Podcast 693: Humerus Fractures

Podcast 693: Humerus Fractures

Contributor: Nick Tsipis, MD

Educational Pearls:

  • Humerus fractures can be characterized as proximal, midshaft, and distal fractures
  • Proximal humerus fracture is the second-most common fracture in elderly patients
    • Primary complication is with the axillary nerve and axillary artery
    • Vast majority are managed nonoperatively with a sling, reduction usually not indicated
    • Women comprise 70% of proximal humerus fractures, often secondary to fall with osteoporosis
  • Midshaft humerus fractures are more often managed operatively, but can be managed nonoperatively
    • Primary complication is with radial nerve, look for wrist drop!
    • May require reduction and splinting
  • Distal humerus fractures can include supracondylar fractures and involve the radius or ulna
    • One atypical is the Holstein-Lewis fracture, that can cause radial nerve damage
    • Management is varied depending on the exact type of distal humerus fracture
  • Assess degree of angulation, neurovascular status, and likelihood of compartment syndrome both before and after splint application

References

Attum B, Thompson JH. Humerus Fractures Overview. [Updated 2020 Aug 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482281/

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.org/cme-courses/ and create an account.

Donate to EMM today!



Avsnitt(1147)

UnfilterED #9: Dr. Steven Bradley

UnfilterED #9: Dr. Steven Bradley

Dr. Steven Bradley is an active duty U.S. Naval officer practicing as a Staff Anesthesiologist in Virginia where also resides on the Medical Ethics Committee for his hospital. He serves as the Anesthe...

8 Juli 202039min

Podcast 576: Status Epilepticus Drugs

Podcast 576: Status Epilepticus Drugs

Author: Charlene Gnisci Melton, PharmD Educational Pearls: Status Epilepticus is defined as continuous seizure activity for >5 minutes, or 2 or more seizures without full return to consciousness betw...

7 Juli 20205min

Podcast 575:  Light on the Sedation

Podcast 575: Light on the Sedation

Contributor: Aaron Lessen, MD Educational Pearls: Studies have shown that patients who are under deeper sedation in the ICU have worse outcomes. Recent study compared lighter vs heavier sedation of p...

6 Juli 20202min

Epidemic Meets Pandemic #4: The Patient Perspective

Epidemic Meets Pandemic #4: The Patient Perspective

This limited series will investigate how the nation's opioid epidemic has been impacted by the COVID-19 pandemic. Over the course of this series, we will hear from a harm reductionist, an addiction me...

6 Juli 202047min

Epidemic Meets Pandemic #3: The Law Enforcement Perspective

Epidemic Meets Pandemic #3: The Law Enforcement Perspective

This limited series will investigate how the nation's opioid epidemic has been impacted by the COVID-19 pandemic. Over the course of this series, we will hear from a harm reductionist, an addiction me...

1 Juli 20201h 2min

Epidemic Meets Pandemic #2: The Addiction Medicine Perspective

Epidemic Meets Pandemic #2: The Addiction Medicine Perspective

This limited series will investigate how the nation's opioid epidemic has been impacted by the COVID-19 pandemic. Over the course of this series, we will hear from a harm reductionist, an addiction me...

30 Juni 202029min

Epidemic Meets Pandemic #1: The Harm Reductionist Perspective

Epidemic Meets Pandemic #1: The Harm Reductionist Perspective

This limited series will investigate how the nation's opioid epidemic has been impacted by the COVID-19 pandemic. Over the course of this series, we will hear from a harm reductionist, an addiction me...

29 Juni 202041min

UnfilterED Clips: A Toxicologist's Perspective on COVID-19, Biological Warfare and the Need for Disaster Preparedness

UnfilterED Clips: A Toxicologist's Perspective on COVID-19, Biological Warfare and the Need for Disaster Preparedness

Taken from 'UnfilterED #8: Dr. Christopher Hoyte'. "This current sars-coV-2 / COVID-19 situation should really be a wake-up call for not just a pandemic, but for a biological attack...One of the thing...

27 Juni 202011min

Populärt inom Vetenskap

p3-dystopia
dumma-manniskor
svd-nyhetsartiklar
allt-du-velat-veta
kapitalet-en-podd-om-ekonomi
sexet
rss-ufo-bortom-rimligt-tvivel
rss-experimentet
rss-vetenskapsradion-2
hacka-livet
paranormalt-med-caroline-giertz
dumforklarat
medicinvetarna
det-morka-psyket
rss-spraket
4health-med-anna-sparre
halsorevolutionen
rss-vetenskapsradion
pojkmottagningen
rss-tidslinjen-podcast