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The Journal of Bone and Joint Surgery (American) 83:1566-1579 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Selected Instructional Course Lecture

Diaphyseal Humeral Fractures: Treatment Options

Augusto Sarmiento, MD, James P. Waddell, MD, FRCS(C) and Loren L. Latta, PE, PhD

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
Augusto Sarmiento, MD
The Arthritis and Joint Replacement Institute, 1150 Campo Sano Avenue, Suite 301, Coral Gables, FL 33146

James P. Waddell, MD, FRCS(C)
Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, 30 Bond Street, Toronto, ON M5B 1W8, Canada

Loren L. Latta, PE, PhD
Department of Orthopaedics and Rehabilitation, D-27, University of Miami, School of Medicine, Box 016960, Miami, FL 33101

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy’s Annual Meeting, will be available in March 2002 in Instructional Course Lectures, Volume 51. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).

Several modalities of treatment are currently available for the management of diaphyseal humeral fractures. A long arm cast, a functional brace, an external fixator, a compression plate, and an intramedullary rod are different devices used to achieve the same ultimate results, but the biological mechanisms through which they accomplish this vary. Each one of these devices has a place in the management of humeral shaft fractures, and no one treatment is superior under all circumstances.

Understanding how the fracture heals with each form of treatment is essential for selection of the most appropriate choice for any specific fracture. It is the responsibility of the treating physician to understand the appropriate indications for each treatment modality, to recognize the biological and technical aspects that underlie its usage, to appreciate the importance of any residual deviation from normal as well as harmful sequelae, and to be familiar with all possible complications and . . . [Full Text of this Article]


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