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Ace Report Cover

Early Gains but No One-Year Difference Between Fixation and Bracing for Humeral Shaft Fracture

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Ace Report Cover
October 2025

Early Gains but No One-Year Difference Between Fixation and Bracing for Humeral Shaft Fracture

Vol: 307| Issue: 10| Number:60| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Operative vs Nonoperative Management of Fractures of the Humeral Diaphysis: The Humeral Shaft Fracture Fixation Randomized Clinical Trial.

JAMA Surg . 2025 May 1;160(5):508-516.

Contributing Authors:
WM Oliver KR Bell TH Carter C Graham TO White ND Clement AD Duckworth SG Molyneux

Synopsis

Seventy patients with isolated, closed humeral shaft fractures (HSF) were randomized to operative fixation (n=36) or functional bracing (n=34). The primary outcome was the DASH score at 3 months. Secondary outcomes included EQ-5D/EQ-VAS, SF-12 PCS/MCS, pain, shoulder/elbow ROM, complications, radiographic alignment, and return to work/sport. Outcomes were assessed at 2 and 6 weeks and at 3, 6, and...

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