The Rothman Institute, Philadelphia, PA, USA.
Division of Orthopedic Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
J Shoulder Elbow Surg. 2018 Apr;27(4):e87-e97. doi: 10.1016/j.jse.2017.10.028. Epub 2017 Dec 29.
Fractures of the humeral shaft are common injuries with multiple management strategies. Many still regard nonoperative management as the standard of care; however, as the understanding of these injuries increases, treatment recommendations are also evolving. Fracture pattern, fracture location, and identifiable patient risk factors may predict poor outcome with nonoperative management, and earlier operative intervention may be recommended. Operative management includes open reduction and internal fixation through a variety of exposures, intramedullary nail fixation, and external fixation. With increasing rates of shoulder arthroplasty, periprosthetic humeral shaft fractures also deserve special consideration.
肱骨干骨折是一种常见的损伤，有多种治疗策略。许多人仍然认为非手术治疗是标准的治疗方法；然而，随着对这些损伤的认识不断提高，治疗建议也在不断发展。骨折类型、骨折部位和可识别的患者危险因素可能预示着非手术治疗的不良结果，因此可能需要更早地进行手术干预。手术治疗包括通过各种入路进行切开复位和内固定、髓内钉固定和外固定。随着肩关节置换术的增加，假体周围肱骨干骨折也需要特别注意。
