Background: There exists a wide variety of opinions on the appropriate management of diaphyseal humeral and clavicular fractures amongst orthopedic surgeons. The purpose of this study is to determine if there is a preference amongst orthopedic traumatologists on treatment of diaphyseal humerus and clavicle fractures with respect to various patient populations.
Methods: A 6-question survey was created using Surveymonkey.com and distributed via the Orthopedic Trauma Association (OTA) website to fellowship trained orthopedic surgery traumatologists to survey the preferred management of a simple oblique middle 1/3rd diaphyseal humerus fracture and a middle 1/3rd displaced diaphyseal clavicle fracture in the following 3 clinical settings: a healthy laborer, an older patient with co-morbidities, and if the surgeon themselves sustained the injury. The ratio of operative to non-operative management was calculated for all 6 questions. A chi-square value was performed to determine if the results are clinically significant based on the clinical scenario.
Results: There was 56 responses to the survey that were included in the analysis. Overall, there was a statistically significant trend towards surgical management of the surgeon's own diaphyseal humerus fractures (55%) compared to that of healthy patients (41%) and those with medical comorbidities (21%) (p = 0.02) A similar trend was noted for operative management for diaphyseal clavicle fractures by the surgeon on their own fractures (43%) compared to that of healthy patients (38%) and those with medical comorbidities (18%) (p = 0.02).
Conclusion: While there are an increasing number of relative indications for treatment of diaphyseal humerus shaft and clavicle fractures, the results of this survey indicate that fellow-ship-trained orthopedic trauma surgeons prefer surgical management of simple humerus and clavicular fractures in young, healthy patients as well as in themselves.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499960 | PMC |
| http://dx.doi.org/10.1186/s12891-020-03639-x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Anatomical and Surgical Neck Circumference of Adult Human Humerus.
Mymensingh Med J
January 2025
Dr Shah Md Atiqul Haque, Assistant Professor, Department of Anatomy, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
The upper end of the humerus consists of three necks such as anatomical neck, surgical neck and morphological neck. The anatomical neck of the humerus is the area just below the head of the humerus. The surgical neck of the humerus is the area just below the greater and lesser tubercle of the humerus.
View Article and Find Full Text PDFChest wall soft tissue thickness is associated with humeral shaft non-union: A radiographic study.
Shoulder Elbow
October 2024
Department of Trauma and Orthopaedics, Hampshire Hospitals Foundation Trust, Winchester, UK.
Background: Anecdotally, upper truncal obesity and large breasts have often been associated with inferior outcomes from non-operative management of diaphyseal humerus fractures. However, this assertion is without basis in the literature.
Aims: To produce radiographic measurements of chest wall soft tissue thickness (STT) and determine association with non-union in diaphyseal humerus fractures.
Management of extra-articular fracture of the distal humerus with the upside-down use of PHILOS plates in front of the humerus: a retrospective study of 20 patients after 28.3 months.
BMC Musculoskelet Disord
November 2024
Department of Orthopaedic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Background: Extra-articular distal humerus locking plates (EADHPs) have been widely employed for the treatment of extra-articular fractures of the distal humerus, but interference with the radial nerve and poor fastening of distal fracture fragments by screws remain. The aim of this study is to evaluate the clinical and imaging effects of the anterolateral approach in the treatment of extra-articular fractures of the distal humerus with the upside-down use of proximal humerus internal locking system (PHILOS) plates in front of the humerus.
Method: A retrospective analysis (10/2018-10/2022) was conducted on the clinical data of patients with extra-articular fractures of the distal humerus treated with the upside-down use of the PHILOS via the anterolateral approach.
Does internal fixation of shaft fracture show specificities in over-80 year-olds?
Orthop Traumatol Surg Res
November 2024
Hôtel Dieu, service d'orthopédie-traumatologie, 1, place Alexis-Ricordeau, 44093 Nantes Cedex 1, France. Electronic address:
Article Synopsis
- Osteoporotic fractures are becoming more common in elderly people, particularly in diaphyseal locations on native bones, which are less frequent overall.
- Internal fixation methods must adapt due to changes in bone structure, requiring larger implants and specific types of screws to ensure stability and prevent further fractures.
- Nailing is primarily used for femoral and tibial fractures, and in cases involving the tibia or humerus, techniques that are gentle on soft tissue are essential to avoid complications in fragile skin.
Three- or four-part proximal humeral fractures in middle-aged and active elderly group of patients: a narrative review of treatment options.
Ann Jt
October 2024
Orthocure Medical Center, Mirdiff, Dubai, United Arab Emirates.
Background And Objective: Proximal humerus fractures (PHFs) occur in all age groups but more in elderly population with variety of treatment options. The choice of treatment of PHFs is rather controversial in the middle-aged and active elderly population. This review article highlights the current literature on the efficacy of treatment options for PHFs in middle-aged and active elderly patients which could help surgeons in decision making in clinical practice.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!