Humeral shaft fracture account for nearly 3% of all fractures. Trauma specialists should be aware of a range of possible injuries, complications and be confident in their management. This article reviews the various aspects of humeral shaft fractures and details different treatment options available. We found that in the majority of cases non-operative management has excellent results provided attention is paid to follow up and rehabilitation.
Achecar F., Whittle AP1997. Unreamed vs reamed interlocking nailing of humeral shaft fractures. Orthop Trans21: 1166.
2.
Beaty JH1999. Humeral shaft fractures. In: Tornetto, Saumgaertnes, ed. Orthopaedic knowledge updateAmerican Academy of Orthopaedic Surgeons: Rosemont, Ill, 278—86.
3.
Brumback RJ, Bosse MJ, Poka A., Burgess AR1986. Intramedullary stabilization of humeral shaft fractures in patients with multiple trauma. J Bone Joint Surg Am68: 960—70.
4.
Brumback RJ1996. The rationales of interlocking nailing of the femur, tibia, and humerus. Clin Orthop324: 292—320.
Crenshaw AH1998. Shaft of humerus. In: Canale ST ed. Campbell's operative orthopaedics, 9th ed. Mosby: St. Louis, Mo, 2296—2309.
7.
Ekholm R., Adami J., Tidermark J., Hansson K., Tornkvist H., Ponzer S.2006. Fractures of the shaft of the humerus. An epidemiological study of 401 fractures. J Bone Joint Surg Br88: 1469—73.
8.
Farragos AF, Schemitsch EH, McKee MD1999. Complications of intramedullary nailing for fractures of the humeral shaft: a review. J Orthop Trauma13: 258—67.
9.
Foster RJ, Dixon Jr GL , Bach AW, et al. 1985. Internal fixation of fractures and non-unions of the humeral shaft. Indications and results in a multi-center study. J Bone Joint Surg Am67: 857—64.
10.
Garcia A., Maeck BH1960. Radial nerve injuries in fractures of the shaft of the humerus. Am J Surg99: 625—7.
11.
Gerwin M., Hotchkiss RN, Weiland AJ1996. Alternative operative exposures of the posterior aspect of the humeral diaphysis with reference to the radial nerve. J Bone Joint Surg Am78: 1690—5.
12.
Gregory PR, Sanders RW1997. Compression plating versus intramedullary fixation of humeral shaft fractures. J Am Acad Orthop Surg5: 215—23.
13.
Hall Jr RF, Pankovich AM1987. Ender nailing of acute fractures of the humerus. A study of closed fixation by intramedullary nails without reaming. J Bone Joint Surg Am69: 558—67.
14.
Hartsock LA1999. Humeral shaft fractures. In: Levine AM, ed. Orthopaedic knowledge update, trauma. American Academy of Orthopaedic Surgeons: Rosemont, Ill, 23—32.
15.
Heim D., Herkert F., Hess P., Regazzoni P.1993. Surgical treatment of humeral shaft fractures — the Basel experience. J Trauma35: 226—32.
16.
Hoppenfeld, S.,deBoer , P., 1984. The humerus. In: Hannon BC, ed. Surgical exposures in orthopaedics: the anatomic approach, 2nd ed. JB Lippincott : Philadelphia, PA, 52—65.
17.
Ingman AM, Waters DA1994. Locked intramedullary nailing of humeral shaft fractures. Implant design, surgical technique, and clinical results. J Bone Joint Surg Br76: 23—29.
18.
Klenerman L.1966. Fractures of the shaft of the humerus. J Bone Joint Surg Br48: 105—11.
19.
Lin J., Hou SM, Hang YS, Chao EY1997. Treatment of humeral shaft fractures by retrograde locked nailing. Clin Orthop342: 147—55.
20.
Lin J., Inoue N., Valdevit A., et al. 1998. Biomechanical comparison of antegrade and retrograde nailing of humeral shaft fracture. Clin Orthop351: 203—13.
21.
McKee MD, Miranda MA, Riemer BL, et al. 1996. Management of humeral nonunion after the failure of locking intramedullary nails. J Orthop Trauma10: 492—9.
22.
Mostafavi HR, Tornetta P.1997. Open fractures of the humerus treated with external fixation . Clin Orthop337: 187—97.
23.
Naver L., Aalberg JR1986. Humeral shaft fractures treated with a ready-made fracture brace. Arch Orthop Trauma Surg106: 20—22.
24.
Redmond BJ, Biermann JS, Blasier RB1996. Interlocking intramedullary nailing of pathological fractures of the shaft of the humerus. J Bone Joint Surg Am78: 891—6.
25.
Reynders P., Rommens PM, Blum J., Scheerlinck T., et al. 2004. New approaches to humeral shaft fractures . J Bone Joint Surg86: 214—6.
26.
Riemer BL, Butterfield SL, D'Ambrosia R., Kellam J.1991. Seidel intramedullary nailing of humeral diaphyseal fractures: a preliminary report. Orthopedics14: 239—46.
27.
Riemer BL, Foglesong ME, Burke CJ1994. Complications of Seidel intramedullary nailing of narrow diameter humeral diaphyseal fractures. Orthopedics17: 19—29.
28.
Robinson CM, Bell KM, Court-Brown CM, McQueen MM1992. Locked nailing of humeral shaft fractures. Experience in Edinburgh over a two-year period. J Bone Joint Surg Br74: 558—62.
29.
Rodriguez-Merchan EC1995. Compression plating versus hackethal nailing in closed humeral shaft fractures failing nonoperative reduction. J Orthop Trauma9: 194—7.
30.
Rommens PM, Verbruggen J., Broos PL1995. Retrograde locked nailing of humeral shaft fractures. A review of 39 patients. J Bone Joint Surg Br77: 84—9.
31.
Sarmiento A., Kinman PB, Galvin EG, et al. 1977. Functional bracing of fractures of the shaft of the humerus. J Bone Joint Surg Am59: 596—601.
32.
Sarmiento A., Waddell JP, Loren L.2001. Diaphyseal humeral fracftures: treatment options. J Bone Joint Surg Am83: 1566—80.
33.
Schatzker J.1987. Fractures of the humerus. In: Schatzker J, Tile M, eds. The rationale of operative fracture careSpringer-Verlag : NY, 61—70.
34.
Shazar N., Brumback RJ, Vanco B.1998. Treatment of humeral fractures by closed reduction and retrograde intramedullary Ender nails. Orthopedics21: 641—6.
35.
Sims SH, Smith SE1995. Intramedullary nailing of humeral shaft fractures. J South Orthop Assoc4: 24—31.
36.
Stern PJ, Mattingly DA, Pomeroy DL, et al. 1984. Intramedullary fixation of humeral shaft fractures. J Bone Joint Surg Am66: 639—46.
37.
Tome J., Carsi B., Garcia-Fernandez C., et al. 1998. Treatment of pathologic fractures of the humerus with Seidel nailing. Clin Orthop350: 51—55.
38.
Urist MR, Mazet R., McLean FC1954. The pathogenesis and treatment of delayed union and nonunion . J Bone Joint Surg36A: 931.
Williams PL, Warwick R, Dyson M, Bannister LH , eds. 1989. Gray's anatomy, 37th ed. New York, NY: Churchill Livingstone, 406—10.
41.
Wolinsky PR, Tingstead EM, Shyr Y., Johnson KD1998. Effect of immediate weight-bearing on plated fractures of the humeral shaft. Presented at: Annual Meeting of the AAOS, New Orleans, LA.
42.
Zuckerman JD, Koval KJ1996. Fractures of the shaft of the humerus. In: Rockwood CA, Green DP , Bucholz RW, Heckman JD, eds. Rockwood and Greens' fractures in adults , 4th ed. Lippincott-Raven: Philadelphia, PA, 1025—53.
