What nerve is most commonly injured in a mid or distal humeral shaft fracture?

The radial nerve is most likely to be damaged in humerus fractures that have a lateral displacement of the distal fracture segment, as the nerve is tethered to the bone and cannot withstand the forces applied to it as a result of the displacement.

What is surgical neck of humerus fracture?

1183. FMA. 23359. Anatomical terminology. The surgical neck of the humerus is a constriction below the tubercles of the greater tubercle and lesser tubercle, and above the deltoid tuberosity, specifically found at the proximal end of the body of the humerus, and distally towards the greater tubercle and lesser tubercle …

How long does a fractured humerus take to heal without surgery?

General Treatment Most proximal humerus fractures can be treated without surgery. The broken bone will take 3 to 4 months to heal. During this time, you will need to perform exercises to regain range of motion, strength, and return to normal activities.

How do you sleep with a broken humerus bone?

Lay flat. Though it may be uncomfortable, try sleeping, as much as possible, in a seated/upright position. Lying flat may allow the bone to move and bend, even in a cast.

What are supracondylar fractures?

A supracondylar fracture occurs through the thin part of the distal humerus above the level of the growth plate. Supracondylar fractures are initially divided into two types, depending on the direction of displacement of the distal fragment: Flexion-type (rare) – distal fragment is displaced anteriorly.

What is Holstein-Lewis fracture?

Please try again later. Holstein – Lewis fracture is a spiral fracture involving the distal third of the humerus, which causes entrapment of the radial nerve.The radial nerve originates from the posterior cord of the brachial plexus.

Is Holstein-Lewis humeral shaft fracture associated with radial nerve palsy?

Results: The Holstein-Lewis humeral shaft fracture constitutes 7.5% of all humeral shaft fractures and was associated with an increased risk of acute radial nerve palsy compared with other types of humeral shaft fractures, 22% versus 8% (P < 0.05).

What is the approach to internal fixation of Holstein-Lewis fractures?

– Modified anterolateral approach for internal fixation of Holstein-Lewis humeral shaft fractures. Fractures of the Humerus with Radial Nerve Paralysis.

What is the prognosis of Holstein-Lewis humeral shaft fracture?

The Holstein-Lewis humeral shaft fracture was associated with a significantly increased risk of acute radial nerve palsy. The overall outcome regarding fracture healing, radial nerve recovery, and function was very good regardless of the primary treatment modality, that is, operative or nonoperative …