Humerus Fracture: Therapy

General measures

• In the vast majority of cases, the humeral fracture can be treated conservatively with a Gilchrist or Desault dressing (immobilization for 2-3 weeks) because of the high potential for spontaneous correction:
  • <10 years:
    • Dislocation (displacement) by socket width.
    • Shortening up to 2 cm
    • Frontal plane up to 60° varus (if at bones or joints the angle located to the center of the body (= medial) is less than the norm), but < 10° valgus (if at bones or joints the angle located to the center of the body (= medial) is greater than the norm).
  • > 10 years
    • Dislocation
    • Frontal plane <30° varus,< 10° valgus

  To be included in the decision for conservative (non-surgical) therapy is the sexual maturity. Girls especially in southern European and Asian origin can be early adult.

• Effective early mobilization is required!
• Review of permanent medication due topossible effect on the existing disease.