Using External Fixation in the Treatment of Ballistic Injury to the Humeral Diaphysis in a Teenager

  • Michael J. AssayagEmail author
  • Mark Eidelman
Living reference work entry


A 14-year-old boy was treated with a ballistic injury to the left humerus diaphysis associated with a brachial artery injury and radial nerve palsy. Emergent operative treatment for early stabilization of the fracture, arterial reconstruction and fasciotomy was performed. Delayed definitive treatment of the facture was done with Ilizarov-type circular external fixation. The fixator was removed after 4 months after evidence of full consolidation on radiographs. Conservative treatment of the radial nerve palsy resulted in full recovery of nerve motor and sensitive function after 5 months. Full range of motion of the elbow from 0° to 130° was obtained at the end of treatment.

References and Suggested Readings

  1. Atalar AC, Kocaoglu M, Demirhan M, Bilsel K, Eralp L (2008) Comparion of three different treatment modalities in the management of humeral shaft nonunions (plates, unilateral, and circular external fixators). J Orthop Trauma 22(4):248–257CrossRefGoogle Scholar
  2. Catagni M (2003) Atlas for the insertion of transosseous wires and half-pins: Ilizarov method. Medi Surgical Video, MilanGoogle Scholar
  3. Scaglione M, Fabbri L, Dell’Omo D, Goffi A, Guido G (2015) The role of external fixation in the treatment of humeral shaft fractures: a retrospective case study review on 85 humeral fractures. Injury 46(2):265–269CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Rubin Institute for Advanced Orthopedics, International Center for Limb LengtheningBaltimoreUSA
  2. 2.Pediatric Orthopedics Ruth Children’s Hospital, Rambam Health Care CampusHaifaIsrael

Section editors and affiliations

  • Richard Reynolds
    • 1
  1. 1.Nemours Specialty Care PensacolaPensacolaUSA

Personalised recommendations