Evidence map›Paper›PMID 40696384›Full record

ReviewJournal of medical case reports2025

Isolated simultaneous bilateral humeral shaft fractures in a healthy victim of a road traffic crash: a case report and review of literature.

Stephen Adesope Adesina, Isaac Olusayo Amole, Imri Goodness Adefokun, Adepeju Olatayo Adegoke, Ehimen Oluwadamilare Odekhiran, Olusola Tunde Ekunnrin, Simeon Ayorinde Ojo, Adewumi Ojeniyi Durodola, Innocent Chiedu Ikem, Samuel Uwale Eyesan

Abstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Stephen Adesope AdesinaBowen University Teaching Hospital, PO Box 15, Ogbomoso, Oyo, Nigeria. stephen.adesina@bowen.edu.ng.ORCID http://orcid.org/0000-0001-5994-7686
Isaac Olusayo AmoleBowen University Teaching Hospital, PO Box 15, Ogbomoso, Oyo, Nigeria.ORCID http://orcid.org/0000-0001-7845-8052
Imri Goodness AdefokunBowen University Teaching Hospital, PO Box 15, Ogbomoso, Oyo, Nigeria.ORCID http://orcid.org/0000-0003-3214-727X
Adepeju Olatayo AdegokeBowen University Teaching Hospital, PO Box 15, Ogbomoso, Oyo, Nigeria.ORCID http://orcid.org/0000-0003-0865-6314
Ehimen Oluwadamilare OdekhiranNational Orthopaedic Hospital, Igbobi, Yaba, P.M.B 2009, Lagos, Nigeria.
Olusola Tunde EkunnrinBowen University Teaching Hospital, PO Box 15, Ogbomoso, Oyo, Nigeria.ORCID http://orcid.org/0009-0006-3602-0558
Simeon Ayorinde OjoBowen University Teaching Hospital, PO Box 15, Ogbomoso, Oyo, Nigeria.ORCID http://orcid.org/0009-0000-6759-0402
Adewumi Ojeniyi DurodolaBowen University Teaching Hospital, PO Box 15, Ogbomoso, Oyo, Nigeria.ORCID http://orcid.org/0000-0002-1156-9177
Innocent Chiedu IkemDepartment of Orthopaedic Surgery and Traumatology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun, Nigeria.
Samuel Uwale EyesanBowen University Teaching Hospital, PO Box 15, Ogbomoso, Oyo, Nigeria.ORCID http://orcid.org/0000-0003-1237-4598

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHumeral shaft fractures constitute 1-5% of all adult fractures and 13% of humerus fractures. They usually result from low- or high-energy mechanisms. While several cases of bilateral proximal end-segment humerus fractures have been reported, simultaneous bilateral humeral shaft fractures are rare in previously healthy individuals. When they do occur, they are often accompanied by other injuries. Isolated simultaneous bilateral humeral shaft fractures following traffic accidents are exceptionally rare injuries. To our knowledge, only one such case has been reported. We present a case of isolated simultaneous bilateral humeral shaft fractures in a healthy woman following a traffic accident in which she sustained no other significant injuries. The aim is to emphasize the importance of healthcare providers being vigilant for uncommon injury patterns and being prepared to address them in ways that minimize disability. CASE PRESENTATION: A 43-year-old African (Yoruba) woman arrived at our hospital's Accident and Emergency Department 30 minutes after the passenger minibus, in which she was seated in the rear left row (driver's side), collided with a trailer. She was not wearing a seat belt. She remained conscious but complained of pain and an inability to lift both arms. Clinical and radiographic evaluation revealed an abrasion on her right shoulder and bilateral humeral shaft fractures (HSFs). There were no other injuries. The Injury Severity Score was 10. She underwent closed nailing of both fractures on the 4th day post-injury and was discharged on the 7th day post-surgery. She had an excellent functional outcome, and radiographic union was noted on her 12-week postoperative follow-up.

conclusionThis case demonstrates a rare consequence of unsafe transportation systems in a developing country. It underscores the necessity for healthcare workers in such nations to be ready to manage uncommon injury patterns using limited resources in a manner that encourages early functional recovery and reduces mortality and disability.

Indexed as

Accidents, TrafficHumeral FracturesAdultFemaleHumansTreatment OutcomeBilateral humeral shaft fractureCase reportIntramedullary nailingIsolatedRoad traffic crash

Identifiers

PMID40696384
PMCPMC12281955

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.