J Korean Orthop Assoc.  1968 Jun;3(2):11-17. 10.4055/jkoa.1968.3.2.11.

A Clinical Study of Report of 71 Cases Fractures of the Shaft of the Humerus

• Kim SY

• KMID: 2464790
• DOI: http://doi.org/10.4055/jkoa.1968.3.2.11

Abstract

Clinical study was made on 71 cases of fractures of the humeral shaft treated at the Orthopedic Department of the 77th. Army Hospital during the past 4 years, from 1964 to 1967. Following observations were made. 1. There were 31 cases (43.7%) of gun shot wounds, 26 cases (36.6%) of traffic accidents, 12 cases (16.9%) of falling and stumbling and 2 cases of other causes 2. 26 cases invalved the upper one third of the shaft. 22 cases the middle one third and 23 cases the lower one third. 51 cases (71.8%) were on the left side and 20 cases (28.2%) were on the right side. 3. There were 39 cases of communited fractures. 19 cases of transuerse. fractures and 13 cases of oblique or spiral Lactures. 4. In 7 of the cases there were associated Lactures innobring other bones. 5. In 47 cases (66.2%) there was enough displ acement to require reduction. Closed reduction waa done in 29 cases and open reduction in 12 cases. 7 cases were treated by skeletal traction while no reduction was required in the remaining 23 cases. 6. Fractures were united in 8 weeks in 26 cases. in 15 weeks in 32 cases. and in more than 15 wks. in 12 cases. No cases of nonunion was encountered in this series. 7. cases (26.6%) healed with residnal functional disabilities of various nature and degree. 8. Radial palsy was present in 10 cases (14%), 8 of which was associated with fractures of the lower one third of the shaft.

MeSH Terms

Accidental Falls
Accidents, Traffic
Clinical Study*
Hospitals, Military
Humerus*
Orthopedics
Paralysis
Traction
Wounds and Injuries

Figure

• 

  Fig. 1. Lateral view

• 

  Fig. 2. Right oblique view

• 

  Fig. 3. Defect in the Left lamina of the 5th Lumbar Vetebra

• 

  Fig. 4. Inetracenal and extradural cystic mass

• 

  Fig. 5. Past operative X-ray findings

• 

  Fig. 6. Classical intertransvurse fusion

• 

  Fig. 7. Operative method in this case

Reference

References

1. Spondylolisthesis. J.B.J.S. 37–A:878–879. 1955.

2. Paul C, Colona M.D.Spondylolisthesis. Analysis of Two Hundred One Cases. J.B.J.S. 154:398–402. 1954398–402. 1954.

3. David M., Bosworth M.D., J William, Fieldings M.D., Lawrence Demarest, M.D., Mario Bonaquist, M.D.Spondylolisthesis A Critical Review of A Consecutive Series of Cases Treated by Arthrodesis. J.B.J.S. 37–A:767–786. 1955.

4. Gerald G., Gill M.D., John G., Manning M. D., Hugh L., White M.D.Surgical Treatment of Spodylolisthesis without Spine Fusion 1. J.B.J.S. 37–A:493–520. 1955.

5. Beckett Howorth, M.D.Low Bachache and Sciatica. Part III. Surgical Treatment of Spondylolisthesis. J.B.J.S. 46–A:1515–9. 1961.

6. Adkins E.W.O.Spondylolisthesis. J.B.J.S. 37–B:48–62. 1955.

7. Geoge Truchly M.D.,, Walter A.L., Thompson M.D.Posterolateral Fusion of the Lumbarsacral Spine. J.B.J.S. 44–A:505–512. 1962.

8. Edward D Henderson. Result of the Surgical Treatment Spondylolisthesis. J.B.J.S. 48–A:619. 1966.

9. Cleveland Borthworth, M.D., Thompson F.R.Pseudoarthrosis in The Lumbosacral Spine. J.B.J.S. 30–A:302–312. 1948.

10. Watkins M.B.Posterolateral Fusion of Lumbar and Lumbaosacral Spine. J.B.J.S. 35–A:1014–1018. 1953.

11. Watkins M.B.Posterolateral Bone-Grafting for Fusion of the Lumbar and Lumbaosacral Spine. J. B.J.S. 41–A:388–396. 1959.

12. Charles Rombold M.D.Treatment of Spondylolisthesis by Posterolateral Fusion. Resection of the Pars Interarticularis and Prompt Mobilization of the Patients. J.B.J.S. 48–A:1287. 1966.