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Humeral Fractures

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https://www.readbyqxmd.com/read/28735846/gartland-types-iib-and-iii-supracondylar-fractures-of-the-humerus-in-children-is-blount-s-method-effective-and-safe
#1
Thuy-Trang Pham, Franck Accadbled, Abdelaziz Abid, Aissa Ibnoulkhatib, Xavier Bayle-Iniguez, Matthieu Wargny, Jérôme Sales de Gauzy
BACKGROUND: Blount's method is controversial for the treatment of Gartland types IIB and III supracondylar fracture of the humerus (SCFH) in children. The purpose of this study was to evaluate the clinical and radiologic outcomes and the failure and complication rates. METHODS: All types IIB and III SCFH treated with Blount's method from 2003-2013 were included in this retrospective single-center study. Clinical assessment was performed according to Flynn criteria...
July 20, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28735839/epidemiology-of-proximal-humeral-fractures-a-detailed-survey-of-711-patients-in-a-metropolitan-area
#2
Daniele Passaretti, Vittorio Candela, Pasquale Sessa, Stefano Gumina
BACKGROUND: Literature lacks data concerning several epidemiologic aspects of proximal humeral fractures (PHFs). METHODS: This retrospective study included 711 consecutive patients (209 men, 502 women) who sustained a PHF in the last 3 years. Participants were divided into 2 groups, adults and children. Data regarding age, sex, date, and fracture side were collected. According to the mechanism of injury, we arbitrarily distinguished 7 subgroups. PHFs were classified according to the head-greater-lesser-shaft (HGLS)-Hertel classification and to the Salter-Harris classification using x-ray and computed tomography imaging...
July 20, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28734537/total-elbow-arthroplasty-for-primary-osteoarthritis
#3
Bradley S Schoch, Jean-David Werthel, Joaquín Sánchez-Sotelo, Bernard F Morrey, Mark Morrey
BACKGROUND: Primary osteoarthritis of the elbow is a less common indication for total elbow arthroplasty (TEA). Higher complication rates in younger, active patients may offset short-term improvements in pain and function. The purpose of this study was to determine pain relief, functional outcomes, complications, and survival of TEA in this population. METHODS: Between 1984 and 2011, 20 consecutive TEAs were performed for primary elbow osteoarthritis. Two patients died before the 2-year follow-up...
August 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28711600/double-plating-as-treatment-for-supracondylar-humeral-fractures
#4
J Salvador, P Castillón, I Fuentes, M Bernaus, F Anglès
INTRODUCTION AND OBJECTIVES: Supracondylar humeral fractures represent only about 0.5-1% of all fractures in adults. The objective of this study is to evaluate functional outcome and quality of life in patients treated with open reduction and internal fixation using double plates. MATERIAL AND METHODS: We designed a retrospective descriptive study including 27 supracondylar humeral fractures treated with open reduction and internal fixation using two anatomic plates from January 2005 to September 2012...
July 12, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28710670/management-of-proximal-humeral-fractures-by-the-ilizarov-external-fixator
#5
Mohammed Anter Meselhy, Mohamed Salah Singer
INTRODUCTION: External fixation can be performed in poor bone and soft tissue conditions, and can be used in patients with poor general conditions or multiple injuries as a rapid, mini-invasive procedure. The purpose of the current study was to evaluate the effectiveness and safety of the Ilizarov external fixator in the management of proximal humeral fractures. MATERIALS AND METHODS: Between May 2011 and December 2013, 14 patients with displaced proximal humeral fractures were enrolled in the current study...
July 14, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28708781/fracture-site-mobility-at-six-weeks-following-humeral-shaft-fracture-predicts-nonunion-without-surgery
#6
Adam S Driesman, Nina Fisher, Raj Karia, Sanjit Konda, Kenneth A Egol
OBJECTIVES: To assess the presence of fracture site gross motion on physical examination to predict humeral shaft fracture progression to nonunion in patients managed non-operatively. DESIGN: Retrospective cohort study SETTING:: Single trauma level 1 institutional center PATIENTS:: Eighty-four consecutive patients undergoing non-operative treatment of a diaphyseal humeral shaft fracture were identified. The average age of the population was 48.3 years and 50% of the cohort was male...
July 8, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28706835/surgical-technique-for-open-reduction-internal-fixation-of-an-unstable-displaced-3-part-proximal-humeral-fracture-using-a-proximal-humeral-locking%C3%A2-plate
#7
Wichan Kanchanatawan, Sunikom Suppauksorn, Thanapon Chobpenthai, Worawit Densiri-Aksorn, Warongporn Pongpinyopap, Gem Dorjiee
The proximal humeral locking plate (PHLP) is a recently developed fixed-angle implant that is an option for open reduction-internal fixation of an unstable displaced proximal humeral fracture. Various articles have reported successful outcomes using the PHLP when compared with other implant designs. However, many complications still occur with use of the PHLP, such as avascular necrosis of the humeral articular fragment, malreduction (particularly varus malalignment), and screw penetration. These complications are related to the difficulty in fixation of this particular type of fracture, as well as ineffective surgical technique...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706380/importance-of-anterior-humeral-line-for-successful-anatomical-reduction-in-the-surgical-treatment-of-pediatric-supracondylar-humeral-fractures
#8
Takamasa Shimizu, Atsushi Yoshida, Shohei Omokawa, Tadanobu Onishi, Tsutomu Kira, Shigeru Santo, Hideo Hasewgawa, Kenji Kawamura, Yasuhito Tanaka
Anterior humeral line (AHL) and tilting angle (TA) are used for the assessment of pediatric elbow sagittal plane alignment in surgical treatment of pediatric supracondylar humeral fracture. However, few studies exist that compare the reliabilities between these parameters. The purpose of this study is to determine whether measurements of radiographic parameters are reliable and useful for achieving anatomical reduction. In the current study, we demonstrated that the identifying the AHL location involves a simple and reliable measurement compared with TA...
September 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28704642/infections-after-shoulder-arthroplasty-are-correlated-with-higher-anesthetic-risk-score-a-case-control-study-in-brazil
#9
Leonardo Hideto Nagaya, Mauro José Costa Salles, Lucas Sadawo Chagas Takikawa, Marcelo Fregoneze, Pedro Doneux, Luciana Andrade da Silva, Guilherme do Val Sella, Alberto Naoki Miyazaki, Sergio Luiz Checchia
PURPOSES: Shoulder arthroplasty (SA) has been performed by many years for the treatment of several conditions, including osteoarthritis and proximal humeral fractures following trauma. Surgical site infection (SSI) following SA remains a challenge, contributing to increased morbidity and costs. Identification of risk factors may help implementing adequate strategies to prevent infection. We aimed to identify pre- and intra-operative risk factors associated with deep infections after SA...
July 10, 2017: Brazilian Journal of Infectious Diseases
https://www.readbyqxmd.com/read/28702700/clinical-and-radiological-outcomes-after-reverse-shoulder-arthroplasty-with-less-medialized-endoprosthesis-after-mean-follow-up-time-of-45%C3%A2-months
#10
Justinas Jonušas, Rūta Banytė, Sigitas Ryliškis
INTRODUCTION: The purpose of this study was to evaluate outcomes after reverse shoulder arthroplasty for the treatment of complex three- and four-fragment proximal humeral fractures after mean follow-up time of 45 months and to compare our results with the results published by other authors. MATERIALS AND METHODS: Retrospectively we have analyzed 27 consecutive patients after total arthroplasty with less medialized reverse shoulder prosthesis used for the treatment of complex proximal humeral fracture...
July 12, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28698871/comparison-of-minimally-invasive-percutaneous-plate-osteosynthesis-and-open-reduction-internal-fixation-on-proximal-humeral-fracture-in-elder-patients-a-systematic-review-and-meta-analysis
#11
REVIEW
Wei Zhao, Yuhui Zhang, Dongni Johansson, Xingyu Chen, Fang Zheng, Liangman Li
OBJECTIVE: The study aims to compare minimally invasive percutaneous plate osteosynthesis (MIPO) and open reduction internal fixation (ORIF) in the treatment of proximal humeral fracture in elder patients. METHOD: PubMed, Medline, EMbase, Ovid, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wangfang, and VIP Database for Chinese Technical Periodicals were searched to identify all relevant studies from inception to October 2016. Data were analyzed with Cochrane Collaboration's Review Manage 5...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28697085/humeral-shaft-fracture-intramedullary-nailing
#12
Sanjit R Konda, Hesham Saleh, Nina Fisher, Kenneth A Egol
INTRODUCTION: This video demonstrates the technique of intramedullary nailing for a humeral shaft fracture. METHODS: The patient is a 30-year-old man who sustained a gunshot wound to his right arm. The patient was indicated for humeral nailing given the comminuted nature of the diaphysis and to allow for minimal skin incisions. Other relative indications include soft-tissue compromise about the arm precluding a large surgical exposure. RESULTS: This video presents a case of a comminuted humeral shaft fracture treated with an intramedullary nail...
August 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28697084/posterior-fracture-dislocation-of-the-shoulder-a-modified-mclaughlin-procedure
#13
Sanjit R Konda, Nina Fisher, Mark Gage, Kenneth A Egol
PURPOSE: Bilateral posterior fracture dislocation is a rare injury commonly associated with seizures. When the humeral head defect (reverse Hill-Sachs lesion) is between 20% and 45%, operative fixation using a modified McLaughlin procedure is recommended. This video demonstrates a case of bilateral posterior fracture dislocation after a drug-induced seizure treated with a modified McLaughlin procedure. METHODS: The original McLaughlin procedure involved transfer of the subscapularis tendon from the lesser tuberosity to the reverse Hill-Sachs defect...
August 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28694341/open-reduction-and-internal-fixation-of-humeral-shaft-fractures-versus-conservative-treatment-with-a-functional-brace-a-study-protocol-of-a-randomised-controlled-trial-embedded-in-a-cohort
#14
Lasse Rämö, Simo Taimela, Vesa Lepola, Antti Malmivaara, Tuomas Lähdeoja, Mika Paavola
INTRODUCTION: Humeral shaft fractures represent 1%-3% of all fractures and 20% of humeral fractures in adults. The treatment of these fractures is mainly conservative and operative treatment is usually reserved for specific circumstances. To date, no randomised controlled trial (RCT) has compared operative treatment of humeral shaft fractures with conservative treatment. METHODS AND ANALYSIS: We will conduct an RCT to compare the effectiveness and cost-effectiveness of surgical and conservative treatment of humeral shaft fractures...
July 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28689829/polyethylene-dissociation-from-humeral-stem-status-after-reverse-total-shoulder-arthroplasty
#15
Karan A Patel, Kara L Boyd, Kevin J Renfree, Steven J Hattrup
BACKGROUND: Reverse shoulder arthroplasty (RSA) is an important treatment option for 4-part proximal humerus fractures in the elderly and arthrosis of the glenohumeral joint with incompetence of the rotator cuff. Unique complications do occur with use of this type of prosthesis. METHODS: We present 4 cases of polyethylene dissociation after RSA. RESULTS: In a series of 549 patients who underwent RSA, the incidence of polyethylene dissociation was found to be 0...
July 6, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28689822/fracture-line-morphology-of-complex-proximal-humeral-fractures
#16
Afsana P Hasan, Joideep Phadnis, Ruurd L Jaarsma, Gregory I Bain
BACKGROUND: The aim of this study was to assess proximal humeral fracture patterns using 3-dimensional computed tomography images and relate them to the normal osseous landmarks and soft-tissue attachments. METHODS: Forty-eight 3-dimensional computed tomography scans of proximal humeral fractures were retrospectively collected, and the fractures were transcribed onto proximal humeral templates. We analyzed the common location and orientation of the fracture lines, with a focus on fractures of the articular surface, tuberosities, metaphysis, and proximal diaphysis...
July 6, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28688933/defining-optimal-calcar-screw-positioning-in-proximal-humerus-fracture-fixation
#17
Eric M Padegimas, Benjamin Zmistowski, Cassandra Lawrence, Aaron Palmquist, Thema A Nicholson, Surena Namdari
BACKGROUND: Anatomic reduction and placement of an inferior calcar screw are strategies to prevent fixation failure in proximal humerus factures. Optimal position of the calcar screw remains unknown. METHODS: There were 168 shoulders (68.5% female; average age, 63.6 ± 11.5 years) that underwent open reduction and internal fixation of a displaced proximal humerus fracture involving the surgical or anatomic neck. Univariate and multivariate analyses were performed on preoperative clinical, preoperative radiographic, and postoperative radiographic variables to determine association with fixation failure...
July 5, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28678003/closed-reduction-and-percutaneous-pinning-of-supracondylar-humerus-fractures-in-children-using-a-semi-sterile-technique-in-a-low-resource-south-asian-setting-infection-rate-and-functional-outcome
#18
Manoj K Gupta, Sanjay Meena, Sumit Anand, Rajendra K Arya
The purpose of this study was to determine infection rate and functional outcome after percutaneous pinning of supracondylar humeral fractures using a semi-sterile technique. A total of 183 children were treated in this fashion between 2008 and 2014. They were evaluated for postoperative infection and other complications. Clinical evaluation was made using Flynn's criteria. Only seven patients (4%) developed superficial pin tract infections, which all settled with pin tract dressings and oral antibiotics. Loss of reduction was seen in 22 (12%) patients, cubitus varus in six (3%) and nerve injury in four (2%)...
January 1, 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28671877/single-screw-fixation-of-adolescent-salter-ii-proximal-humeral-fractures-biomechanical-analysis-of-the-one-pass-door-lock-technique
#19
Mark Carl Miller, Christopher N Redman, Ronald J Mistovich, Muturi Muriuki, Mark J Sangimino
BACKGROUND: Pin fixation of Salter-II proximal humeral fractures in adolescents approaching skeletal maturity has potential complications that can be avoided with single-screw fixation. However, the strength of screw fixation relative to parallel and diverging pin fixation is unknown. To compare the biomechanical fixation strength between these fixation modalities, we used synthetic composite humeri, and then compared these results in composite bone with cadaveric humeri specimens. METHODS: Parallel pinning, divergent pinning, and single-screw fixation repairs were performed on synthetic composite humeri with simulated fractures...
June 30, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28671095/combination-of-locking-plate-and-anti-osteoporosis-drug-for-the-treatment-of-senior-osteoporotic-proximal-humeral-fractures
#20
Hao Chen, Qing Zhou, Jinlian Liu
To analyze and evaluate the clinical efficacy of the combination of locking plate and anti-osteoporosis drug for the patients with senior osteoporotic proximal humerus fractures. 120 patients with senior osteoporotic proximal humerus fractures were selected as research objects. According to the differences of treatment options, they were divided into two groups, i.e., 60 patients in observation group accepting the treatment of combination of locking plate and anti-osteoporosis drug, the other 60 patients in the control group accepting simple locking plate treatment...
May 2017: Pakistan Journal of Pharmaceutical Sciences
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