Introduction: This video demonstrates the technique for intramedullary nailing of a humeral shaft fracture.

Methods: The patient shown in the video is a 30-year-old man who sustained a gunshot wound to his right arm. Humeral nailing was indicated given the comminuted nature of the diaphysis and to allow for minimal skin incisions. Other relative indications included soft-tissue compromise about the arm, precluding a large surgical exposure.

Results: This video discusses the case presentation of a patient with a comminuted humeral shaft fracture who underwent intramedullary nailing. Anatomic reduction and stable fixation was obtained via this technique.

Conclusion: A soft-tissue sparing technique for humeral shaft fixation with the use of a humeral intramedullary nail is demonstrated. The technique is easy to perform and substantially minimizes surgical exposure, decreasing surgical time and blood loss. In the correct clinical setting, humeral nailing is an expeditious form of fixation that restores length, alignment, and rotation of a fractured humeral diaphysis.