HUMERUS FRACTURE

Oleh:
Fika Taslim (201410401011009)
Martha Dewi C.P (201410401011050)
Siti Khoirun Nisak (201410401011004)
Yusrin Aulia (201410401011040)

ANATOMY OF HUMERUS

VASCULARISATION AND
INNERVATION

Artery

Venous

A. Brachialis
A. Radialis
A. Ulnaris
V. brachialis

Nervus

N.
N.
N.
N.

Musculocutaneus
Medianus
Ulnaris
radialis

FRACTURE

Definition:

Fracture is a discontinuity of bone structure

Type of Fracture:

Simple fracture
Wedge fracture
Complex fracture

Simple fracture:

A1: spiral
A2: oblik (>30)
A3: transversa (<30)

Wedge Fracture:

B1:spiral wedge
B2:bending wedge
B3:fragmented wedge

Complex fracture:

C1: Spiral
C2: Segmental
C3: Ireguler (significant comminution)

HUMERUS FRACTURE

Discontinuity of os. Humerus structure

Humerus neck fracture

Tuberculum mayus fracture
Diaphysis fracture
Supracondyler fracture
Condyler fracture
Epicondylus medialis fracture

HUMERUS NECK FRACTURE

Mechanism: trauma of upper extrimity

Classification:

impact fracture
Non impact fracture with/without shifting

Management:
Immobilization with mitela, except nonimpact fracture with shifting consider
operative management
Complication:
stiffness, dislocation, nervus injury

TUBERCULUM MAYUS FRACTURE

Usually happen in old people

Without shifting > with shifting
Management:
Without shifting: conservative
With shifting: fixating by screw
Complication: painful syndrome

DIAPHYSIS FRACTURE

Traumatic fracture on 1/3 middle of

humerus
Patologic fracture on 1/3 proximal of
humerus
Clinical manifestation: swelling,
tenderness, deformity
Management:

Conservative: Uslab or hanging cast

Operative:
Indication: open fracture, nervus injury,
nonunion

SUPRACONDYLAR FRACTURE

Usually happen in children

Mechanism:

Traumatic with hyperextension upper

extremity posterior displacement
Direct trauma anterior displacement

CONDYLUS FRACTURE

Adult = children
Mechanism: arm in out-stretched
position with elbow joint in flexi
position
Classification:
one condylus, intercondylus (T/Y
fracture), comminutive fracture.
Clinical manifestation: swelling,
subcutaneous bleeding on elbow
joint, tenderness, crepitation

Management:
using circular gips for 6 weeks and
physiotherapy

CLINICAL MANIFESTATION

Tenderness
Deformity
Shortening
Crepitation
Swelling
AVN function

DIAGNOSIS

Lab: Hb & Hct , LED

Radiology:

X-Photo Humerus AP/ Lateral

CT Scan

MANAGEMENT

Conservative

Operative

Plate and screw compression

Interlocking intramedullary nail or
semiflexible pin
External fixation

COMPLICATION

Vascular Injury
Nervus injury
Infection
Joint stiffness