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Humeral Fractures

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https://www.readbyqxmd.com/read/29350013/-closed-reduction-and-percutaneous-double-k-wires-internal-fixation-for-the-treatment-of-multisegmental-fracture-of-humeral-shaft
#1
Yong Sun, Hong-Sheng Shang, Wei-Hong Zhang, Jing-Ti Jing
OBJECTIVE: To observe the clinical effects of closed reduction and percutaneous double K-wires internal fixation in treating multisegmental fracture of humeral shaft. METHODS: From January 2009 to April 2015, 27 patients with multisegmental fracture of humeral shaft were treated with closed reduction and percutaneous double K-wires internal fixation, including 10 males and 17 females, ranging in age from 26 to 81 years with an average of 52 years;the disease course ranged from 2 hours to 6 days with an average of 1...
February 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29349960/-anterolateral-acromial-approach-for-the-treatment-of-proximal-humerus-in-2-or-3-part-fractures-a-case-control-study
#2
Zheng-Xin Song, Yan Liu, Ying-Fu Mao, Bing-Yan Li, Li-Jin Wei, Yun Tian
OBJECTIVE: To explore the clinical curative effect of anterolateral acromial approach in treating two-and three-part of proximal humeral fractures. METHODS: Forty-two patients of proximal humeral fractures from January 2010 to June 2014 were analyzed retrospectively, including 23 males and 19 females with a mean age of 61.5 years old ranging from 40 to 76 years old. Among them, 22 cases were treated with anterolateral acromial approach and 20 cases were treated with deltopectoral approach...
March 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29339841/role-of-autologous-non-vascularised-intramedullary-fibular-strut-graft-in-humeral-shaft-nonunions-following-failed-plating
#3
Sreekanth Kashayi-Chowdojirao, Aashish Vallurupalli, Vijay Krishna Chilakamarri, Chandrasekhar Patnala, Lalith Mohan Chodavarapu, Nageswara Rao Kancherla, Asif Hussain Khazi Syed
Background: Non-union humeral shaft fractures are seen frequently in clinical practice at about 2-10% in conservative management and 30% in surgically operated patients. Osteosynthesis using dynamic compression plate (DCP), intramedullary nailing, locking compression plate (LCP), Ilizarov technique along with bone grafting have been reported previously. In cases of prior failed plate-screw osteosynthesis the resultant osteopenia, cortical defect, bone loss, scalloping around screws and metallosis, make the management of non-union more complicated...
November 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29327557/-surgical-treatment-for-14-patients-with-old-fractures-of-humeral-lateral-condyle-in-children
#4
Kai Liu, Ru-Guo Shang, Yan Xiao, Jan-Wei Hu, Yong-Xin Yu
OBJECTIVE: To study clinical effects of operation for the treatment of old fractures of the humerus lateral condyle in children. METHODS: From January 2012 to January 2014 in our department, 14 children of old humeral lateral condyle fractures were treated with operation. Ten cases were male, 4 cases were female; age from 2 to 12 years old, average 5.8 years old. The initial diagnosis was type IIfracture according to the Milch ciassification, the loss of treatment in 11 cases, conservative treatment in 3 cases of nonunion after fracture displacement...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29317964/basaloid-squamous-cell-carcinoma-of-the-lung-associated-with-syndrome-of-inappropriate-antidiuretic-hormone-secretion
#5
Ashraf Abugroun, Fatima Ahmed, Toni-Denise Espina, Alvaro Altamirano Ufion
Basaloid squamous cell carcinoma (BSQCC) of the lung is a very rare subtype of squamous cell carcinoma (SCC). There have been no reported cases of syndrome of inappropriate anti-diuretic hormone secretion (SIADH) developing concurrently with this tumor. We herein present a case of a 68-year-old female who was diagnosed with lung mass discovered incidentally on preoperative clearance for surgical fixation of right humeral neck fracture. The patient presented to the hospital with nausea, vomiting, diarrhea and fatigue...
December 2017: World Journal of Oncology
https://www.readbyqxmd.com/read/29314242/co-morbidities-only-account-for-a-small-proportion-of-excess-mortality-after-fracture-a-record-linkage-study-of-individual-fracture-types
#6
Weiwen Chen, Judy M Simpson, Lyn M March, Fiona M Blyth, Dana Bliuc, Thach Tran, Tuan V Nguyen, John A Eisman, Jacqueline R Center
BACKGROUND: Non-hip non-vertebral fractures (NHNV) constitute the majority of osteoporotic fractures but few studies have examined the association between these fractures, co-morbidity and mortality. OBJECTIVE: To examine the relationship between individual non-hip non-vertebral fractures, co-morbidities and mortality. METHODS: Prospective population-based cohort of 267,043 subjects (45 and Up Study, Australia) had baseline questionnaires linked to hospital administrative and all-cause mortality data from 2006 - 2013...
January 4, 2018: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/29310407/shoulder-dislocation-combined-with-proximal-humerus-fracture-in-children-a-case-report-and-literature-review
#7
Sheng Jin, Haiqing Cai, Yunlan Xu
RATIONALE: Proximal humerus fracture occuring simultaneously with dislocation of a shoulder in children is extremely rare, with only a few recent reports of on such cases having been reported. PATIENT CONCERNS: A 6-year-old girl fell from a ladder and landed on her dominant right arm with pain in the right shoulder and unable to perform movements; her shoulder did not allow for passive movements as well. DIAGNOSES: Proximal humerus fracture combined with shoulder dislocation...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29310333/epidemiologic-features-and-management-of-elbow-dislocation-with-associated-fracture-in-pediatric-population
#8
Xuemin Lu, Guisen Yan, Ming Lu, Yuan Guo
This study was conducted to explore epidemiologic features of traumatic elbow dislocation with associated fractures in pediatric population following appropriate treatment options.Incidence of elbow dislocation with associated fractures was analyzed in 67 children using elbow radiographs. Treatment for the displaced elbow joint was performed by closed reduction and proper immobilization. Surgical intervention was applied to restore the correct alignment of the fracture. Mayo Elbow Performance Score (MEPS) was used to measure elbow joint function...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29305619/-torsional-malalignment-of-the-humerus
#9
REVIEW
N Hawi, S Razaeian, C Krettek, R Meller, E Liodakis
The torsion of the humerus describes the physiological rotation of the humerus around its longitudinal axis. Various clinical and radiological methods for measurement have been described. The computed tomography method is currently the gold standard. The angle between the humeral head axis and the transepicondylar axis is measured. This angle is called retroversion. Values of retroversion vary between 10° and 40°. For the treatment of many humeral pathologies, a precise reconstruction of the anatomical retroversion is required...
January 5, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29290604/grammont-humeral-design-versus-onlay-curved-stem-reverse-shoulder-arthroplasty-comparison-of-clinical-and-radiographic-outcomes-with-minimum-2-year-follow-up
#10
Giovanni Merolla, Gilles Walch, Francesco Ascione, Paolo Paladini, Elisabetta Fabbri, Antonio Padolino, Giuseppe Porcellini
BACKGROUND: There are few investigations comparing lateralized and medialized reverse total shoulder arthroplasty (RTSA) in patients with cuff tear arthropathy. This study assessed the outcomes of 2 RTSA designs. METHODS: Sixty-eight consecutive cuff tear arthropathy patients (74 shoulders) with a follow-up of at least 24 months received a Grammont or an onlay curved short-stem humeral component, with or without glenoid lateralization; a cementless humeral stem was implanted in >90%...
December 28, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29287950/subpectoral-biceps-tenodesis-with-peek-interference-screw-a-biomechanical-analysis-of-humeral-fracture-risk
#11
Christopher R Mellano, Rachel M Frank, Jason J Shin, Akshay Jain, William A Zuke, Randy Mascarenhas, Elizabeth Shewman, Brian J Cole, Anthony A Romeo, Nikhil N Verma, Brian Forsythe
PURPOSE: To quantify the torsional load to fracture for subpectoral biceps tenodesis with interference screw fixation. METHODS: We randomized 28 specimens from 14 matched-pair full-length humeri (mean age, 55.3 years) into 3 groups: (1) empty ream group (ERG), (2) screw-only group (SOG), and (3) screw-plus-biceps tendon group (SBG). In each group, 1 humerus of each matched pair was prepared according to group allocation and the contralateral humerus remained intact as a control...
December 26, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29287662/the-influence-of-local-bone-quality-on-fracture-pattern-in-proximal-humerus-fractures
#12
Ruben A Mazzucchelli, Katharina Jenny, Vilijam Zdravkovic, Johannes B Erhardt, Bernhard Jost, Christian Spross
INTRODUCTION: Bone mineral density and fracture morphology are widely discussed and relevant factors when considering the different treatment options for proximal humerus fractures. It was the aim of this study to investigate the influence of local bone quality on fracture patterns of the Neer classification as well as on fracture impaction angle in these injuries. MATERIALS AND METHODS: All acute, isolated and non-pathological proximal humerus fractures admitted to our emergency department were included...
December 26, 2017: Injury
https://www.readbyqxmd.com/read/29285612/outcomes-of-operative-and-nonoperative-treatment-of-3-and-4-part-proximal-humeral-fractures-in-elderly-a-10-year-retrospective-cohort-study
#13
Marieke E Brouwer, Inge H F Reininga, Mostafa El Moumni, Klaus W Wendt
PURPOSE: Despite a rising incidence in proximal humeral fractures, there is still no evidence for the best treatment option, especially for elderly patients. The aim of this retrospective cohort study was to evaluate health-related quality of life (HRQoL), functional outcome, pain and social participation in elderly patients, after operative and nonoperative treatment of displaced 3- and 4-part proximal humeral fractures. METHODS: 150 patients aged ≥ 65, treated for a displaced 3- or 4-part proximal humeral fracture between 2004 and 2014, were invited to participate...
December 28, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29282027/polyaxial-locking-plates-in-treating-distal-humeral-fractures-a-comparative-randomized-trial-for-clinical-outcome
#14
Moritz Crönlein, Martin Lucke, Marc Beirer, Dominik Pförringer, Chlodwig Kirchhoff, Peter Biberthaler, Karl F Braun, Sebastian Siebenlist
BACKGROUND: Management of distal humeral fractures remains to be one of the most challenging aspects in trauma surgery. Low profile plating systems with variable angle screw fixation represent a crucial advancement to the established angular stable locking plates with considerable attention in current research. The aim of the prospective randomized trial was to review the preliminary results and patients' outcome following treatment with these newly developed implants and to rule out potential differences in fracture treatment of two different plating systems...
December 28, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29273837/diaphyseal-long-bone-nonunions-types-aetiology-economics-and-treatment-recommendations
#15
REVIEW
Markus Rupp, Christoph Biehl, Matthäus Budak, Ulrich Thormann, Christian Heiss, Volker Alt
The intention of the current article is to review the epidemiology with related socioeconomic costs, pathophysiology, and treatment options for diaphyseal long bone delayed unions and nonunions. Diaphyseal nonunions in the tibia and in the femur are estimated to occur 4.6-8% after modern intramedullary nailing of closed fractures with an even much higher risk in open fractures. There is a high socioeconomic burden for long bone nonunions mainly driven by indirect costs, such as productivity losses due to long treatment duration...
December 22, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29273387/experience-and-volume-are-determinantive-factors-for-operative-management-of-supracondylar-humeral-fractures-in-children
#16
Sébastien Pesenti, Alexandre Ecalle, Emilie Peltier, Elie Choufani, Benjamin Blondel, Jean-Luc Jouve, Franck Launay
BACKGROUND: We compared radiographic and operative results of pediatric patients undergoing surgical treatment of displaced supracondylar humeral fracture (SCHF) according to the surgeon's experience. METHODS: During an 11-year period (2006-2016), we reviewed the medical records of 236 patients operated on for Gartland III SCHF in our institution. Operative (operative time, time to implants removal) and radiographic parameters (Baumann and lateral capitellohumeral angles) were assessed...
December 19, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29261703/transhumeral-loading-during-advanced-upper-extremity-activities-of-daily-living
#17
Alex J Drew, Morgan T Izykowski, Kent N Bachus, Heath B Henninger, K Bo Foreman
Percutaneous osseointegrated (OI) implants for direct skeletal attachment of upper extremity prosthetics represent an alternative to traditional socket suspension that may yield improved patient function and satisfaction. This is especially true in high-level, transhumeral amputees where prosthetic fitting is challenging and abandonment rates remain high. However, maintaining mechanical integrity of the bone-implant interface is crucial for safe clinical introduction of this technology. The collection of population data on the transhumeral loading environment will aid in the design of compliance and overload protection devices that mitigate the risk of periprosthetic fracture...
2017: PloS One
https://www.readbyqxmd.com/read/29248766/management-of-metastatic-humeral-fractures-variations-according-to-orthopedic-subspecialty-tumor-characteristics
#18
S J Janssen, J A M Bramer, T G Guitton, F J Hornicek, J H Schwab
HYPOTHESIS: This study assessed: (1) if there was a difference in surgical decision making for metastatic humeral lesions based on (1) orthopaedic subspecialty and (2) tumor characteristics. STUDY TYPE: Cross sectional survey study MATERIALS AND METHODS: 24 case scenarios were created by combining: tumor type, life expectancy, fracture type, and anatomical location. Participants were asked for every case: what treatment would you recommend? Participants were 78(48%) orthopaedic oncologists and 83(52%) orthopaedic surgeons that were not regularly involved in the treatment of bone tumors...
December 14, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29248764/application-of-3d-printing-technology-in-the-treatment-of-humeral-intercondylar-fractures
#19
W Zheng, J Su, L Cai, Y Lou, J Wang, X Guo, J Tang, H Chen
PURPOSE OF THE STUDY: This study was aimed to compare conventional surgery and surgery assisted by 3D printing technology in the treatment of humeral intercondylar fractures. In addition, we also investigated the effect of 3D printing technology on the communication between doctors and patients. MATERIAL AND METHODS: 91 patients with humeral intercondylar fracture were enrolled in the study from March 2013 to August 2015. They were divided into two groups: 43 cases of 3D printing group, 48 cases of conventional group...
December 14, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29248257/forearm-as-a-valuable-source-of-vascularized-bone-graft-for-the-distal-humerus
#20
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
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