Fracture Shaft of Humerus
INTRODUCTION
Humerus shaft fracture accounts for 5% of all long bone fractures. Shaft humerus can fracture near the top of the bone or in the middle or end of the bone. Treatment modalities depend on how and where the bone fractures. Incidence of associated radial nerve palsy with shaft humerus fracture range from 7-17%.
SYMPTOMS
Swelling and pain in the arm
Associated abnormal mobility and inability to lift the arm.
TREATMENT METHODS
Non-surgical management -the majority of isolated shaft humerus fractures can be treated conservatively with a hanging arm cast for three weeks followed by a functional cast brace for six weeks.
Surgical treatment - Open Reduction and Internal Fixation Is Indicated in Displaced Unstable Fracture Patterns, Associated Open Injuries and to Facilitate Early Mobilization.
In situations of comminuted segmental fractures of the humerus, minimally invasive surgery is indicated in the form of mippo plating and interlock nailing are done. Fixation of humerus fractures allows us to mobilize the shoulder and elbow joint early, and stiffness is avoided.
OUTCOME
