The JBJS Quiz of the Month is a collection of 10 relevant questions from each orthopaedic subspecialty. The questions are drawn from JBJS Clinical Classroom, which houses over 4,500 questions and 3,100 learning resources. Take the Quiz to see how you score against your peers!

NOTE: This quiz does not earn users CME credits. The questions must be answered within Clinical Classroom to earn CME credits.

A 34-year-old male patient sustained a segmental humeral shaft fracture in addition to multiple lower extremity fractures following a motor vehicle collision. The patient’s body mass index (BMI) is 42 kg/m2. Which of the following is the most appropriate treatment option for this patient’s humeral fracture?

    • Intramedullary nail
    • Surgery is recommended for patients with multiple lower extremity fractures. Intramedullary nail fixation is recommended for segmental fractures and patients with a high BMI.
    • Plate and screw fixation
    • Surgery is recommended in patients with multiple lower extremity fractures. However, intramedullary nail fixation is indicated for segmental fractures.
    • External fixation
    • Intramedullary nail fixation is indicated for segmental humeral fractures.
    • Functional bracing
    • The patient has a high BMI and a segmental fracture. This patient is best treated with surgery, and an intramedullary nail is the best option.