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Humeral Shaft Fracture
Michael J. Tuite, MD; Soterios Gyftopoulos, MD, MSc
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Midshaft humerus fracture (fx), humerus diaphysis fx
            • Definitions

              • Humerus fx occurring between upper pectoralis major insertion and supracondylar ridge

            IMAGING

            • General Features

              • Radiographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Reporting Tips

                                      Selected References

                                      1. Merrill RK et al: Length of stay and 30-day readmissions after isolated humeral shaft fracture open reduction and internal fixation compared to intramedullary nailing. Injury. 51(4):942-6, 2020
                                      2. Ali E et al: Nonoperative treatment of humeral shaft fractures revisited. J Shoulder Elbow Surg. 24(2):210-4, 2015
                                      3. Shields E et al: Factors predicting patient-reported functional outcome scores after humeral shaft fractures. Injury. 46(4):693-8, 2015
                                      4. Wang X et al: Secondary radial nerve palsy after internal fixation of humeral shaft fractures. Eur J Orthop Surg Traumatol. 24(3):331-3, 2014
                                      5. Kapil Mani KC et al: Study on outcome of fracture shaft of the humerus treated non-operatively with a functional brace. Eur J Orthop Surg Traumatol. 23(3):323-8, 2013
                                      6. Yi JW et al: Healing process after rigid plate fixation of humeral shaft fractures revisited. Arch Orthop Trauma Surg. 133(6):811-7, 2013
                                      7. Elton SG et al: Management of radial nerve injury associated with humeral shaft fractures: an evidence-based approach. J Reconstr Microsurg. 24(8):569-73, 2008
                                      8. Inan U et al: Open humerus shaft fracture with ipsilateral anterior shoulder fracture-dislocation and posterior elbow dislocation: a case report. J Trauma. 64(5):1383-6, 2008
                                      9. Noaman H et al: Early surgical exploration of radial nerve injury associated with fracture shaft humerus. Microsurgery. 28(8):635-42, 2008
                                      10. Zhiquan A et al: Minimally invasive plating osteosynthesis (MIPO) of middle and distal third humeral shaft fractures. J Orthop Trauma. 21(9):628-33, 2007
                                      11. Ekholm R et al: Fractures of the shaft of the humerus. An epidemiological study of 401 fractures. J Bone Joint Surg Br. 88(11):1469-73, 2006
                                      12. Shao YC et al: Radial nerve palsy associated with fractures of the shaft of the humerus: a systematic review. J Bone Joint Surg Br. 87(12):1647-52, 2005
                                      13. Young CF: Injuries of the humeral shaft. Br J Hosp Med (Lond). 66(11):M74-5, 2005
                                      14. Osman N et al: Results of non-operative and operative treatment of humeral shaft fractures. A series of 104 cases. Chir Main. 17(3):195-206, 1998
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Midshaft humerus fracture (fx), humerus diaphysis fx
                                                • Definitions

                                                  • Humerus fx occurring between upper pectoralis major insertion and supracondylar ridge

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            • Gross Pathologic & Surgical Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Reporting Tips

                                                                          Selected References

                                                                          1. Merrill RK et al: Length of stay and 30-day readmissions after isolated humeral shaft fracture open reduction and internal fixation compared to intramedullary nailing. Injury. 51(4):942-6, 2020
                                                                          2. Ali E et al: Nonoperative treatment of humeral shaft fractures revisited. J Shoulder Elbow Surg. 24(2):210-4, 2015
                                                                          3. Shields E et al: Factors predicting patient-reported functional outcome scores after humeral shaft fractures. Injury. 46(4):693-8, 2015
                                                                          4. Wang X et al: Secondary radial nerve palsy after internal fixation of humeral shaft fractures. Eur J Orthop Surg Traumatol. 24(3):331-3, 2014
                                                                          5. Kapil Mani KC et al: Study on outcome of fracture shaft of the humerus treated non-operatively with a functional brace. Eur J Orthop Surg Traumatol. 23(3):323-8, 2013
                                                                          6. Yi JW et al: Healing process after rigid plate fixation of humeral shaft fractures revisited. Arch Orthop Trauma Surg. 133(6):811-7, 2013
                                                                          7. Elton SG et al: Management of radial nerve injury associated with humeral shaft fractures: an evidence-based approach. J Reconstr Microsurg. 24(8):569-73, 2008
                                                                          8. Inan U et al: Open humerus shaft fracture with ipsilateral anterior shoulder fracture-dislocation and posterior elbow dislocation: a case report. J Trauma. 64(5):1383-6, 2008
                                                                          9. Noaman H et al: Early surgical exploration of radial nerve injury associated with fracture shaft humerus. Microsurgery. 28(8):635-42, 2008
                                                                          10. Zhiquan A et al: Minimally invasive plating osteosynthesis (MIPO) of middle and distal third humeral shaft fractures. J Orthop Trauma. 21(9):628-33, 2007
                                                                          11. Ekholm R et al: Fractures of the shaft of the humerus. An epidemiological study of 401 fractures. J Bone Joint Surg Br. 88(11):1469-73, 2006
                                                                          12. Shao YC et al: Radial nerve palsy associated with fractures of the shaft of the humerus: a systematic review. J Bone Joint Surg Br. 87(12):1647-52, 2005
                                                                          13. Young CF: Injuries of the humeral shaft. Br J Hosp Med (Lond). 66(11):M74-5, 2005
                                                                          14. Osman N et al: Results of non-operative and operative treatment of humeral shaft fractures. A series of 104 cases. Chir Main. 17(3):195-206, 1998