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Elbow humerus shoulder fracture

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https://www.readbyqxmd.com/read/29455497/-clinical-research-of-treating-the-avulsed-fracture-of-humerus-greater-tuberosity-using-an-arthroscopic-double-row-suture-anchor-fixation-technique
#1
Ji Li, Wei-Xiong Liao, Hao Zhang, Yi-Meng Yang, Ke-Tao Wang, Zhong-Li Li
OBJECTIVE: To evaluate the early clinical effects of treating the avulsed fracture of humerus greater tuberosity using the double-row suture anchor fixation technique. METHODS: Total 20 patients with the avulsed fracture of the greater tuberosity of the humerus were treated from September 2009 to January 2013. There were 12 males and 7 females, with an average age of 46.8 years old(24 to 69 years old). Eleven patients had injuries on right shoulder joint and 8 patients had injuries on left side...
August 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29382295/arthroscopic-percutaneous-inverted-mattress-suture-fixation-of-isolated-greater-tuberosity-fracture-of-humerus
#2
Suk-Hwan Jang, Han-Eui Song, Seung-Hyuk Choi
OBJECTIVE: The purpose of the study was to evaluate the clinical and radiographic outcomes of treatment in patients with isolated greater tuberosity (GT) fractures of humerus using arthroscopic percutaneous inverted mattress suture fixation technique. MATERIALS AND METHODS: We attempted to use the arthroscopic percutaneous inverted mattress suture fixation technique in 17 consecutive cases with isolated displaced GT fractures. Fourteen patients were successfully treated without switching to other methods and were available for follow-up at a mean of 22 months (range: 17-38 months) after surgery...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29305100/clinical-outcomes-of-minimally-invasive-open-reduction-and-internal-fixation-by-screw-and-washer-for-displaced-greater-tuberosity-fracture-of-the-humerus
#3
Tae-Hwan Yoon, Chong-Hyuk Choi, Yun-Rak Choi, Jong-Taek Oh, Yong-Min Chun
BACKGROUND: The purpose of this study was to investigate clinical and radiologic outcomes of open reduction and internal fixation with a screw and washer for a displaced greater tuberosity fracture of the proximal humerus through a small incision. METHODS: We retrospectively reviewed 29 patients who underwent open reduction and internal fixation with a screw and washer for a greater tuberosity fracture of the proximal humerus. After surgery, the patients were immobilized in a brace for 4 weeks...
January 3, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29248257/forearm-as-a-valuable-source-of-vascularized-bone-graft-for-the-distal-humerus
#4
Reza Shahryar Kamrani, Leila Farhadi, Amir Reza Farhoud
BACKGROUND: The nonunion of a distal humeral fracture is a challenging complication. Our aim was to assess the results of the application of pedicled bone flap to treat this problem. METHODS: There were 6 men and 3 women with delayed union or nonunion of the distal humerus treated by 10 procedures of rigid fixation plus radial bone forearm or posterior interosseous bone flaps. A locking plate was applied for fixation in 4 patients and a pin and plate for 5 patients...
December 14, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29158650/partial-humeral-replacement-for-peri-prosthetic-fractures-of-the-humerus
#5
Ruben Manohara, Colin R Howie
Introduction: Treating peri-prosthetic fractures of the humerus can be very challenging, especially when there is poor bone stock and in the presence of adjacent joint prostheses. We discuss the option of a partial humeral replacement as a salvage procedure for such cases with some technical comments. Methods: This paper presents a technique which utilises a custom- made cemented connector to incorporate the existing well functioning elbow or shoulder replacement with a commercially available partial humeral replacement (PHR) or to an existing prosthetic humeral stem...
November 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29066532/impact-of-the-profher-trial-findings-on-surgeons-clinical-practice-an-online-questionnaire-survey
#6
L Jefferson, S Brealey, H Handoll, A Keding, L Kottam, I Sbizzera, A Rangan
OBJECTIVES: To explore whether orthopaedic surgeons have adopted the Proximal Fracture of the Humerus: Evaluation by Randomisation (PROFHER) trial results routinely into clinical practice. METHODS: A questionnaire was piloted with six orthopaedic surgeons using a 'think aloud' process. The final questionnaire contained 29 items and was distributed online to surgeon members of the British Orthopaedic Association and British Elbow and Shoulder Society. Descriptive statistics summarised the sample characteristics and fracture treatment of respondents overall, and grouped them by whether they changed practice based on PROFHER trial findings...
October 2017: Bone & Joint Research
https://www.readbyqxmd.com/read/28929365/management-of-comminuted-fractures-of-the-distal-humerus-clinical-outcome-after-primary-external-fixation-versus-immediate-fixation-with-locking-plates
#7
Clemens Kösters, Simon Lenschow, Esther Schulte-Zurhausen, Steffen Roßlenbroich, Michael J Raschke, Benedikt Schliemann
OBJECTIVES: The surgical treatment of comminuted fractures of the distal humerus remains a challenging problem. The aim of the present study was to compare the clinical outcomes of primary external fixation with second-staged open reduction and internal fixation (ORIF) and initial definitive internal fixation in surgically treated patients with comminuted distal humerus fractures. DESIGN: Retrospective comparative study. SETTING: Level one trauma center...
September 19, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28862100/arthroscopy-assisted-versus-standard-intramedullary-nail-fixation-in-diaphyseal-fractures-of-the-humerus
#8
Süleyman Semih Dedeoğlu, Yunus İmren, Haluk Çabuk, Ali Çağrı Tekin, Mustafa Çağlar Kır, Hakan Gürbüz
PURPOSE: The aim of this study was to assess applicability of arthroscopic technique in intramedullary nail fixation of humerus shaft fractures and to compare with conventional nailing in terms of its effects on perioperative and postoperative intra-articular complication rates as well as on clinical and functional outcomes. METHODS: This prospective randomized controlled clinical trial included 40 patients (12 females and 28 males) indicated for surgery between either undergo arthroscopy-assisted (Arthroscopy-assisted intramedullary nailing [AIMN]; n = 20) or conventional (Intramedullary nailing [IMN]; n = 20) anterograde intramedullary nailing...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28852335/proximal-humerus-fracture-dislocation-with-laceration-of-the-axillary-artery-a-case-report
#9
Steven J Cotman, Thai Q Trinh, Stephen Vincent, Jeffrey R Backes
BACKGROUND: Proximal humerus fractures account for approximately 4-6% of all fractures. While the majority of these fractures are treated non-operatively, the amount of fracture displacement, concomitant injuries, and patient factors often result in the need for surgical stabilization. Although concomitant neurovascular injury in the setting of low-energy trauma is rare, injury to the surrounding neurovascular structures have previously been reported. METHODS: We report a case of a 79-year-old male who sustained a low energy fall resulting in a two-part fracture dislocation of the proximal humerus with an associated brachial plexopathy and axillary artery laceration...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28760123/is-locked-compressive-intramedullary-nailing-for-adult-humerus-shaft-fractures-advantageous
#10
Fatih Duygun, Cengiz Aldemir
OBJECTIVES: This study aims to evaluate the radiological and functional outcomes of locked compressive intramedullary nailing (IMN) cases in adult humerus shaft fractures. PATIENTS AND METHODS: A total of 24 patients (12 males, 12 females; mean age 42 years; range 23 to 55 years) with humerus fractures were treated with locked compressive IMN at the Orthopedics and Traumatology Clinic, Antalya Training and Research Hospital between December 2009 and March 2015. Fluoroscopy was used only to check fracture reduction before the reaming procedure...
August 2017: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/28657920/functional-outcome-of-displaced-intercondylar-fractures-of-the-humerus-in-children-and-adolescents
#11
Lorenza Marengo, Antonio Andreacchio, Flavia Alberghina, Alain Dimeglio, Federico Canavese
The main aim of this study was to retrospectively evaluate the clinical, functional, and radiographic outcome of displaced intercondylar fractures of the humerus in children and adolescents, and evaluate upper-extremity function with the short version of the Disabilities of the Arm, Shoulder and Hand outcome questionnaire (Quick DASH), the hypothesis being that intercondylar fractures have poorer functional outcome than do other upper-limb fractures. The mean age at the time of injury was 11.9±2.5 years (range: 7...
June 27, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28622154/operative-treatment-of-2-part-surgical-neck-fracture-of-the-humerus-intramedullary-nail-versus-locking-compression-plate-with-technical-consideration
#12
Wonyong Lee, Jun-Young Park, Yong-Min Chun
OBJECTIVE: To compare the outcomes of patients who underwent either open reduction internal fixation with a locking plate and screws or closed reduction internal fixation with an antegrade intramedullary nail (IMN) for displaced surgical neck fracture of the humerus. DESIGN: Retrospective comparative study. SETTING: Single institute, Level-I academic trauma center. PATIENTS AND INTERVENTION: Sixty-nine patients with 2-part surgical neck fracture of the humerus underwent either an IMN (38 patients group A) or a locked plate fixation (31 patients group B)...
September 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28577034/antero-lateral-minimally-invasive-plate-osteosynthesis-mipo-with-the-radial-nerve-exploration-for-extra-articular-distal-third-diaphyseal-fractures-of-the-humerus
#13
Wei Zhao, Wei Qu, Chongyang Fu, Huajun Jiang, Sida Liu, Chao Cheng
INTRODUCTION: Traditional open reduction and internal fixation (ORIF) of extra-articular distal humerus fractures has a risk of iatrogenic radial nerve injury, extensive soft tissue stripping, and long incision scar. We performed an antero-lateral minimally invasive plate osteosynthesis (MIPO) technique with the radial nerve exploration for distal-third diaphyseal fractures of the humerus and evaluated clinical and radiographic outcomes through this respective study. METHODS: From April 2010 to June 2016, 28 cases of extra-articular distal-third diaphyseal fractures were treated with an antero-lateral MIPO procedure...
September 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28571218/functional-results-of-communited-intra-articular-distal-humerus-fractures-treated-with-bicolumnar-plating
#14
Siddharth Rashmikant Virani, Sandeep Sonone, Aditya Anand Dahapute, Inayat Panda, Kunal Dwijen Roy
INTRODUCTION: Communited intra-articular distal humerus fractures are commonly encountered in orthopaedic practice and they are present with unique difficulties for internal fixation. This problem is especially worse in the elderly due to osteoporotic bone. AIM: To evaluate the intermediate term results (minimum follow up of two years) of communited intra-articular distal humerus fractures treated with bicolumnar plating with or without olecranon osteotomy in elderly Indian population...
April 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28409214/-fractures-of-the-upper-limbs-in-childhood-and-adolescence
#15
P P Schmittenbecher
Fractures of the upper limbs are frequent and often need operative treatment in addition to a well-indicated conservative management. This depends on the maturity of the nearest growth plate and the local remodeling potential, which is dependent on age. Following conventional x‑ray imaging an individual prognostic growth analysis leads to the therapeutic decision. Around the elbow and the shaft of the forearm, criteria are stricter than near the shoulder or wrist. Gilchrist or Desault bandages as well as braces are adequate for most subcapital and humeral shaft fractures...
May 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28359695/use-of-a-shorter-humeral-stem-in-revision-reverse-shoulder-arthroplasty
#16
Eric R Wagner, Joseph M Statz, Matthew T Houdek, Robert H Cofield, Joaquín Sánchez-Sotelo, John W Sperling
BACKGROUND: The purpose of this study was to examine the outcomes of revision reverse arthroplasty using short bone-preserving humeral components in revising a long-stemmed component. METHODS: During a 7-year period, 39 patients who underwent revision reverse shoulder arthroplasty using the long to short humeral component technique were included. The mean age was 72 years. Prior implants used in the primary setting included anatomic (n = 26), hemiarthroplasty (n = 11), and reverse (n = 2)...
August 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28341102/bicolumnar-90-90-plating-of-ao-13c-type-fractures
#17
Cemal Kural, Ersin Ercin, Mehmet Erkilinc, Evren Karaali, Mustafa Gokhan Bilgili, Suleyman Altun
OBJECTIVE: The aim of this study was to evaluate functional results and complication rate of patients who underwent medial-dorsolateral plating for intra-articular distal humeral fracture (Müller AO type 13C). METHODS: Twenty-four patients (14 men, 10 women; mean age: 47 years) with AO type 13C distal humerus fracture were included in the study. Mean follow-up time was 28 months. Nine patients were in 13C1 subgroup, according to AO classification system, 11 patients were categorized as 13C2, and 4 patients were 13C3...
March 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28244924/humerus-lengthening-with-the-precice-internal-lengthening-nail
#18
Anton M Kurtz, S Robert Rozbruch
BACKGROUND: Deformity and growth arrest of the humerus in children may result as sequelae of proximal humerus fractures and unicameral bone cysts, or as complications of their treatment. As approximately 80% of the growth of the humerus arises from the proximal physis, the resultant upper limb-length discrepancy can be substantial. Benefits to lengthening the shortened arm have been previously demonstrated with the use of external fixation devices. To our knowledge, no reports have been published on the use of intramedullary implants for this purpose...
June 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28216756/outcome-of-anatomic-locking-plate-in-extraarticular-distal-humeral-shaft-fractures
#19
Deepak Jain, Gurpreet S Goyal, Rajnish Garg, Pankaj Mahindra, Mohammad Yamin, Harpal S Selhi
BACKGROUND: Extraarticular fractures of distal humerus are challenging injuries to treat because of complex anatomy and fracture patterns. Functional bracing may not provide adequate stability in these injuries and operative treatment with intramedullary nails or conventional plates also has the limitation of inadequate fixation in the short distal fragment. The 3.5 mm precontoured single column locking plate (extraarticular distal humerus plate [EADHP]) has been introduced to overcome this problem...
January 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28198550/birth-injuries-to-growth-plates-a-sheep-in-wolves-clothing
#20
Jerrin Varghese, Matthew Teng, Mingqian Huang, Dvorah Balsam
Growth plate injuries (Salter-Harris type 1 or physeal fractures) of the long bones in the newborn are easily misdiagnosed as joint fractures with dislocations due to their nonossified epiphyses on plain radiographs. Diagnosis with musculoskeletal ultrasound (US) is advantageous due to its ability to visualize the nonossified epiphysis. We present two cases of humeral growth plate fractures in newborns, one at the shoulder (proximal humerus) and the other at the elbow (distal humerus). These cases emphasize the importance of quick and noninvasive diagnosis with US to avoid unnecessary intervention...
October 2017: Journal of Clinical Ultrasound: JCU
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