The Journal of Bone and Joint Surgery (American). 2010;92:1786-1789.
doi:10.2106/JBJS.I.01309
© 2010 The Journal of Bone and Joint Surgery, Inc.
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Cutaneous Complications of Functional Bracing of the Humerus

A Case Report and Literature Review

Colin Yi-Loong Woon, MBBS, MRCS(Edin), MMed(Surg), MMed(Ortho)1

1 Department of Orthopaedic Surgery, Singapore General Hospital, Singapore 169608. E-mail address: wolv23@gmail.com

The first 150 words of the full text of this article appear below.


   Introduction
 
Patient selection is important when functional bracing is chosen for the treatment of diaphyseal fractures of the humerus. When functional bracing is properly applied to well-selected patients, nonunion rates are low, and skin complications are almost nonexistent. We describe a patient with a closed diaphyseal humeral fracture who experienced skin breakdown and ulceration from the brace with protrusion of the proximal fracture spike, effectively converting a closed fracture into an open one.

The patient and her primary caregiver (her daughter) were informed that data concerning the case would be submitted for publication, and they consented.


   Case Report
 
An eighty-seven-year-old woman fell from standing height and landed on the right (dominant) arm. On examination in the emergency department, a varus deformity of the right humerus was evident and radial nerve function was intact. There was some minor bruising over the anterolateral aspect of the arm, corresponding to irritation from the tip of the . . . [Full Text of this Article]


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