What is a Holstein-Lewis fracture?
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What is a Holstein-Lewis fracture?
The Holstein-Lewis humeral shaft fracture, that is, a simple spiral fracture in the distal third of the shaft with the distal bone fragment displaced and the proximal end deviated toward the radial side, was originally described by Arthur Holstein and Gwilym Lewis in the American Journal of Bone and Joint Surgery in …
Which nerve is involved in Holstein-Lewis fracture?
Conclusions: The Holstein-Lewis humeral shaft fracture was associated with a significantly increased risk of acute radial nerve palsy.
What nerve can be damaged if you have a fracture of the shaft of the humerus?
The radial nerve is most likely to be damaged in humerus fractures that have a lateral displacement of the distal fracture segment, as the nerve is tethered to the bone and cannot withstand the forces applied to it as a result of the displacement.
Do spiral fractures require surgery?
A spiral fracture is usually treated right away with surgery. After the surgery, a cast may be worn. Most spiral fractures involve the long bones of the legs such as the femur, tibia and fibula, but can also include the long bones of the arm including the humerus, ulna and radius.
How long does a fractured humerus take to heal without surgery?
Most proximal humerus fractures can be treated without surgery. The broken bone will take 3 to 4 months to heal. During this time, you will need to perform exercises to regain range of motion, strength, and return to normal activities.
Can a broken humerus heal without surgery?
A humerus shaft fracture may be treated with or without surgery, depending on the fracture pattern and associated injuries (i.e., nerve injury or open fracture). A temporary splint extending from the shoulder to the forearm and holding the elbow bent at 90 degrees can be used for initial management of the fracture.
How painful is a spiral fracture?
The most common and obvious symptom of a spiral fracture is pain in the injured area. The type of pain depends on the severity of the injury. People have characterized the pain as dull, heavy, and agonizing.
