Challenge of the Week / Shoulder & Elbow / 07.30.2021

A 34-year-old male patient sustained a segmental humeral shaft fracture in addition to multiple lower extremity fractures following a motor vehicle collision. The patient’s body mass index (BMI) is 42 kg/m2. Which of the following is the most appropriate treatment option for this patient’s humeral fracture?

    • Intramedullary nail
    • Surgery is recommended for patients with multiple lower extremity fractures. Intramedullary nail fixation is recommended for segmental fractures and patients with a high BMI.
    • Plate and screw fixation
    • Surgery is recommended in patients with multiple lower extremity fractures. However, intramedullary nail fixation is indicated for segmental fractures.
    • External fixation
    • Intramedullary nail fixation is indicated for segmental humeral fractures.
    • Functional bracing
    • The patient has a high BMI and a segmental fracture. This patient is best treated with surgery, and an intramedullary nail is the best option.

     

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