OBJECTIVE: To determine effectiveness of closed functional bracing for humeral shaft fractures. DESIGN: Retrospective. SETTING: University. PATIENTS: Eighty-seven patients with humeral shaft fractures. INTERVENTION: All patients were treated with closed functional bracing. MAIN OUTCOMES MEASURED: Both subjective and objective criteria were measured. Objective criteria consisted of range of motion and radiographic measurements. Subjective data were recorded using the Hannover Shoulder Score. RESULTS: Eighty-six percent of the follow-up group showed no restrictions in the movement of their shoulder and elbow joints. On the basis of subjective criteria, 95% of the patients were content with the functional treatment, 65% claimed to be pain free in their daily activities and at work, and 35% felt pain only when doing vigorous activities or heavy physical work. Although malposition with an angulation greater than 10 degrees was observed in ten patients (12.6%), functional outcome was good or excellent in two thirds of the cases followed up. CONCLUSIONS: When the correct indications are present, functional treatment of humeral shaft fractures has proven to be an excellent method that is both reliable and cost effective.
OBJECTIVE: To determine effectiveness of closed functional bracing for humeral shaft fractures. DESIGN: Retrospective. SETTING: University. PATIENTS: Eighty-seven patients with humeral shaft fractures. INTERVENTION: All patients were treated with closed functional bracing. MAIN OUTCOMES MEASURED: Both subjective and objective criteria were measured. Objective criteria consisted of range of motion and radiographic measurements. Subjective data were recorded using the Hannover Shoulder Score. RESULTS: Eighty-six percent of the follow-up group showed no restrictions in the movement of their shoulder and elbow joints. On the basis of subjective criteria, 95% of the patients were content with the functional treatment, 65% claimed to be pain free in their daily activities and at work, and 35% felt pain only when doing vigorous activities or heavy physical work. Although malposition with an angulation greater than 10 degrees was observed in ten patients (12.6%), functional outcome was good or excellent in two thirds of the cases followed up. CONCLUSIONS: When the correct indications are present, functional treatment of humeral shaft fractures has proven to be an excellent method that is both reliable and cost effective.
Authors: Kamil M Amer; Adam M Kurland; Brendan Smith; Zuhdi Abdo; Rami Amer; Michael M Vosbikian; Irfan H Ahmed Journal: Arch Bone Jt Surg Date: 2022-08
Authors: Gustavo Soriano Pignataro; André Elias Junqueira; Fabio Teruo Matsunaga; Marcelo Hide Matsumoto; João Carlos Belloti; Marcel Jun Sugawara Tamaoki Journal: Rev Bras Ortop Date: 2015-07-26
Authors: Fabio T Matsunaga; Marcel J S Tamaoki; Marcelo H Matsumoto; João B G dos Santos; Flavio Faloppa; João C Belloti Journal: Trials Date: 2013-08-07 Impact factor: 2.279