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Humerus shaft fracture in middle 1/3rd – Clinical features, Mechanism, Diagnosis, Treatment, and Complications

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Humerus shaft fracture in middle 1/3rd
Humerus shaft fracture in middle 1/3rd

This is the most common type of humerus shaft fracture.

1. Clinical features :

  1. Swelling around the fracture.
  2. Pain in normal condition, increase during any movement.
  3. Deformity.


2. Mechanism :

  1. Road traffic accidents.
  2. Falling on sharp objects.
  3. Physical assault.


3. Diagnosis :

  1. X-Ray – To see the severity and type of the fracture.
  2. CT Scan – If the X-Ray is not clear.
  3. MRI – To see any vascular damage.


4. Treatment :

A. Non-Operative methods :

  1. U-slab.
  2. Hanging cast.
  3. Chest-arm bandage.

B. Operative methods :

  1. ORIF(Open reduction and Internal fixation).
  2. Dynamic compression plate and screws.
  3. Intramedullary nail.
  4. Contaminated open or infected fracture are corrected by external fixator.

5. Complications :

  1. Malunion and Nonunion.
  2. Nerve injury.
  3. Vascular injury.


Proximal Humerus shaft fracture || upper 1/3rd – Clinical features, Mechanism, Diagnosis, Treatment, and Complications.


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