Holstein–Lewis fracture


Holstein–Lewis fracture: simple spiral fracture of the distal third of the shaft of humerus with distal bone fragment displaced and the proximal end deviated toward the radial side with an increased risk of acute radial nerve palsy

The Holstein-Lewis humeral shaft fracture constitutes 7.5% of all humeral shaft fractures and was associated with an increased risk of acute radial nerve palsy compared with other types of humeral shaft fractures, 22% versus 8% (P < 0.05) [Ekholm et al]


1962 – Arthur Holstein and Gwilym Lewis presented a paper at the annual meeting of the American Academy of Orthopedic Surgeons, Chicago. They presented 7 cases with this fracture type associated with radial nerve palsy

1963 – Holstein and Lewis published a study of 341 consecutive distal humerus fractures in the JBJS, 6 patients with radial nerve palsies were found, 5 of whom showed this specific fracture pattern. They hypothesized that the high association with radial nerve palsy was that the fracture occurred at the site of radial nerve runs through the lateral intermuscular septum in direct contact with the bone and with limited mobility.

Holstein–Lewis fracture
Holstein–Lewis fracture

Associated Persons



the names behind the name

Associate Professor Curtin Medical School, Curtin University. Emergency physician MA (Oxon) MBChB (Edin) FACEM FFSEM Sir Charles Gairdner Hospital.  Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | Twitter |

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