RESUMO
BACKGROUND: Determining trends in managing humeral shaft fractures may help identify variation in practice which might benefit design of clinical guidance. We aimed to determine the practice of members of the British Elbow and Shoulder Society (BESS) in managing humeral shaft fractures. METHODS AND MATERIALS: An electronic survey was sent to members of BESS. Questions related to preferred surgical and nonsurgical approaches for management of humeral shaft fractures. This was divided into management of proximal, middle and distal third diaphyseal fractures. RESULTS: 91 fully completed responses were analysed. Nonsurgical management was preferred by 90.1% (n=82) for middle-third and 80.2 % (n=73) for proximal third fractures, however 52.7% (n=48) favoured surgical treatment for distal third fractures. CONCLUSIONS: 1. The management preference for humeral shaft fractures amongst surgeons is highly variable. 2. This may be partly attributed to the sparsity of high-quality evidence. 3. Well-designed randomised trials or pro-spective cohort studies may help further guide management of these injuries.
Assuntos
Fraturas do Úmero , Cirurgiões Ortopédicos , Diáfises , Fixação Interna de Fraturas , Humanos , Fraturas do Úmero/cirurgia , ÚmeroRESUMO
The management of blunt chest trauma is an evolving concept with no clear current guidelines. This article explores the bony injuries associated with this, focusing on rib fractures and flail segments and the themes around investigation and best management.
Assuntos
Osso e Ossos/lesões , Traumatismos Torácicos/complicações , Traumatismos Torácicos/terapia , Ferimentos não Penetrantes/complicações , Ferimentos não Penetrantes/terapia , Humanos , Fraturas das Costelas/etiologia , Fraturas das Costelas/terapia , Traumatismos da Coluna Vertebral/etiologia , Traumatismos da Coluna Vertebral/terapia , Esterno/lesõesRESUMO
The management of blunt chest trauma is evolving. This article discusses the soft tissue injuries associated with blunt chest trauma.
