Transverse (Mid-Shaft) Humeral Fractures

Monday, 1 August 2016
Heritage College of
Osteopathic Medicine
Transverse (Mid-Shaft) Humeral Fractures
deltoid pulls upper
fragment laterally
biceps pulls lower
fragment up so that
fragments override
2006 Moore & Dalley COA
www.gentili.net/fracture.asp?ID=165
Monday, 1 August 2016
Heritage College of
Osteopathic Medicine
Transverse (Mid-Shaft) Humeral Fractures
Radial Nerve:
Inferior brachial
cutaneous n.
“wrist
drop”
triceps brachii
humerus
Radial n. within
radial (spiral) groove
of humerus
2006 Moore & Dalley COA
Posterior
antebrachial
cutaneous n.
Superficial
radial n.
Monday, 1 August 2016
Heritage College of
Osteopathic Medicine
Supracondylar Humeral Fractures
triceps pulls
lower fragment
posteriorly
2006 Moore & Dalley COA
brachialis pulls upper
fragment anteriorly
www.accessexcellence.org/
RC/VL/xrays/1elbow/1humfxu.jpg
Monday, 1 August 2016
Cubital Tunnel Syndrome
ulnar nerve
medial
epicondyle
FCU arcade
(Osborne’s lig.)
motor deficit
(“claw hand”)
sensory deficit
(paresthesia)
flexor carpi
ulnaris (FCU)
2006 Moore & Dalley COA
Heritage College of
Osteopathic Medicine