Therapie von Humerusschaftfrakturen

Publikation: Beitrag in FachzeitschriftÜbersichtsartikel (Review)BeigetragenBegutachtung


Humeral shaft fractures are a rare but challenging entity of injuries of the upper extremity. Despite all advances in the past decades - including improved imaging, adjusted surgical techniques and new implant designs - the treatment of humeral shaft fractures and especially the treatment choice remains challenging. Treatment options need to be evaluated individually under consideration of fracture morphology, soft tissue and potential neurological damage as well as patient-specific factors (i.e., age, comorbidities). Moreover, the risk of common complications such as radial nerve palsy, infection, non-union and malrotation needs to be evaluated in order to facilitate the best possible therapy for each patient. The regular available treatment options include conservative (cast, brace, etc.) and surgical measures (ante- and retrograde nailing, angle-stable plate osteosynthesis). Furthermore, (temporary) external fixation remains an option in emergency and complicative cases. However, none of the aforementioned options have proven a superior gold standard. This review evaluates the currently available treatment options and their individual advantages as well as the probability of possible complications and is aiming to supply a guide for individual treatment choice.


Seiten (von - bis)455-472
FachzeitschriftZeitschrift fur Orthopadie und Unfallchirurgie
PublikationsstatusVeröffentlicht - Aug. 2023

Externe IDs

Scopus 85166013736



  • Humans, Humeral Fractures/diagnostic imaging, Fracture Fixation, Internal/methods, Fracture Fixation, Intramedullary, Bone Plates, Humerus/surgery, Treatment Outcome