Dear all, This ppt contains the cause, types, clinical and radiological features, treatment and complication of fracture of shaft of Humerus. I hope this is useful to you. Thank you

1. Edited By :- Dr. Bindesh D. Patel, PT
Deputy Registrar
P P Savani University
Prepared By:-Ummehani Mulla
Fracture of
Shaft of Humerus

2. • Common in any age
• Sustained from an indirect twisting or bending
force or FOOSH or by direct injury

3. Pathoanatomy
• Can be considered as a prototype because it
occurs in all pattern, may be closed or open
and may be traumatic or pathological
• May not be displaced
• May be displaced because of pull of Deltoid
• Distraction occurs due to gravity

5. Diagnosis
• Patient present with
classical signs and
symptoms of a fracture.
• May be wrist drop if radial
nerve is injured
• X-ray of whole arm
including shoulder and
elbow should be done.

6. Treatment
• Treatment is easy as some amount of
displacement and angulation is acceptable
because
– Limitation of motion goes unnoticed due to
multiaxial shoulder joint
– Shortening goes undetected
– Bone is covered with thick muscles so that
malunited muscle is not noticeable

7. • Strict immobilization is not necessary. Primary
aim of treatment is pain relief and prevention
of lateral angulation and distraction.
• Conservative method
1. U-slab method
2. Hanging cast
3. Chest arm bandage

9. • Operative method
1. Plate and screws
2. Intra medullary nailing
3. External fixation

10. Complication
1. Delayed and non-union
– Transverse fracture often go into it
– Major cause is distraction or inadequate
immobilization
– Proper immobilization is given in U-slab or
shoulder spica
– Open reduction and internal fixation is done
– For poor quality bone, intramedullary fibular
graft may be used.

12. 2. Nerve Injury
– Radila nerve is common
– Neuropraxia
– Holstein Lewis fracture
– Wrist drop and sensory change

13. • Treatment
– Treatment depends on type of injury
– In most cases nerve recovers spontaneously
– In open cases exploration is required
– Tendon transfer is also done. Modified jone’s
transfer is most popular
– Muscle supplied by median and ulnar nerve are
used substituting wrist and finger extension and
thumb abduction-extension.

14. • Pronator Teres to Ext. Carpi Radialis Brevis
• Flex. Carpi Ulnaris to Ext. Digitorum
• Palmaris Longus to Ext. Pollicies longus

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