Humeral Shaft Fractures (Transverse, Oblique, Butterfly, Bifocal)

  • Anthony Howard
  • Theodoros Tosounidis
  • Peter V. GiannoudisEmail author


In this chapter, reconstruction of mid shaft humeral fractures is described. Choice of approach, implant selection and tips and tricks to avoid pitfalls of fracture fixation is discussed.


  1. 1.
    Shao YC, Harwood P, Grotz MR, Limb D, Giannoudis PV. Radial nerve palsy associated with fractures of the shaft of the humerus. J Bone Joint Surg Br. 2005;87-B(12):1647–52.CrossRefGoogle Scholar
  2. 2.
  3. 3.
    Walker MPB, Badman B, Brooks J, Van Gelderen J, Mighell M. Humeral shaft fractures: a review. J Shoulder Elb Surg. 2011;20(5):833–44.CrossRefGoogle Scholar
  4. 4.
    Klenerman L. Fractures of the shaft of the humerus. J Bone Joint Surg Br. 1966;48(1):105–11.CrossRefPubMedGoogle Scholar
  5. 5.
    Bencic I, Cengic T, Prenc J, Bulatovic N, Matejcic A. Humeral nail: comparison of the antegrade and retrograde application. Acta Clin Croat. 2016;55(1):110–6.CrossRefPubMedGoogle Scholar
  6. 6.
    Euler SA, Petri M, Venderley MB, Dornan GJ, Schmoelz W, Turnbull TL, Plecko M, Kralinger FS, Millett PJ. Biomechanical evaluation of straight antegrade nailing in proximal humeral fractures: the rationale of the “proximal anchoring point”. Int Orthop. 2017;41(9):1715–21.CrossRefPubMedGoogle Scholar
  7. 7.
    Langer P, Born C. Intramedullary fixation of humeral shaft fractures. In: Wiesel S, editor. Operative techniques in orthopaedic surgery. London: Lippincott Williams & Wilkins; 2011.Google Scholar
  8. 8.
    Lee H-J, C-W O, J-K O, Apivatthakakul T, Kim J-W, Yoon J-P, Lee D-J, Jung J-W. Minimally invasive plate osteosynthesis for humeral shaft fracture: a reproducible technique with the assistance of an external fixator. Arch Orthop Trauma Surg. 2013;133(5):649–57.CrossRefPubMedGoogle Scholar
  9. 9.
    Garberina M, Getz C. Plate fixation of humeral shaft fractures. In: Wiesel S, editors. Operative techniques in orthopaedic surgery. London:Lippincott Williams & Wilkins.Google Scholar
  10. 10.
    Carroll EA, Schweppe M, Langfitt M, Miller AN, Halvorson JJ. Management of humeral shaft fractures. J Am Acad Orthop Surg. 2012;20(7):423–33.CrossRefPubMedGoogle Scholar
  11. 11.
    Gerwin M, Hotchkiss RN, Weiland AJ. Alternative operative exposures of the posterior aspect of the humeral diaphysis with reference to the radial nerve. J Bone Joint Surg Am. 1996;78(11):1690–5.CrossRefPubMedGoogle Scholar
  12. 12.
    Higgs D. Humeral shaft fractures - principles of management. In: Bentley G, editor. European surgical orthopaedics and traumatology. Berlin: Springer; 2014.Google Scholar
  13. 13.
    Crenshaw A. Fractures of shoulder, arm and forearm. In: Canale ST, Beaty JH, Campbell WC, editors. Campbell’s operative orthopaedics, vol. 3. London: Mowby; 2003.Google Scholar
  14. 14.
    Zhao JG, Wang J, Meng XH, Zeng XT, Kan SL. Surgical interventions to treat humerus shaft fractures: a network meta-analysis of randomized controlled trials. PLoS One. 2017;12(3):e0173634.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Anthony Howard
    • 1
  • Theodoros Tosounidis
    • 1
  • Peter V. Giannoudis
    • 1
    Email author
  1. 1.Academic Department of Trauma and Orthopaedic SurgeryUniversity of LeedsLeedsUK

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