![]() ![]() Patients with an olecranon fracture are candidates for nonsurgical treatment if the elbow is stable and the extensor mechanism is intact. Mason type I radial head fractures can be treated with a splint for five to seven days or with a sling as needed for comfort, along with early range-of-motion exercises. Isolated ulnar fractures can usually be managed with a short arm cast or a functional forearm brace. Distal radius fractures with minimal displacement can be treated with a short arm cast. Initial management of forearm fractures should follow the PRICE (protection, rest, ice, compression, and elevation) protocol, with the exception of compression, which should be avoided in the acute setting. In the absence of these findings, many forearm fractures can be managed by a primary care physician. Fractures demonstrating significant displacement, comminution, or intra-articular involvement may also warrant orthopedic consultation. Open fractures, joint dislocation or instability, and evidence of neurovascular injury are indications for emergent referral. Proper initial assessment includes a detailed history of the mechanism of injury, a complete examination of the affected arm, and appropriate radiography. J Trauma Inj Infect Crit Care 46:732–735.Fractures of the forearm are common injuries in adults. Rangger C, Kathrein A, Klestil T (1999) Immediate application of fracture braces in humeral shaft fractures. ![]() Walker M, Palumbo B, Badman B et al (2011) Humeral shaft fractures: a review. Ricciardi-Pollini PT, Falez F (1985) The treatment of diaphyseal fractures by functional bracing. Papasoulis E, Drosos GI, Ververidis AN, Verettas D-A (2010) Functional bracing of humeral shaft fractures. Rutgers M, Ring D (2006) Treatment of diaphyseal fractures of the humerus using a functional brace. Serrano R, Mir HR, Sagi HC et al (2020) Modern results of functional bracing of humeral shaft fractures: a multicenter retrospective analysis. Įkholm R, Tidermark J, Törnkvist H et al (2006) Outcome after closed functional treatment of humeral shaft fractures. Koch PP, Gross DFL, Gerber C (2002) The results of functional (sarmiento) bracing of humeral shaft fractures. Meinberg E, Agel J, Roberts C et al (2018) Fracture and dislocation classification compendium-2018. Pal JN, Biswas P, Roy A et al (2015) Outcome of humeral shaft fractures treated by functional cast brace. Ĭlement ND (2015) Management of humeral shaft fractures non-operative versus operative. ![]() Spiguel AR, Steffner RJ (2012) Humeral shaft fractures. Matsunaga FT, Tamaoki MJS, Matsumoto MH et al (2017) Minimally invasive osteosynthesis with a bridge plate versus a functional brace for humeral shaft fractures. Zafar MS, Porter K (2007) Humeral shaft fractures: a review of literature. Īli E, Griffiths D, Obi N et al (2015) Nonoperative treatment of humeral shaft fractures revisited. Sarmiento A, Kinman PB, Galvin EG et al (1977) Functional bracing of fractures of the shaft of the humerus. Subsequently, we prefer the FS over the CS for the acute management of humeral shaft fractures.Ĭourt-Brown CM, Caesar B (2006) Epidemiology of adult fractures: a review. A survey of residents found that the FS was easier to apply, took less time, and was better tolerated by patients. This study results demonstrated the FS results in similar reductions in humeral shaft fractures as CS. All residents reported that the FS was easier to apply and took less time. Post-splint application, there was no clinically relevant difference in fracture angulation/translation between groups, and this persisted at the subsequent follow-up visit. The FS and CS groups did not differ in initial fracture angulation and translation on anteroposterior (AP) and lateral radiographs. In addition, 13 residents completed a blinded survey on splint application. The purpose of this study was to directly compare CS and FS in terms of application and fracture reduction.Ī retrospective review identified humeral shaft fractures managed nonoperatively with initial immobilization in a FS ( n = 19) versus a CS ( n = 15). Functional splints (FS), which work on the same principle as functional braces, are an alternative to CS. Humerus shaft fractures are commonly acutely immobilized with coaptation splints (CS), which can be difficult to apply and poorly tolerated by the patient. ![]()
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