Humeral fracture - spiral wedge midshaft

Case contributed by Assoc Prof Frank Gaillard


Fall on outstretched arm. Now painful upper arm.

Patient Data

Age: 60 years
Gender: Female

Spiral wedge fracture of the proximal to mid humeral diaphysis. The distal fragment is slightly posteriorly displaced and angulated. The shoulder and elbow remain enlocated. 

Later that same day


Images obtained after the application of a plaster back slab demonstrates increased displacement and angulation when compared to the previous study. 

3 months later


There is a healing fracture of the midshaft of the humerus, with approximately 5 degrees of varus angulation at the fracture site. The fracture line is no longer visualized, and there is organizing callus around the fracture. 

Case Discussion

Typical appearances of a spiral fracture of the midshaft of the humerus, demonstrating healing despite significant initial angulation. 

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