Update on management options for the humeral shaft

Abstract

Fractures of the humeral shaft are relatively common and can occur in any age group. The anatomy of the humeral shaft is vital to understand, in order to plan management of these fractures: the relationship of the radial nerve with the humeral shaft in particular, plays an important role in these fractures. Though non-operative measures are employed for humeral shaft fractures routinely, there are some indications for operative management. There remain a variety of operative interventions available to the surgeon, all with associated pros and cons. This review aims to look in detail at the fracture types, the evidence and surgical methods including a discussion about the complications, particularly a radial nerve palsy.