Clinical imaging · UKMLA & AKT

Humeral shaft fractures

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise humeral shaft fractures — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Radial nerve winds around the posterior humeral shaft in the spiral groove, running medial to lateral
  • Middle and distal third junction - nerve pierces lateral intermuscular septum and is most vulnerable to injury
  • Holstein-Lewis fracture - spiral fracture at middle/distal third junction; classically associated with radial nerve entrapment

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