Fractures of humerus and their treatment modalities

Abstract

Introduction: The majority of humerus fractures are low energy osteoporotic injuries in the elderly and their incidence is increasing in the light of an ageing population. Non-operative management has been associated with good functional outcomes in stable, minimally displaced and certain types of displaced fractures. Absolute indications for surgery are infrequent and comprise compound, pathological, multi-fragmentary head-splitting fractures and fracture dislocations, as well as those associated with neurovascular injury. Aim of the study: The aim of study is to understand current concepts with regards to treatment options for fractures of the humerus. Materials and Methods: This is a retrospective study involving 181 cases of fracture humerus which occurred due to fall or trauma. Results: In this study, 84 cases (46.40) were proximal humerus fractures, 58 cases (32.04) were shaft of the humerus fractures and 39 cases (21.56) were distal humerus fractures and which were treated conservatively, open reduction and internal fixation or other surgical methods. Conclusion: Patients presenting with fractures of the humerus were more commonly elderly women and occur due to low energy fall or minor trauma. Early restoration of function is the main aim of the treating orthopedician depending on the age and other comorbidities and surrounding structures involvement.