Aetiology
- Fall resulting in oblique, or spiral fractures if rotational
- Direct trauma to the arm (e.g. RTC) results in transverse or comminuted fractures
Clinical presentation
Symptoms
- Pain
- Extremity weakness
Signs
- Preoperative/pre-reduction neurovascaular exam is critical
- Examine and document status of radial nerve pre and post reduction
Investigations
- X-ray - AP and lateral
Management
- Conservative - humeral brace, U-slab cast
- Operative - IM nail, ORIF plate fixation
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