Revisiting the debate on operative vs nonoperative management of humeral shaft fractures  

作　　者：Yu-Fei Yuan Jie Miao 

机构地区：[1]Department of Orthopedics,Handan Center Hospital,Handan 056001,Hebei Province,China

出　　处：《World Journal of Orthopedics》2025年第4期1-4,共4页世界骨科杂志(英文)

摘　　要：Operative management of humeral shaft fractures demonstrates superior early functional recovery(6-month Disabilities of the Arm,Shoulder,and Hand scores)and significantly lower nonunion rates(63.9%reduction)compared to functional bracing,particularly in complex cases,while conservative treatment remains viable for low-demand patients.Surgical techniques,including open reduction internal fixation,intramedullary nailing,and minimally invasive plate osteosynthesis,offer trade-offs between anatomic precision and complication risks(e.g.,radial nerve injury vs rotator cuff damage),with over 90%of radial nerve injuries resolving spontaneously.Ultrasound-guided diagnosis(89%sensitivity,95%specificity)optimizes decision-making for nerve entrapment.Individualized treatment selection,prioritizing fracture complexity and patient needs,is critical to balance accelerated rehabilitation with minimized complications.

关 键 词：OPERATIVE NONOPERATIVE Functional brace Humeral shaft fractures Disabilities of the Arm Shoulder and Hand 

分 类 号：R687.3[医药卫生—骨科学]