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Objectives: The aim of the study is to evaluate the effect of deformity on functional scores of humeral shaft fracture patients who treated conservatively with functional bracing. Materials and Methods: Patients who had humeral shaft fracture and treated with functional bracing between 2014 and 2019, were included in this study. Second or third day, two part functional brace was applied. The deformity angle of the humerus on the anteroposterior radiography was measured and divided into 3 groups. Elbow range of motion (ROM), shoulder abduction and the difference of range of external rotation (ER) compared to contralateral shoulder was evaluated. Moreover, Constant scores of the shoulder and Mayo scores of the elbow were evaluated. Results: Forty-two patients were evaluated. The mean healing time was determined as 12.11 ± 2.31 weeks. Thirty-seven of the patients were successfully treated. Nonunions were detected in only 5 patients during follow-up. The varus deformity was measured between 6°-10° in 18 patients, >11° in 12 patients, and between 0°-5°in 7 patients. In the varus deformity groups, a statistically significant difference was observed for the external rotation measurements (p:0.044) and for elbow ROM measurements (p: 0.048). The reason of the external rotation and elbow ROM measurements difference was >11° varus deformity group. There was no statistically significant difference between the shoulder abduction range, Mayo scores and shoulder constant scores of the varus deformity groups (p>0.05). Conclusion: Our clinical and radiological datas show that satisfactory results are obtained in most of the humeral shaft fractures treated with functional bracing.

Purpose: The elbow is the second most dislocated major joint in adults. This study aimed to evaluate the reliability of the use of ‘sea wave-like sign’ in adult simple elbow dislocation. Methods: The study included 12 randomly selected adults with simple elbow dislocation cases. All patients were evaluated with pre-reduction and post-reduction radiographs. The definitive diagnosis of reduction was made with post-reduction CT. Evaluations were performed by five orthopedic residents (Group I), five orthopedic specialists with less than 10 years of professional experience (Group II), and five orthopedic specialists with more than 10 years of professional experience (Group III). They were requested to fill out a questionnaire including the reduction and ‘sea wave-like sign’. Results: The specificity of the sea wave-like sign on radiography was 96.6% and the positive predictive value of this evaluation was 99.1%. There were statistically significant differences between the groups in terms of evaluation of the reduction of the elbow joint. The correct response rates in young specialists were significantly lower than the other two groups (p