Humeral Fractures Flashcards
What are the 3 most common areas of fracture of the humerus?
Anatomical neck
Surgical neck
Humeral shaft
What structures may be damaged during a surgical neck fracture?
Axillary nerve
Posterior circumflex artery
What structure may be damaged during a humeral shaft fracture?
Radial nerve
What type of injury may result in a supracondylar fracture?
FOOSH
What is the clinical presentation of a supracondylar fracture?
Hand slightly flexed
Very swollen elbow
What is the classification of supracondylar fracture?
Gartland classification
What is the gartland classification?
Type 1 - no displacement
Type 2 - anterior but not total displacement
Type 3 - Total displacement
What structure can be damaged in a supracondylar fracture?
Brachial artery
Median nerve palsy
Radial nerve palsy
What may result from medial epicondyle damage?
Klumpke’s palsy
How does klumpke’s palsy present and what nerve is affected?
Ulnar nerve
- Claw hand
- Loss of interossei innervation
- Loss of sensation over medial aspect of the hand
What is the most commonly fractured area of the clavicle?
Middle 3rd
How does a fractured clavicle present and who is commonly affected?
Shoulder drop
Common in cyclists
