Humeral shaft fractures: a practical guide to assessment and management

Br J Hosp Med (Lond). 2023 Apr 2;84(4):1-10. doi: 10.12968/hmed.2020.0653. Epub 2023 Apr 11.

Abstract

Fractures of the humeral shaft represent roughly 5% of all fractures. They occur in an approximate bimodal distribution, typically affecting young adults following trauma and older females after low energy falls in the presence of osteoporosis. Humeral shaft fractures are associated with pain, temporary disability and a reduced quality of life for the duration of treatment. Treatment goals are directed towards achieving and maintaining a fracture environment conducive to healing, pain relief and early restoration of function. While most humeral shaft fractures are conservatively managed, operative management is indicated in certain circumstances. This article provides an overview of these fractures, including their initial management approach and definitive treatment.

Keywords: Fracture; Humeral shaft; Humerus; Trauma.

Publication types

  • Review

MeSH terms

  • Female
  • Fracture Fixation, Internal
  • Humans
  • Humeral Fractures* / surgery
  • Humerus / injuries
  • Humerus / surgery
  • Osteoporosis*
  • Pain
  • Quality of Life
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult