Fractures of the humerus

From WikiLectures

Classification[edit | edit source]

  1. Fractures of the humeral head (AO 11 + Neer klasification type I–IV),
  2. fractures of the diaphysis of the humerus (AO 12) – abduction, adduction,
  3. fractures of the distal end of the humerus (AO 13) – supracondylar (flexion + extension), intercondylar.
Fracture of the diaphysis of the humerus (X-ray).

Complications[edit | edit source]

  • Nerve injury:
nervus axillaris – fractures of the neck,
nervus radialis – fractures of the diaphysis,
nervus ulnaris – fractures of the ulnar epicondyle.
  • Injuries to blood vessels:
a. circumflexa humeri ant. et post. –fractures of the neck,
a. brachialis – fractures of the diaphysis and supracondylar fractures.
Supracondylar fracture of the humerus (X-ray). H = humerus, R = radius, U = ulna; fracture indicated by arrow.

Treatment[edit | edit source]

  • Conservative (hanging cast, Desault, abduction splint, circular brace) for non-dislocated or dislocated after reposition;
  • of the surgical options are preferred:
  • neck and humeral head splint (PHILOS), spike (PHN),
  • diaphysis of the humerus - intramedullary nail secured, possibly splint,
  • distal humerus - supracondylar fractures with two crossed K-wires, intercondylar fractures with splints.


References[edit | edit source]

Source[edit | edit source]