Fractures of the humeral shaft are common, account for approximately 3% of all orthopaedic injuries, and result in a significant burden to society from lost productivity and wages. Treatment modalities have greatly evolved since their first description in ancient Egypt (circa 1600 BC); however, fundamental management principles have remained consistent throughout time. Nonoperative management c...

There is a growing concern about elderly valgus impacted proximal humeral fractures. The aim of this study was to evaluate the treatment and clinical outcomes following minimal invasive percutaneous plate osteosynthesis (MIPPO) with the proximal humeral internal locking system (PHILOS) for the treatment of elderly valgus impacted proximal humeral fracture. Between May 2008 and May 2012, 27 pati...

PURPOSE This prospective study aimed to investigate the epidemiologic parameters of supracondylar humeral fractures in children admitted to a teaching institution of a developing country primarily catering to rural population, to find any preventable cause of such injuries. METHODS All suspected cases of supracondylar humeral fracture reporting to emergency or outpatients department were anal...

Although conservative management of humeral diaphyseal fractures has shown good results in about 90% of cases [1, 2], there are both absolute and relative indications for surgical treatment, such as polytrauma, open fractures, bilateral fractures, floating elbow, etc [3]. Minimally invasive surgical techniques in diaphyseal fractures of long bones have shown advantages over the open conventiona...

OBJECTIVES To assess the results and clinical outcome of delayed union and nonunion humeral shaft treatment using locked medullary nails. SUBJECTS AND METHODS The Russel and Taylor humeral locking nail was used to treat 21 patients with humeral shaft fractures at Al Razi hospital, Kuwait, from 1997 to 2001. Of these, 8 had delayed union and 13 nonunion. Also, 13 had previous operative treatme...

BACKGROUND Reported outcomes of shoulder hemiarthroplasty for proximal humeral fractures have been poor due to tuberosity non-union or rotator cuff disruption. Newer designs provide features to allow secure tuberosity apposition and stabilisation. To evaluate the outcomes of a shoulder hemiarthroplasty system with "tuberosity friendly" features in the treatment of multi-fragmentary proximal hum...

Objectives: The purpose of this research is to evaluate and contrast the functional results Dynamic Compression Plating Interlock Nailing for Humeral Shaft Fractures. Material Methods: design study was a prospective observational study. This conducted in DHQ Teaching Hospital Gujranwala duration from October 2020 December 2022. We evaluated total 60 cases after receiving ethics committee permis...

BACKGROUND The epidemiology of fractures of the humeral shaft has received little attention in Nigeria. This study was aimed at investigating the possible risk factors associated with diaphyseal humeral fractures among Nigerians. METHODS The study was carried out retrospectively at the Department of Medical Records, National Orthopaedic Hospital, Igbobi, Lagos State, Nigeria, between 2007 and...

BACKGROUND Mini-open reduction and percutaneous fixation of proximal humeral fractures historically results in good outcomes and a low prevalence of osteonecrosis reported with short-term follow-up. The purpose of this study was to determine the midterm results of our multicenter case series of proximal humeral fractures treated with percutaneous fixation. METHODS Between 1999 and 2006, thirt...

In the literature nerve injury is not frequently considered a problem in proximal humeral fractures. Only a few studies exist concerning traction injury of nerves in fractures of the proximal humerus after low-velocity trauma. Almost all of them are retrospective and did not use electromyography. Patients with identical fractures can show quite different outcomes, which vary between complete re...