Fractures of Humeral Shaft - Orthopaedic Trauma - Lecture Slides, Slides for Orthopedics. Acharya Nagarjuna University

Orthopedics

Description: Fractures of Humeral Shaft, Supracondylar Ridge, Humeral Diaphysis, Deforming Forces, Deltoid Tuberosity, Classification Systems, Fracture Descriptors, Violent Muscle Contraction are some points from this lecture. This lecture is for Orthopaedics Trauma course. This lecture is part of a complete lectures series on the course you can find in my uploaded files.
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Fractures of the Humeral Shaft
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Introduction
Humeral fractures traditionally
treated nonsurgically, with
predictably satisfactory outcomes.
Strong bias formerly existed against
surgical intervention due to high
rate of complications.
Both operative and nonoperative
treatments have been refined.
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Relevant Anatomy
Humeral diaphysis extends from
the upper border of the insertion
of the pectoralis major
proximally to the supracondylar
ridge distally
Fracture alignment determined
by the location of the fracture
relative to the major muscle
attachments, most notably the
pectoralis major and deltoid
attachments
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Deforming Forces
Example of a fracture
distal to pectoralis major
attachment and proximal
to deltoid tuberosity
Adduction of proximal
fragment results
Reproduced with permission from Epps H Jr., Grant RE: “Fractures of the shaft of the humerus”
in Rockwood CA Jr., Green DP, Bucholz RW (Eds.) Rockwood and Green’s Fractures in Adults
Ed 3, Philadelphia, PA JB Lippincott, 1991, Vol. 1, pp: 843-869
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