Table 1.
Indications for conservative treatment of humeral shaft fracture.
Indication | Contraindications | |
---|---|---|
Patient factors | Young female adult (cosmetic) | Obesity |
Large breasts | ||
Associated injury | – | Open fracture |
Multiple trauma | ||
Floating elbow | ||
Vascular injury | ||
Fracture site | Mid shaft | Proximal shaft |
Fracture characteristic | Long oblique, spiral, spiral wedge | Comminuted |
Segmental | ||
Butterfly | ||
Follow-up | Acceptable alignment at 6 weeks | Unacceptable alignment at 6 weeks |
Note: Acceptable alignment is anterior angulation <20°, varus or valgus <30°, shortening <2–3 cm.