Humerus Shaft Fracture Caused by Arm Wrestling Injury in South Korean Military:Surgical Outcome and Radiologic Analysis
10.5763/kjsm.2025.43.1.23
- Author:
Yoo-Sun WON
1
;
Tae-Hong MIN
;
Woo Kyoung KWAK
;
Jong Seop KIM
;
Byung Hyun AHN
;
Cheungsoo HA
Author Information
1. Department of Orthopedic Surgery, Armed Forces Daejeon Hospital, Daejeon, Korea
- Publication Type:Clinical Article
- From:The Korean Journal of Sports Medicine
2025;43(1):23-29
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:Arm wrestling is a common strength competition, particularly among young men, including military personnel.While previous studies have examined humeral shaft fractures from arm wrestling or in soldiers, no research has focused on both. This study evaluates the outcomes of dual plating fixation via the anterolateral approach for arm wrestling-induced fractures in soldiers.
Methods:This retrospective study included 18 male patients (mean age, 21.7 years) treated at the Armed Forces Daejeon Hospital (May 2022–December 2023). Data on rank, radial nerve injury, fracture type (AO-OTA classification), and clinical outcomes (union time, radial nerve recovery, DASH score) were analyzed.
Results:The cohort included 12 soldiers, two non-commissioned officers, and four officers. Common fracture types were A1 and B1, with four cases of radial nerve palsy. Union occurred at 12.5 weeks, and nerve recovery averaged 15 weeks. No cases of non-union or persistent nerve damage were observed.
Conclusion:Arm wrestling carries a high risk of humeral fractures in soldiers. Awareness and preventive measures should be emphasized. The dual plating fixation technique via the anterolateral approach is highly effective, demonstrating excellent union and recovery outcomes.
