Radial nerve palsy, either axonotmesis or neurapraxia, associated with fractures of the shaft humerus occurred in about 10 percent of the patients with humeral shaft fractures [1,2,3]. Its close relation to the humerus, especially fractures of the middle and the distal thirds of the humerus makes the radial nerve vulnerable to such injuries [4,5,6]. There are many debate about the management of...

CONTEXT Functional humeral bracing remains the gold standard for treatment of humeral shaft fractures. There is an increasing trend in the literature to perform operative fixation of these fractures. EVIDENCE ACQUISITION The aim of this systematic review was to compare the level one evidence for the outcome of non-operative with operative management of humeral shaft fractures in adults. A com...

Approximately 1-3% of all human fractures and 5-10% of all long bone fractures occur in the humeral shaft [1,2]. They account for about 20% of all humeral fractures [1]. The humeral shaft is situated between the superior margin of pectoralis major tendon insertion to supracondylar ridges. The incidence of those fractures in population is 14-20/100 000 per year [1]. Their importance is great bec...

The majority of humeral shaft nonunions resolve following operative intervention; however, a small percentage will persist despite surgical efforts. These cases of persistent nonunion are frustrating for patients and challenging for orthopedic surgeons. The authors describe the use of a step-cut osteotomy of the humeral diaphysis coupled with neutralization plating and autologous bone grafting ...

Isolated posterior dislocation of the shoulder with ipsilateral humeral shaft fracture is a rare combination. Three cases of such co-existence have been reported so far. We report a fourth case and review the literature. Our aim is to highlight the importance of this rare co-existence. A high index of suspicion is necessary to diagnose posterior dislocation of the shoulder as most concentration...

Nonunion of the humeral shaft in patients with antiepileptic drug associated metabolic bone disorder constitute a challenging surgical problem difficult to treat due to seizure activity, osteoporosis, and poor stabilization options. We report a case of nonunion of the humeral shaft in an antiepileptic drug patient with uncontrolled generalized tonic-clonic seizure activity successfully treated ...

Humeral shaft fractures (HSFs) represent 3% of the fractures of the locomotor apparatus, and the middle third of the shaft is the section most affected. In the majority of cases, it is treated using nonsurgical methods, but surgical indications in HSF cases are increasingly being adopted. The diversity of opinions makes it difficult to reach a consensus regarding the types of osteosynthesis, su...

The optimal treatment approach for the initial management of radial nerve palsy associated with humeral shaft fractures has yet to be conclusively determined. The authors performed a systematic review of the literature to identify studies that compared the outcomes after initial nonoperative and operative management for radial nerve palsy associated with acute humeral shaft fractures. A meta-an...

Humeral shaft fractures account for approximately 3% of all fractures. Nonsurgical management of humeral shaft fractures with functional bracing gained popularity in the 1970s, and this method is arguably the standard of care for these fractures. Still, surgical management is indicated in certain situations, including polytraumatic injuries, open fractures, vascular injury, ipsilateral articula...