keyword
https://read.qxmd.com/read/38527088/non-operative-treatment-of-humeral-shaft-fractures-with-immediate-functional-bracing-versus-coaptation-splinting-and-delayed-functional-bracing-a-retrospective-study
#1
JOURNAL ARTICLE
Maaz Muhammad, Jeffrey A Foster, Jarod T Griffin, Daria L Kinchelow, Carlos R Sierra-Arce, Wyatt G S Southall, Ferras Albitar, Eric S Moghadamian, Raymond D Wright, Paul E Matuszewski, David A Zuelzer, Daniel D Primm, Gregory S Hawk, Arun Aneja
OBJECTIVES: To compare radiographic and clinical outcomes in non-operative management of humeral shaft fractures treated initially with coaptation splinting (CS) followed by delayed functional bracing (FB) versus treatment with immediate FB. METHODS: Design: Retrospective cohort study. SETTING: Academic Level 1 Trauma Center. PATIENT SELECTION CRITERIA: Patients with closed humeral shaft fractures managed non-operatively with initial CS followed by delayed FB or with immediate FB from 2016 to 2022...
March 25, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38521483/comparison-of-locking-plate-alone-and-locking-plate-combined-with-3d-printed-polymethylmethacrylate-augmentation-in-treating-proximal-humerus-fractures-in-the-elderly
#2
JOURNAL ARTICLE
Xiang-Yu Ma, Tian-Yu Han, Da-Peng Zhou, Dong Cui, Bing Liu, Yong Zhao, Hai-Peng Xue, Hai-Long Yu, Hong Yuan
BACKGROUND: Locking plates are widely used in open reduction internal fixation (ORIF) for proximal humeral fracture (PHF). However, the optimal surgical treatment of unstable, displaced PHF in elderly patients remains controversial. This study aimed to compare the radiological and clinical outcomes of surgical treatment of PHF in the elderly with locking plate (LP) alone and locking plate combined with 3D printed polymethylmethacrylate (PMMA) prosthesis augmentation (LP-PA). METHODS: From May 2015 to April 2021, a total of 97 patients aged ≥ 60 years with acute unstable PHF who underwent osteosynthesis with either LP (46 patients) or LP-PA (51 patients) were retrospectively analyzed...
March 21, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38517527/conservative-treatment-of-3-and-4-part-proximal-humeral-fractures-can-poor-outcomes-be-predicted
#3
JOURNAL ARTICLE
George Matheron, Melissa Mahoney, Peter Domos
PURPOSE: 3- and 4-part proximal humeral fractures are frequently treated conservatively. This study aims to combine radiographic, and patient reported outcome data to identify factors leading to poor outcomes following conservative treatment. METHODS: A retrospective local database analysis identified 3- and 4-part fractures. Radiographic and functional outcomes including Oxford Shoulder Score (OSS), QuickDash (QD), Subjective Shoulder Score (SSV) and VAS pain scores were collected...
March 22, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38515417/-clinical-effect-of-allogeneic-peroneal-bone-marrow-support-combined-with-plate-fixation-for-the-treatment-of-neer-type-%C3%A2-proximal-humeral-fractures
#4
JOURNAL ARTICLE
Zhen-Guo Sun, Zhan-Feng Zhang, Wen-Lin Hu, Zeng-Bing Xia
OBJECTIVE: To explore clinical effect of allogeneic peroneal bone marrow support combined with plate internal fixation in treating Neer type Ⅳproximal humeral fractures. METHODS: From December 2017 to December 2020,12 patients with Neer type Ⅳ proximal humeral fractures were treated with allogeneic peroneal bone marrow support combined with plate internal fixation,including 7 males and 5 females,aged from 56 to 78 years old;the time from injury to operation ranged from 1 to7 days...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38497851/the-top-100-most-cited-articles-on-intramedullary-nail-fixation-from-2018-2022-a-bibliometric-and-visualized-analysis
#5
JOURNAL ARTICLE
H Huang, F Yang, H-Q Zuo, L-J Dong
OBJECTIVE: Intramedullary nails are commonly used for the purposes of internal fixation in the repair of tubular bone fractures, allowing for optimal fixation while minimizing intraoperative bleeding, surgical incision size, and associated stress. These nails are thus often utilized to repair hip and peripheral fractures, femur fractures, tibial fractures, humerus fractures, and clavicle fractures. Recent life expectancy increases, rising economic standards, and technological innovations have led to the application of a wider range of materials and techniques in the context of orthopedic device production, further expanding the clinical indications for intramedullary nailing...
March 2024: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38496197/comparing-intramedullary-nails-and-locking-plates-in-displaced-proximal-humerus-fracture-management-a-systematic-review-and-meta-analysis
#6
REVIEW
Stacey S D'Almeida, Reily Cannon, Nguyen T Vu, Brent A Ponce, David Redden
This study aims to provide an updated review comparing the complication rates and clinical outcomes of intramedullary nails and locking plates (LPs) in displaced proximal humerus fracture (PHF) management. We performed a systematic review of the Cochrane Central Register of Controlled Trials, Clinical Trials Registry, EMBASE, and PubMed. Studies with level III evidence or higher comparing intramedullary nails and LPs used for internal fixation of displaced PHFs were included. The Methodological Index for Nonrandomized Studies (MINORS) criteria and Cochrane Handbook for Systematic Reviews of Interventions 5...
February 2024: Curēus
https://read.qxmd.com/read/38496105/reverse-shoulder-megaprosthesis-for-massive-proximal-humeral-bone-loss-in-fracture-outcome-settings-a-report-of-two-cases-and-literature-review
#7
Vincenzo Morea, Alberto Polizzi, Giuseppe Niccoli, Guido Zattoni, Luca Andriollo
In trauma settings, including the management of outcomes, there is no consensus on the most appropriate reconstructive method in the presence of severe bone loss of the proximal humerus. The objective of this report is to evaluate the short-term functional outcomes of two patients in whom reverse shoulder megaprosthesis was used to treat the failure of trauma surgery with severe bone loss. The secondary objective was to compare the results obtained with the literature regarding the use of megaprosthesis in shoulder trauma surgery...
February 2024: Curēus
https://read.qxmd.com/read/38466506/coil-embolization-of-a-giant-pseudoaneurysm-associated-with-a-disrupted-axillary-artery-a-case-report
#8
JOURNAL ARTICLE
Naoki Oka, Akira Kuriyama, Yukio Ishisaka
BACKGROUND: Stent-graft placement is generally used to treat pseudoaneurysm (PSA) of the axillary artery (AA) trunk to maintain the patency of peripheral vessels. Coil embolization of a PSA associated with a disrupted AA trunk has rarely been reported. CASE PRESENTATION: A 54-year-old woman presented with swelling of her right shoulder. She had had a right proximal humeral fracture 12 years earlier. Contrast-enhanced computed tomography (CECT) and subsequent angiograms revealed a giant PSA at the disrupted, distal right AA...
March 11, 2024: CVIR Endovascular
https://read.qxmd.com/read/38464921/simple-bone-cysts-of-the-proximal-humerus-presented-with-limb-length-discrepancy-a-case-report
#9
Cing Syue Lin, Shang Ming Lin, Syang-Peng Rwei, Chin-Wen Chen, Tsung-Yu Lan
BACKGROUND: Simple bone cysts (SBC) are benign tumor-like bone lesions typically identified in children. While SBC may lead to growth disturbances or growth arrest, such cases are uncommon. The mechanisms behind these observations remain unclear. Additionally, research on the etiology of SBC remains inconclusive, and there has been no consensus on the appropriate timing and methodology for treatment. CASE SUMMARY: Here, we present our experience in the successful surgical management of a 10-year-old girl with SBC, who presented with a pathological fracture complicated by malunion of the displaced fracture, varus deformity, and limb length discrepancy...
February 26, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/38449969/satisfactory-short-term-outcomes-of-reverse-shoulder-arthroplasty-for-complex-three-and-four-part-fractures-of-the-humeral-head-in-octogenarians
#10
JOURNAL ARTICLE
Ioannis Gigis, Theofylaktos Kyriakidis, Triantafyllos Katsimentzas, Alexandros Nenopoulos, Roderich Heikenfeld, Konstantinos Ditsios, Periklis Papadopoulos
BACKGROUND: Proximal humeral fractures with severe comminution and poor bone quality are among the most common injuries in the elderly population. Reverse shoulder arthroplasty (RSA) has been widely used to manage complex three- and four-part humeral head fractures. The purpose of the present study was to report the result of this technique in the demanding population of octogenarians. MATERIALS AND METHODS:  Twenty-six patients above the age of 80 years were included in the study and followed for a minimum of one-year follow-up...
February 2024: Curēus
https://read.qxmd.com/read/38430235/correction-to-stress-shielding-short%C3%A2-term-radiological-results-of-the-reverse-shoulder-arthroplasty-with-an-anatomic-proximal-coated-stem-in-proximal-humeral-fractures
#11
Francesc Goñalons-Giol, Cristina Ventura-Parellada, Ferran Gàmez-Baños, Jose María Mora-Guix
No abstract text is available yet for this article.
March 2, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38428478/reverse-total-shoulder-arthroplasty-for-acute-proximal-humeral-fracture-has-comparable-10-year-outcomes-to-elective-indications-results-from-the-new-zealand-joint-registry
#12
JOURNAL ARTICLE
Scott M Bolam, Zoe Wells, Mei Lin Tay, Chris M A Frampton, Brendan Coleman, Adam Dalgleish
HYPOTHESIS AND BACKGROUND: Recently, the indication of reverse total shoulder arthroplasty (RTSA) has expanded beyond rotator cuff arthropathy to include treatment of complex acute proximal humeral fracture (PHF). Limited previous studies have compared the long-term clinical and functional outcomes of patients undergoing RTSA for PHF versus elective indications for degenerative conditions. The purpose of this study was to compare implant survivorship, reasons for revision and functional outcomes in patients undergoing RTSA for acute PHF with those undergoing elective RTSA in a population-based cohort study...
February 28, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38428374/biomechanical-comparison-of-composite-and-cadaveric-humeri-models-in-experiments-on-operated-humeral-shaft-fractures
#13
JOURNAL ARTICLE
Patricia R Melvin, Benjamin M Wheatley, Patrick J Schimoler, Alexander Kharlamov, Mark C Miller, John J Elias, Gregory T Altman
A study was undertaken to determine how well contacting fracture fragments of composite bone replicated the behavior of fracture fragments in real bone. Ten composite and ten real humeral diaphyses were transected and reconstructed with limited-contact dynamic-compression plates. Two screws were placed on each side of the transection site and a calibrated electronic sensor sheet was placed between the imitated fracture fragments. After insertion of the distal screws, pressure measurements were made during insertion of the first proximal screw in compression mode, during insertion of the second screw in compression mode after loosening the first screw, and finally after retightening the first screw...
February 24, 2024: Journal of Biomechanics
https://read.qxmd.com/read/38425832/comparison-of-functional-outcomes-and-complications-of-inlay-and-onlay-reverse-shoulder-arthroplasty-in-neer-type-4-proximal-humerus-fractures-and-cuff-tear-arthropathy-a-multicentric-study
#14
JOURNAL ARTICLE
Sinan Kahraman, Bulent Karslioglu, Yunus Imren, Ahmet Keskin, Kerem Bilsel, Suleyman Semih Dedeoglu
BACKGROUND: This multicenter retrospective study was conducted with the objective of comparing the outcomes and complications between inlay and onlay reverse shoulder arthroplasty (RSA) in patients presenting Neer Type 4 proximal humerus fractures and cuff tear arthropathy. The primary aim of this investigation was to assess and juxtapose the clinical as well as functional outcomes of individuals who underwent onlay reverse shoulder arthroplasty with those who underwent inlay reverse shoulder arthroplasty...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38423870/characteristics-and-functional-outcomes-of-varus-displaced-proximal-humerus-fractures
#15
JOURNAL ARTICLE
Sung Weon Jung, Jong Min Jeon, Chul Ho Lee
BACKGROUND: The purpose of this study was to compare fracture characteristics and functional outcomes between patients with proximal humerus fractures with and without initial varus displacement. METHODS: A retrospective review of 325 patients with proximal humerus fractures was performed. Patients with initial varus displacement were placed in Varus cohort and were age- and sex-matched 1:1 with a second cohort presenting proximal humerus fractures without varus displacement, referred to as Fracture cohort...
February 28, 2024: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://read.qxmd.com/read/38420517/anatomic-reduction-of-greater-tuberosity-fragment-for-shoulder-hemiarthroplasty-a-predictor-of-good-clinical-outcome
#16
JOURNAL ARTICLE
Francesco Lazzarini, Marco Distefano, Tony Shen, Gregorio Secci, Michael Cresci, Raffaele Tucci, Luigi Zanna
OBJECTIVES: Proximal humerus fractures account for four-five % of all fractures. Shoulder hemiarthroplasty is indicated for complex fractures with high complication rates when treated with ORIF. This study aims to evaluate the correlation between the proper intraoperative tuberosity reduction, and the mid-to-long-term clinical outcome in a series of patients treated with hemiarthroplasty after proximal humerus fracture. METHODS: Forty-one patients with proximal humerus fractures who underwent hemiarthroplasty surgery between July 2009 and December 2019 were retrospectively reviewed...
2024: Archives of Bone and Joint Surgery
https://read.qxmd.com/read/38420251/outcome-of-osteosynthesis-of-late-presenting-proximal-humerus-non-union-a-case-series
#17
JOURNAL ARTICLE
John Mukhopadhaya, Niraj Narain Singh, Arvind Prasad Gupta, Janki Sharan Bhadani
INTRODUCTION: It can be challenging to treat proximal humeral non-union (PHN). The challenge gets compounded when they are presented either late or after previous surgery. The challenges are far greater due to small proximal fragments, scalloping of the head, medial bone defect, osteoporosis, soft tissue contractures, and problems related to the previous implants. MATERIAL AND METHODS: In this retro-prospective study (2007-2020), we report on six cases of PHN which were presented to us more than 5 years after the original injury and managed using an intra-medullary autologous fibular strut graft (FSG) along with fixation with a proximal humeral locking plate and cancellous bone grafting...
February 2024: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38418743/three-dimensional-printed-models-can-reduce-costs-and-surgical-time-for-complex-proximal-humeral-fractures-preoperative-planning-patient-satisfaction-and-improved-resident-skills
#18
JOURNAL ARTICLE
Andrea Fidanza, Gianfilippo Caggiari, Francesco Di Petrillo, Enrico Fiori, Alberto Momoli, Giandomenico Logroscino
BACKGROUND: Proximal humeral fractures (PHFs) are still controversial with regards to treatment and are difficult to classify. The study's objective is to show that preoperative planning performed while handling a three-dimensional (3D) printed anatomical model of the fracture can ensure a better understanding of trauma for both surgeons and patients. MATERIALS AND METHODS: Twenty patients (group A, cases) with complex PHF were evaluated preoperatively by reproducing life-size, full-touch 3D anatomical models...
February 28, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38417733/reverse-total-shoulder-arthroplasty-with-proximal-bone-loss-a-biomechanical-comparison-of-partially-versus-fully-cemented-humeral-stems
#19
JOURNAL ARTICLE
Carlos Maturana, Brandon Peterson, Brendan Shi, Bailey Mooney, Tyler Clites, Thomas J Kremen
BACKGROUND: The appropriate amount of cementation at the time of reverse total shoulder arthroplasty with significant proximal bone loss or resection is unknown. Extensive cementation of a humeral prosthesis makes eventual revision arthroplasty more challenging, increasing the risk of periprosthetic fracture. We analyzed the degree of subsidence and torque tolerance of humeral components undergoing standard cementation technique versus our reduced polymethyl methacrylate (PMMA) protocol...
February 26, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38381844/comparing-the-biomechanical-stability-of-cerclage-cable-with-plate-insert-versus-locking-screw-in-periprosthetic-humeral-fracture
#20
JOURNAL ARTICLE
Yong-Jun Lee, Joon-Ryul Lim, Jee-Hoon Choi, Tae-Hwan Yoon, Yun-Rak Choi, Yong-Min Chun
BACKGROUND: In the setting of periprosthetic humeral fractures, the humeral stem of the implant represents a substantial challenge to the optimal method of proximal fixation. This study aimed to compare the initial biomechanical stability provided by cerclage cables with a locking plate insert versus bicortical locking screws (i.e., the gold standard for fixation) in fresh cadaveric humeri. METHODS: After calculating the sample size, we utilized 10 sets of cadaveric specimens and created a 5-mm osteotomy gap 120 mm distal to the tip of the greater tuberosity, simulating a Wright and Cofield type-B periprosthetic humeral fracture on each specimen...
February 21, 2024: Journal of Bone and Joint Surgery. American Volume
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