made with orthogonal radiographs of the humerus. In the young, this injury is typically due to high-energy trauma, as in motor vehicular accidents. Anterolateral approach to the humerus (after Henry) Select a chapter 1. Both tuberosities are involved. This approach can be extended distally for midshaft fractures. The choice is based on the surgeon’s preference. They are less stable than valgus malaligned fractures. Introduction Plating of proximal humeral shaft fractures may be performed through the anterolateral approach. Reduction should be attempted if there is >20–30° of angulation, >3 cm of shortening, or >15° of rotational deformity. Fracture reduction requires sedation or general anesthesia. In contrast, older patients can fracture this bone even at low impact. aqxhmn qapdtvfs mqhj mxktlmg odnpj agh vcokfi jclj hiuxvaly gfcqwip

Humeral shaft fracture ao trauma. All approaches to the humeral shaft.