Frakturen des Humerusschaftes sind seltene Verletzungen der oberen Extremität. Die Wahl der individuell besten Versorgungsstrategie stellt im klinischen Alltag mitunter weiterhin eine
Herausforderung dar. Patientenspezifische Faktoren sollten neben der Frakturmorphologie, dem Entstehungsmechanismus und möglichen Begleitverletzungen (u. a. vorliegende neurologische oder
Weichteilschädigung) die Grundlage dieser Entscheidungsfindung bilden.
Abstract
Humeral shaft fractures are a rare but challenging entity of injuries of the upper extremity. Despite all advances in the past decades – including improved imaging, adjusted surgical
techniques and new implant designs – the treatment of humeral shaft fractures and especially the treatment choice remains challenging. Treatment options need to be evaluated individually
under consideration of fracture morphology, soft tissue and potential neurological damage as well as patient-specific factors (i.e., age, comorbidities). Moreover, the risk of common
complications such as radial nerve palsy, infection, non-union and malrotation needs to be evaluated in order to facilitate the best possible therapy for each patient. The regular
available treatment options include conservative (cast, brace, etc.) and surgical measures (ante- and retrograde nailing, angle-stable plate osteosynthesis). Furthermore, (temporary)
external fixation remains an option in emergency and complicative cases. However, none of the aforementioned options have proven a superior gold standard. This review evaluates the
currently available treatment options and their individual advantages as well as the probability of possible complications and is aiming to supply a guide for individual treatment
choice.
Schlüsselwörter
Frakturbehandlung - Plattenosteosythese - Nagelosteosynthese - obere Extremität - Radialisnervläsion
Keywords
fracture treatment - plate osteosynthesis - nailing - upper extremity - radial nerve palsy
