A collection of xrays of fracture of humerus in adult skeleton are being presented and would be upadated regularly.
Image 1 – Xray of Fracture of Upper End of Humerus
Following image depicts an xray of 5 years old woman who suffered fracture of humerus after a trivial fall.
Image 2 - Xray of Fracture of Humerus Operated With Low Contact Direct Compression Plate and Bone Graft
This is a post operative xray of arm of 43 years old female who suffered a fall on her hand which resulted in fractures of humerus. The side involved was left.
At first she was given a trial of conservative treatment in form of hanging cast but serial follow up xrays failed to show any contact.
After 3 weeks of her injury, she was treated with open reduction and internal fixation using low contact dynamic compression plate (LCDCP) and autogenous bone grafting which was harvested from her lef iliac crest.
The patient is still in follow up and is showing good bone healing.
Conservative treatment in obese persons is relatively difficult. In my experience nothing suits an obese arm as for as splintage is considered. The splint does not provide any support because it cannot snugly fit due to fat and the fracture mobility is unchecked.
I have always found it difficult to treat the obese patients by conservative means. I am more inclined to treat them with a surgical procedure as I have found them to respond better.
Image 3- Xray of Intercondylar Fracture of Humerus
Intercondylar fracture of humerus occurs when person falls on flexed hand and the elbow is axially loaded. This is xray of 43 years old lady who presented to the hospital after a fall.
Intercondylar fractures are mostly treated with operative methods. This patient toowas operated upon and fractures was fixed using two reconstruction plates.
Patient is on postoperative rehabilitation exercises.
Image 4 – Xray of Fracture Shaft of Humerus With Failed Implant
40 years old lady who had been operated for fracture of shaft of humerus at her native place presented in the OPD with complaint of discharge from the fracture site and pain. Patient had angulation of the arm and on examination it should abnormal mobility.
One of the screws were visible through the wound and had backed out for most of its length.
Xray revealed a failed plate with backed out screws.
The patient was planned for implant removal, wound debridement and external fixation to control the infection and then followed by definitive surgery.
The patient never reported back.
Image 5 – Xray of Comminuted Fracture of Upper End of Humerus
Following xray is of 67 years old man who fell in bathroom. He presented in the out patient department three days after the injury with complaint of pain and swelling in the upper part of the arm. There was substantial bruising on the arm and swelling was noted.
The xray revealed comminuted fracture of upper end of humerus.
The patient was advised closed reduction and internal fixation using an interlock nail but patient refused for surgery.
Image 6 – AP and Lateral Views of Intercondylar Fracture of Humerus
Intercondylar fracture of humerus is an intra-articular injury that almost always requires operative intervention.
The xrays are of 37 years old male who sustained injury in a fall following motor vehicle accident.
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