![]() In: Browner B, Levine A, Jupiter J, Trafton P, Krettek C (eds) Skeletal trauma, 4th edn. McKee MD, Jupiter JB (2008) Fractures of the distal humerus. Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, Prokuski L, Sirkin MS, Ziran B, Henley B, Audigé L (2007) Fracture and dislocation classification compendium - 2007: Orthopaedic trauma association classification, database and outcomes committee. Robinson CM, Hill RM, Jacobs N, Dall G, Court-Brown CM (2003) Adult distal humeral metaphyseal fractures: epidemiology and results of treatment. Elbow arthroplasty has also emerged as a viable alternative to ORIF for fixation of these fractures in elderly patients with poor bone quality. The ulnar nerve is identified during the approach, followed by either in situ decompression or anterior transposition. Surgical approach for ORIF of the distal humerus can be performed through an olecranon osteotomy, but other approaches that preserve the olecranon are also in use, such as the triceps-reflecting, triceps-splitting, paratricipital, and triceps-reflecting anconeus pedicle approach. Double plating is recommended for bicolumnar fractures and plates can be applied either parallel or orthogonal to each other. Open reduction and internal fixation (ORIF) with plates and screws has been the preferred surgical option. Surgical management is indicated for most intra-articular distal humerus fractures with the goal of restoring elbow range of motion and function. hopkinsmedicine.Intra-articular fractures of the distal humerus are complex injuries that can considerably limit elbow function if not treated appropriately. Humerus fracture (upper arm fracture).clinicalguide/guideline_index/fractures/Humeral_shaft_fractures_Emergency_Department/#ED_Mx ![]() Humeral shaft fractures – emergency department.en/diseases-conditions/distal-humerus-fractures-of-the-elbow/ Distal humerus fractures of the elbow.home/injuries-and-poisoning/fractures/upper-arm-fractures healthlibrary/test_procedures/orthopaedic/arm_fracture_open_reduction_and_internal_fixation_135,311 Arm fracture open reduction and internal fixation.You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. This will help you learn exercises and movements you can do to help strengthen your arm muscles and regain your range of motion. Regardless of whether or not you need surgery, your doctor will probably suggest following up with physical therapy. In some cases, doctors can even use an artificial material to create a new piece of bone. If some of the bone has been lost or severely crushed, your surgeon may take a piece of bone from another area of your body or a donor and add it to your humerus. If you have an open fracture, which involves a piece of bone sticking through your skin, surgery will be required to clean up the broken ends and they may use pins and screws and plates to hold the broken ends of your humerus in place. There are two main approaches that your surgeon may use: Occasionally, surgery is required with either plates, screws, rods, or sometimes replacement of your shoulder joint with use of a prosthesis.ĭistal fractures and more severe proximal or mid-shaft fractures usually require surgery. However, you’ll still need to wear a sling, brace, or splint to keep your arm from moving and stabilize your shoulder, if needed. This makes it easier for your humerus to heal on its own. In many cases, proximal and mid-shaft humerus fractures don’t require surgery because the broken ends usually stay close together. This will help them determine what kind of fracture you have and whether you have any other injuries. They may also have you do some movements with your arm. To determine the best treatment, your doctor will start by taking an X-ray of your arm. Treating a humerus fracture depends on several factors, including the type of fracture and whether there are any loose bone fragments. ![]()
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