Humerus Fracture
Humerus FractureOleh:Fika Taslim(201410401011009)Martha Dewi
C.P(201410401011050)Siti Khoirun Nisak(201410401011004)Yusrin
Aulia(201410401011040)Anatomy of Humerus
Vascularisation and InnervationArteryA. BrachialisA. RadialisA.
UlnarisVenousV. brachialisNervusN. MusculocutaneusN. MedianusN.
UlnarisN. radialis
FractureDefinition:Fracture is a discontinuity of bone
structure
Type of Fracture:Simple fractureWedge fractureComplex
fractureSimple fracture:A1: spiralA2: oblik (>30)A3: transversa
( with shiftingManagement:Without shifting: conservativeWith
shifting: fixating by screwComplication: painful syndromeDiaphysis
FractureTraumatic fracture on 1/3 middle of humerusPatologic
fracture on 1/3 proximal of humerusClinical manifestation:
swelling, tenderness, deformityManagement:Conservative: Uslab or
hanging castOperative:Indication: open fracture, nervus injury,
nonunionSupracondylar FractureUsually happen in
childrenMechanism:Traumatic with hyperextension upper extremity
posterior displacementDirect trauma anterior displacement
Condylus FractureAdult = childrenMechanism: arm in out-stretched
position with elbow joint in flexi positionClassification:one
condylus, intercondylus (T/Y fracture), comminutive
fracture.Clinical manifestation: swelling, subcutaneous bleeding on
elbow joint, tenderness, crepitationManagement:using circular gips
for 6 weeks and physiotherapyClinical
ManifestationTendernessDeformityShorteningCrepitationSwellingAVN
function DiagnosisLab: Hb & Hct , LED Radiology: X-Photo
Humerus AP/ LateralCT ScanManagementConservative
OperativePlate and screw compressionInterlocking intramedullary
nail or semiflexible pinExternal fixationComplicationVascular
InjuryNervus injuryInfectionJoint stiffness
