Outcomes following distal humerus fractures. Medical search. Frequent questions

We conducted an ambispective cohort study of ten patients who underwent open reduction and internal fixation of the distal humerus through the TOFS approach at a tertiary hospital between March 2016 and January 2019. (scielo.org.za)
TOFS is a successful surgical approach for reduction and fixation of AO type C intra-articular distal humerus fractures, with excellent tendon healing rates. (scielo.org.za)
Good results were obtained in fractures treated with stable fixation, in early performed surgeries, and in early started rehabilitation. (bezmialem.edu.tr)
5] As surgeons became more adept at surgical reduction and internal fixation, the Arbeitsgemeinschaft für Osteosynthesefragen-Association for the Study of Internal Fixation (AO-ASIF) group described a classification based on fracture pattern and degree of comminution (see Classification). (medscape.com)
The "bag of bones" treatment was used when bone quality or fracture pattern was not sufficient to gain stable fixation. (medscape.com)
Maintenance of Hardware After Early Postoperative Infection for Fracture Internal Fixation. (wustl.edu)
Locking and nonlocking constructs achieve similar radiographic and clinical outcomes for internal fixation of intraarticular distal humerus fractures. (wustl.edu)
Have outcomes after patella fracture fixation improved in the last 33 years? (wustl.edu)
Catastrophic failure following open reduction internal fixation of femoral neck fractures with a novel locking plate implant. (wustl.edu)
Malleolar fractures and their ligamentous injury equivalents have similar outcomes in supination external rotation type IV ankle fractures treated by anatomical internal fixation. (wustl.edu)
Open reduction internal fixation of proximal humerus fractures. (wustl.edu)
Outcomes of Schatzker II tibial plateau fracture open reduction internal fixation using structural bone allograft. (wustl.edu)
We hypothesize that the number of screws in the articular segment of distal humerus AO/OTA C-type fractures treated with open reduction internal fixation (ORIF) will be inversely proportional to the complication rate. (sicot-j.org)
In C-type fractures, the use of three or fewer articular screws was significantly associated with nonunion or loss of fixation (RR 17, p = 0.006). (sicot-j.org)
In this retrospective study, the use of three or fewer screws to fix articular fragments in AO type C fractures was a significant risk for nonunion or loss of fixation. (sicot-j.org)
Complications of distal humerus open reduction and internal fixation (ORIF) occur in up to 35% of patients [ 2 - 4 ]. (sicot-j.org)
In fractures of the neck of the fifth metacarpal, internal fixation with a Kirschner's wire is a conventional treatment method with variants that affect its outcome. (bvsalud.org)
Severely comminuted fractures of distal humerus are challenging to treat and multiple cantilever K-wiring can be used as a preferable alternative for fixation. (jocr.co.in)
Here, we present an unusual case of a 5-week-old unreduced anterior dislocation of the elbow joint with medial epicondyle and lateral condyle humerus fracture in a 30-year-old male patient and describe a unique technique for fixation of comminuted articular fragments. (jocr.co.in)
Canadian Orthopaedic Trauma, Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures. (dntb.gov.ua)
Carbonell-Escobar, Analysis of the variables affecting outcome in fractures of the tibial pilon treated by open reduction and internal fixation, J. Clin. (dntb.gov.ua)
EADHP offers us advantage over conventional dual plating or single posterior plating in terms of less soft tissue exploration, rigid construct, anatomically contoured plating and can be considered as many options for fixation of extra articular distal humeral fractures with excellent radiological and functional outcomes. (orthopaper.com)
Background: Standard treatment of type C elbow fractures is open reduction and internal fixation using reconstruction plates and pins. (traumamon.com)
Objectives: The aim of this study was to evaluate the functional outcome following internal fixation of intraarticular fractures of the distal humerus (AO Type C) with a minimum follow-up of three years. (traumamon.com)
Conclusions: Complications were minimal and outcomes were satisfactory in patients with type C distal humerus fractures who underwent bilateral plate fixation via a posterior approach. (traumamon.com)
Open Reduction and Internal Fixation of Intraarticular Fractures of the Humerus: Evaluation of 33 Cases', Trauma Monthly , 17(4), pp. 396-400. (traumamon.com)
Mardanpour, K., Rahbar, M. Open Reduction and Internal Fixation of Intraarticular Fractures of the Humerus: Evaluation of 33 Cases. (traumamon.com)
Does Intermediate Pedicle Screw Fixation in Thoracolumbar Fractures Provide a Better Functional Outcome? (jojs.in)
1] ATIF M,HASAN O,MOHIB Y,et al.Does surgical approach affect outcome after fixation of intra-articular fractures of distal humerus? (totcm.org.cn)
3] HAN S H,PARK J S,BAEK J H,et al.Complications associated with open reduction and internal fixation for adult distal humerus fractures:a multicenter retrospective study[J].J Orthop Surg Res,2022,17(1):399. (totcm.org.cn)
12] KU K H,BAEK J H,KIM M S.Risk factors for non-union after open reduction and internal fixation in patients with distal humerus fractures[J].J Clin Med,2022,11(10):2679. (totcm.org.cn)
In addition to poor bone quality, which makes fracture fixation more difficult, comorbid conditions often lead to perioperative complications and hamper rehabilitation. (mdpi.com)
Various factors, such as patient age, comorbidities, activity level, age of the fracture or pre-injury arthrosis, and experience of the surgeon influence the decision-making for fixation. (mdpi.com)
The purpose of this Special Issue is to discuss the evidence for the fixation/prosthetic treatment of osteoporotic fractures in the elderly considering innovations and developments in the future as well. (mdpi.com)
Locked plate technology for fixation of fractures associated with poor bone quality has expanded in recent years. (scielo.org.za)
In a recent prospective randomised control trial (PRCT) of 50 patients comparing non-operative management and locked-plate fixation for complex displaced fractures, it was reported that at 12 months the functional scores (American Shoulder and Elbow Score ASES, and Constant Score CS) were similar, and that the only significant difference was better radiographs in the operated group. (scielo.org.za)
Reoperation Risk After Total Elbow Arthroplasty Versus Open Reduction Internal Fixation for Distal Humerus Fractures in Elderly Patients. (rush.edu)
Two of the most common surgical procedures for elbow fractures are closed reduction percutaneous pinning and open reduction internal fixation. (raleighortho.com)
The goal of surgery is to provide rigid fixation of the fracture and ensure stability to the elbow joint. (juliancarlomd.com)
When fractures are displaced or have many fragments, surgery for fixation of the fracture or for replacement of the head of a radius with a prosthesis is recommended. (juliancarlomd.com)
10) Intra operative changes of treatment due to small diameter of humerus shaft to use nail, fracture line through the nail entry point or severely reduced bone quality resulting in fixation problems with either implants. (who.int)
This nail has 4 cannulated proximal screws to provide fixation perpendicular to fracture lines and to avoid reduction loss due to the pull-out force of rotator cuff. (who.int)

4] VIRANI S R,SONONE S,DAHAPUTE A A,et al.Functional results of communited intra-articular distal humerus fractures treated with bicolumnar plating[J].J Clin Diagn Res,2017,11(4):RC01-RC03. (totcm.org.cn)
13] HAGLIN J M,KUGELMAN D N,LOTT A,et al.Intra-articular distal humerus fractures:parallel versus orthogonal plating[J].HSS J,2022,18(2):256-263. (totcm.org.cn)

Types include proximal humeral fractures, humeral shaft fractures, and distal humeral fractures. (wikipedia.org)
Many humerus shaft fractures may be treated with a brace rather than surgery. (wikipedia.org)
Proximal and shaft fractures generally have a good outcome while outcomes with distal fractures can be less good. (wikipedia.org)
Displaced fractures of the humerus shaft will often cause deformity and a shortening of the length of the upper arm. (wikipedia.org)
A stress fracture of the proximal and shaft regions can occur after an excessive amount of throwing, such as pitching in baseball. (wikipedia.org)
Physical trauma to the humerus shaft tends to produce transverse fractures whereas falls tend to produce spiral fractures. (wikipedia.org)
Metastatic breast cancer may also cause fractures in the humerus shaft. (wikipedia.org)
Long spiral fractures of the shaft that are present in children may indicate physical abuse. (wikipedia.org)
Fractures of the humerus shaft are usually correctly identified with radiographic images taken from the AP and lateral viewpoints. (wikipedia.org)
Damage to the radial nerve from a shaft fracture can be identified by an inability to bend the hand backwards or by decreased sensation in the back of the hand. (wikipedia.org)
The purpose of the study is to compare patient reported outcome after surgical and non-surgical treatment for humeral shaft fractures. (researchsquare.com)
A pragmatic randomized controlled trial is planned with two study groups (SHAFT-Y and SHAFT-E). A total of 287 eligible acute humeral shaft fractures are scheduled to be recruited and randomly allocated to surgical or non-surgical treatment with the option of early crossover due to delayed union. (researchsquare.com)
SHAFT will provide information on the effectiveness of two standard treatments for humeral shaft fractures, while taking the dilemmas within the population into account. (researchsquare.com)
The incidence of humeral shaft fracture is between 13.5-20 per 100.000 annually(1,2). (researchsquare.com)
It is projected that the incidence of humeral shaft fractures will increase due to changing demographics(1). (researchsquare.com)
Considering this demographic difference, the importance of age in terms of patient expectations, upper limb function and patient-reported outcome measures (PROM) in humeral shaft fracture treatment is not well understood. (researchsquare.com)
One of the main challenges with humeral shaft fractures is the choice between surgical and non-surgical treatment(3). (researchsquare.com)
Predictive radiographic markers for concomitant ipsilateral ankle injuries in tibial shaft fractures. (wustl.edu)
Neurovascular injury can occur in this type of fracture because the shaft may be displaced into the axilla. (teachmeorthopedics.info)
Incidence and Epidemiology of Tibial Shaft Fractures. (edu.iq)
No difference in the long term final functional outcome after nailing or cast bracing of high energy displaced tibial shaft fractures. (edu.iq)
These pictures show a normal clavicle a fractured mid-shaft clavicle and a clavicle fixed with surgery. (drjarradstevens.com)
14] KHARBANDA Y,TANWAR Y S,SRIVASTAVA V,et al.Retrospective analysis of extra-articular distal humerus shaft fractures treated with the use of pre-contoured lateral column metaphyseal LCP by triceps-sparing posterolateral approach[J].Strategies Trauma Limb Reconstr,2017,12(1):1-9. (totcm.org.cn)

All the 20 subjects (n=20) of fracture humerus were operated using postero-lateral approach and Extra Articular Distal Humerus Locking compression plate 3.5 mm was used (EADHP). (orthopaper.com)

Substantial disability also was reported after fractures of thoracic vertebrae, humerus, distal forearm, ankle and foot. (umn.edu)
4) distal forearm and (5) hip) were identified through register linkages with follow-up 2007-2016. (bvsalud.org)
IRs (men/women) for fractures of the humerus, forearm or hip in AS were 4.0 (95% CI 3.5 to 4.6)/6.3 (95% CI 5.4 to 7.3) and in controls 2.7 (95% CI 2.5 to 2.9)/5.5 (95% CI 5.1 to 6.0), IRR (men/women) 1.5 (95% CI 1.3 to 1.7)/1.1 (95% CI 0.9 to 1.3). (bvsalud.org)
IRRs were statistically significantly elevated in men with AS versus controls for forearm fracture (1.4 (95% CI 1.1 to 1.7)) and hip fracture (1.8 (95% CI 1.4 to 2.3)), whereas not in women with AS where the IRRs were 1.1 (95% CI 0.9 to 1.4) and 1.0 (95% CI 0.6 to 1.4). (bvsalud.org)
We found that the risk of major osteoporotic fractures (hip, non-cervical vertebral, humerus, and distal forearm fractures) was higher for subjects with VF than without VF: incidence rates (IRs) were 32.88 and 19.59 fractures per 1000 subject-years, respectively, and the adjusted hazard ratio (HR adj ) was 1.72 (95% confidence interval [CI], 1.03-2.86). (soton.ac.uk)
The elbow is the joint in the center of each arm which is made up of three bones: the ulna (forearm bone on the pinky side), radius (forearm bone on the thumb side), and humerus (upper arm bone). (raleighortho.com)
Radial head / neck fractures: The radius is the forearm bone whose rotation around the stationary ulna results in forearm rotation. (juliancarlomd.com)

Consequently, ORIF of displaced distal humerus fractures has become the standard of care for most patients. (medscape.com)
We performed a single-center retrospective cohort study of 27 patients who underwent ORIF of distal humerus fractures C-type with at least six months of radiographic and clinical follow-up. (sicot-j.org)
We, therefore, performed this study with the purpose of evaluating risk factors for complications of distal humerus ORIF. (sicot-j.org)
This is a single-center retrospective cohort study of 27 consecutive unselected patients who underwent ORIF of distal humerus fractures AO type C between 2007 and 2017. (sicot-j.org)

For patient education resources, see the Breaks, Fractures, and Dislocations Center , as well as Broken Arm and Broken Elbow . (medscape.com)
Dr. Berkes specializes in the nonoperative and operative management of acute fractures and dislocations of the upper and lower extremities as well as fractures that fail to heal (nonunions). (wustl.edu)
With the increasing burden of COVID-19 on the hospitals, cases of conservatively managed fractures and dislocations with adverse outcomes have become more prevalent. (jocr.co.in)
As well as surgery for fractures, joint dislocations and soft tissue injuries, trauma is a subspecialty interest of Dr Stevens. (drjarradstevens.com)
Check for glenohumeral joint dislocation - Dislocations with associated isolated greater tuberosity fracture can be reduced under conscious sedation. (orthojournalhms.org)

They are associated with higher complications than other elbow fractures, thus it is critical to appropriately diagnose and treat. (posna.org)
These fractures have been associated with higher energy injuries compared to other elbow fractures. (posna.org)
Fractures of the distal humerus make up 2-6% of all humeral fractures and 30% of all elbow fractures [ 1 ]. (sicot-j.org)
Elbow fractures: distal humerus. (medscape.com)
mean age 34.3years) type C elbow fractures were treated and observed over a period of three years. (traumamon.com)
Elbow fractures happen quite often, especially in children, and can be extremely painful and make elbow motion difficult. (raleighortho.com)
The three main types of elbow fractures include an olecranon fracture, radial head fracture, and a distal humerus fracture, each having their own distinct characteristics and symptoms. (raleighortho.com)
Elbow fractures can be diagnosed with a physical examination and imaging tests such as an X-ray. (raleighortho.com)
The majority of elbow fractures do not require surgery. (raleighortho.com)
Elbow fractures are breaks in the bones near or involving the elbow joint. (juliancarlomd.com)
Initial management of elbow fractures involves obtaining x-rays that provide information on the nature and severity of the injury. (juliancarlomd.com)

Neer divides proximal humeral fractures into six groups, as shown in Fig. 17-1 , and this concept is useful in considering the management of the injury. (teachmeorthopedics.info)
Displaced proximal humeral fractures. (teachmeorthopedics.info)
Proximal humeral fractures account for around 5% of humeral fractures. (scielo.org.za)

Distal humerus fractures are traumatic injuries to the distal part of the humerus. (medscape.com)
These injuries include supracondylar fractures , single-column (condyle) fractures, bicolumn fractures, and coronal shear fractures. (medscape.com)
Distal humerus fractures in adults are relatively uncommon injuries, representing only about 3% of all fractures in adults. (medscape.com)
Although these injuries are relatively rare, most orthopedic surgeons are called upon to evaluate and treat patients with these injuries and, therefore, must be equipped to achieve optimal outcomes. (medscape.com)
In young adults, most distal humerus fractures occur from high-energy trauma, sideswipe injuries, motor vehicle accidents, falls from heights, and gunshot wounds. (medscape.com)
Traumatic injuries are the result of the mechanical component of a fall, such as intracerebral hemorrhage and long bone fractures. (reliasmedia.com)
The complexity of these injuries is a function of fracture severity (and the associated risk of avascular necrosis), and the difficulty in attaining union of the greater and lesser tuberosities in anatomical position. (scielo.org.za)
There are a number of ways you can fracture your elbow, including a variety of injuries and activities. (raleighortho.com)
Your doctor will also take a full medical history to understand if you've had previous elbow injuries or have a condition that puts you at a higher risk for developing an elbow fracture. (raleighortho.com)
Other injuries require surgery to fix the fracture and stabilize the elbow. (juliancarlomd.com)
More severe injuries will typically require close follow up and therapy to ensure a good outcome. (juliancarlomd.com)
5) Concomitant ipsilateral fractures of distal humerus/ or elbow joint, 6) Previous surgery of affected shoulder, 7) Pathologic fracture (malignancy fractures), 8) Neurovascular injuries (e.g., stroke, or brachial plexus injuries), 9) Neurological disorders (e.g. (who.int)

The distal humerus has a narrow supracondylar isthmus with a sparsity of adequate subchondral metaphyseal supporting bone, especially within the olecranon fossa. (medscape.com)
A humerus fracture is a break of the humerus bone in the upper arm. (wikipedia.org)
Falls that produce humerus fractures among the elderly are usually accompanied by a preexisting risk factor for bone fracture, such as osteoporosis, a low bone density, or vitamin B deficiency. (wikipedia.org)
Other risk factors for proximal fractures include having a low bone mineral density, having impaired vision and balance, and tobacco smoking. (wikipedia.org)
are rare, and their outcomes are often unfavorable because of the persistence of the bacteria in bone ( 1 , 2 ). (cdc.gov)
Radiograph of left leg of patient with Clostridium tetani infection, showing delayed bone consolidation 11 months after fracture. (cdc.gov)
To address this issue, we prospectively assessed post-fracture disability at multiple skeletal sites in a population of 909 older (aged 55-81 years), community-dwelling women with low femoral neck bone mineral density who had experienced a fracture while enrolled in the Fracture Intervention Trial (FIT). (umn.edu)
Neglected fracture-dislocation of the elbow is challenging and is further complicated by comminuted fragments with loss of bone stock. (jocr.co.in)
Beardsley, Interfragmentary surface area as an index of comminution energy: proof of concept in a bone fracture surrogate, J. Biomech. (dntb.gov.ua)
Fractures of the collar bone (Clavicle) can occur at any age and are usual as a result of a fall or accident. (drjarradstevens.com)
If the fracture has moved the bone too much or if the break is unstable or causing issues with the skin, then surgery to lock the bone back in place may be the best option. (drjarradstevens.com)
GH hypersecretion and the resultant overproduction of IGF-1 lead to numerous musculoskeletal complications of acromegaly, including acral enlargement, carpal tunnel syndrome, osteoarthritis, and vertebral fractures [ 4 , 5 ], highlighting the clinical importance of bone health in patients with acromegaly. (e-enm.org)
In addition, recent studies showed a benefit of the treatment of bone loss in proximal femurs of postmenopausal osteoporotic women with a local osteo-enhancement procedure which increased hip bone mineral density and hip strength to avoid hip fractures in the future. (mdpi.com)
The radial head is the part of the radius bone that connects with the humerus in the elbow joint. (raleighortho.com)
The distal humerus is the rounded bottom part of the bone connecting the shoulder to the elbow. (raleighortho.com)
Olecranon fractures: The olecranon is the part of the ulna bone at the back of the elbow serves as the attachment point for the triceps tendon while forming part of the elbow joint. (juliancarlomd.com)
This is a gross specimen from a proximal humerus bone angiosarcoma. (medscape.com)

Rarely, a three-part fracture is encountered involving the lesser or greater tuberosity as well as the surgical neck. (teachmeorthopedics.info)
In three-part fractures, either the lesser or greater tuberosity is displaced with associated displacement of the surgical neck producing a rotational deformity. (who.int)

Aim: Displaced and intraarticular humerus distal fractures require surgical treatment. (bezmialem.edu.tr)
In this study we evaluated to functional results of the surgical treatment of distal humerus intraarticular fractures in adults. (bezmialem.edu.tr)
Surgical treatment of supracondylar fractures has evolved significantly over the past few decades. (medscape.com)
The outcome of non-surgical treatment is generally good, but the treatment course can be long and painful with approximately a quarter of the patients acquiring a nonunion. (researchsquare.com)
Surgical treatment of distal humerus fractures can lead to numerous complications. (sicot-j.org)
The purpose of this study is to evaluate the association between a number of screws in the distal segment and complication rate for surgical treatment of distal humerus fractures. (sicot-j.org)
Adequate radiographs must be obtained to evaluate the fracture anatomy and to plan for surgical treatment. (medscape.com)
Surgical Treatment of Supracondylar Humerus Fractures in Children. (medscape.com)
Surgical treatment of this fracture can always be conducted during the 2-3 days following injury. (aofoundation.org)
8] KUMBARACI M,BASA C D,TURGUT A.Analysis of factors affecting return to work after surgical treatment in patients with ao type C distal humerus fractures[J].Indian J Orthop,2020,55(3):680-687. (totcm.org.cn)
We present a concise review of conservative and surgical treatment of proximal humerus fractures and a more detailed review of published series of reverse shoulder arthroplasty for fracture treatment. (scielo.org.za)

If the elbow is bent during the trauma, then the olecranon is driven upward, producing a T- or Y-shaped fracture or displacing one of the condyles. (wikipedia.org)
The olecranon of the ulna articulates around the trochlea of the humerus. (medscape.com)
On palpation, the olecranon process was found to be displaced anteriorly from the olecranon fossa of the right humerus, crepitus could be felt and a non-healing wound was present over the olecranon (3*2 cm). (jocr.co.in)
The olecranon is not protected by any muscles or ligaments, so it is particularly vulnerable to fracture if the elbow makes direct contact with a hard surface. (raleighortho.com)
Olecranon fractures commonly occur as a result of a sharp, sudden contraction of the tricep muscle during a fall. (raleighortho.com)

Complications following treatment of supination external rotation ankle fractures through the posterolateral approach. (wustl.edu)
The association of these complications with important elements of operative decision making such as plate and/or screw construct is poorly understood, with certain literature suggesting that more screws in the distal articular segment of AO Foundation/Orthopaedic Trauma Association (AO/OTA) C-type fractures may be associated with fewer complications [ 4 ]. (sicot-j.org)
We hypothesized that there would be an association between a number of screws in the articular segment of an AO/OTA C-type fracture and complications, with an association between a decreasing number of screws and an increased complication rate. (sicot-j.org)
Acromegaly leads to various skeletal complications, and fragility fractures are emerging as a new concern in patients with acromegaly. (e-enm.org)
This allows the fracture to heal appropriately, prevents the development of arthritis or other complications, and allows the patient to rehabilitate the injury. (juliancarlomd.com)

therefore, the incidence of these fractures is likely to increase. (medscape.com)
Upon analysis, in the first cohort, users of SGLT2 inhibitors and DPP4i yielded a weighted incidence of 1.41 and 1.81 events per 100 person-years for the overall fractures, respectively. (hcplive.com)
Over a mean follow-up of 1.43 years and 0.82 years, the weighted incidence of overall fractures was 1.67 per 100 person-years for SGLT2 inhibitors and 1.92 per 100 person-years for GLP-1 RA. (hcplive.com)
FIT is a randomized, double-masked, placebo-controlled trial that was designed to determine the effect of alendronate on fracture incidence, and the current study was conducted as a secondary analysis of FIT data. (umn.edu)
OBJECTIVES: To estimate the incidence of non-vertebral fractures in ankylosing spondylitis (AS) compared with the general population. (bvsalud.org)
We used Poisson regression to calculate incidence rates (IRs), number of fractures per 1000 person-years at risk and IR ratios (IRRs), overall and by sex and age. (bvsalud.org)

Material and Method: Between 2005 to 2010, 22 elbows of 21 patients who were operated for distal humerus intraarticular fractures were evaluated retrospectively. (bezmialem.edu.tr)
Discussion: Treatment of distal humerus intraarticular fractures with anatomical reduction, stable osteosynthesis, and early rehabilitation are very important in obtaining successful outcomes. (bezmialem.edu.tr)
Intraarticular fractures of the distal humerus do not require emergency surgery. (aofoundation.org)

Of fracture types evaluated, those of the hip resulted in the highest percentage of subjects with any bed days or limited activity days after fracture (94% with any bed days and 100% with any limited activity days), though the mean number of bed days and limited activity days appeared highest after lumbar vertebral fractures (25.8 mean bed days and 158.5 mean limited activity days). (umn.edu)
CONCLUSIONS: Both men and women with AS have a slightly higher risk of non-vertebral fractures than the general population. (bvsalud.org)
Vertebral fractures (VFs) have been associated with future fractures, yet few studies have evaluated whether this pertains to VFs available for identification on routine radiological imaging. (soton.ac.uk)
During a median follow-up of 54.1 months, there was no difference in the risks of all, vertebral, and non-vertebral fractures between the acromegaly and control groups. (e-enm.org)

Lambotte, in the early 20th century, was one of the first to describe operative techniques for stable osteosynthesis of the distal humerus. (medscape.com)
Is Minimal Invasive Plate Osteosynthesis a Viable Treatment Option for 4-part Proximal Humerus Fractures? (cisejournal.org)
Intramedullary nailing versus minimally invasive plate osteosynthesis for distal tibial fractures: a systematic review and meta‐analysis. (edu.iq)
Distal tibia metaphyseal fractures: Which is better, intra-medullary nailing or minimally invasive plate osteosynthesis? (edu.iq)
Comparison between antegrade intramedullary nailing (IMN), open reduction plate osteosynthesis (ORPO) and minimally invasive plate osteosynthesis (MIPO) in treatment of humerus diaphyseal fractures. (edu.iq)
Minimally invasive percutaneous plate osteosynthesis (MIPPO) in distal tibia fractures-retrospective functional and radiological outcome analysis among rural population. (edu.iq)
2017). Treatment of extra-articular distal tibial fractures: Minimally invasive percutaneous plate osteosynthesis versus intramedullary nailing. (edu.iq)
5] SHIH C A,SU W R,LIN W C,et al.Parallel versus orthogonal plate osteosynthesis of adult distal humerus fractures:a meta-analysis of biomechanical studies[J].Int Orthop,2019,43(2):449-460. (totcm.org.cn)

Clinical and Radiological evaluation was done at each follow up and functional outcomes were evaluated using Mayo Elbow Performance score (MEPS) which includes Pain intensity, Motion, stability and function. (orthopaper.com)
This study attempted to assess the retear rates, clinical and radiological outcomes between the ARCR with and without acellular human dermal allograft (HDA) augmentation. (qxmd.com)

In a study of 4536 consecutive fractures in adults seen in the Massachusetts General Hospital emergency department, only 0.31% were supracondylar (bicolumn) fractures of the distal humerus. (medscape.com)
With comminuted bicolumn fractures, repeat films following initial reduction or with longitudinal traction maintained often prove helpful. (medscape.com)
With comminuted bicolumn fractures (AO-ASIF type C3), repeat films following initial reduction or with longitudinal traction maintained often prove helpful in further defining articular fracture fragments. (medscape.com)
Mehne DK, Matta J. Bicolumn fractures of the adult humerus. (medscape.com)

Percutaneous pinning of transcolumnar and supracondylar fractures in elderly, relatively inactive patients has continued to be a viable treatment option. (medscape.com)
Numerous classification schemes have been devised to categorize and discuss supracondylar fractures. (medscape.com)
Open supracondylar fractures and fractures with vascular compromise are contemporary indications for emergency surgery. (aofoundation.org)

Radial nerve transection is associated with open fractures, but direct repair has not shown good functional outcomes. (eorif.com)
2) Articular split, 3) fractures more than 4 weeks old, 4) open fractures. (who.int)

Between August 2020 and February 2022, 31 patients with closed extra-articular distal tibia fractures were enrolled in a comparative study of locking plate by MIPO versus closed IMLN at the Sulaimani Teaching Hospital and Shar Teaching Hospital. (edu.iq)
7] ATHANASELIS E D,KOMNOS G,DELIGEORGIS D,et al.Double plating in type C distal humerus fractures:current treatment options and factors that affect the outcome[J].Strategies Trauma Limb Reconstr,2022,17(1):7-13. (totcm.org.cn)
11] JAMOH K,TONK G.How to choose between the transolecranon and triceps-reflflecting approaches to treat distal humerus fractures in adults:a prospective study[J].Rev Bras Ortop,2022,57(2):301-307. (totcm.org.cn)

6] BHAYANA H,PANDEY R,DHAMMI I K,et al.Comparative study for assessment of functional outcome of intraarticular ao type C distal humerus fractures treated by parallel plating[J].Indian J Orthop,2019,53(1):190-195. (totcm.org.cn)
5 These results should be borne in mind when evaluating functional outcome and pain after surgical interventions. (scielo.org.za)
You should discuss the various methods of surgery with your elbow surgeon in order to achieve the best possible functional outcome. (raleighortho.com)

Dr. Amir Kachooei is a hand and wrist surgeon who specializes in all conditions of the hand, wrist, and elbow including but not limited to degenerative and traumatic conditions, including arthroplasty, arthroscopy, reconstruction, and fracture repair. (rothmanortho.com)
The use of reverse total shoulder arthroplasty for the management of complex proximal humerus fractures has gained popularity in the last five to ten years. (scielo.org.za)
The purpose of this study was to review the current literature evaluating the clinical and radiographic outcomes of shoulder arthroplasty performed in patients 80 years and older. (qxmd.com)
Studies evaluating the outcomes of primary and revision anatomic (aTSA) and reverse (RSA) total shoulder arthroplasty in patients 80 years and older were included for analysis. (qxmd.com)
Background: The good clinical-functional outcomes of total knee arthroplasty (TKA) depend on several factors, such as the surgical time and the adequate positioning of the prosthesis components. (journaltocs.ac.uk)

The purpose of this study was to retrospectively investigate the clinical findings and outcomes, including return to play rates, of patients who underwent ulnar nerve transposition surgery for isolated ulnar neuritis. (isakos.com)

Outcomes were better in elderly patients, with ulnohumeral motion averaging 116º after 2.5 years of follow-up. (medscape.com)
Cervical spine fracture is more common in elderly patients. (reliasmedia.com)

In 1937, Eastwood described the "bag of bones" technique, which involved compressive manipulation of the distal fragments with collar-and-cuff support and the elbow in flexion. (medscape.com)

A prospective study was done in the Department of Orthopedics in D.Y HOSPITAL, Navi Mumbai from January 2015 to May 2017 to evaluate outcomes of single column plating in extra articular distal comminuted as well as non-comminuted humerus diaphyseal fractures. (orthopaper.com)
All the patients attending OPD and emergency with extra articular distal humeral diaphyseal fracture with or without neurological deficit were admitted and operated in our hospital over a period of 2 year and 3 months.AO classifications was used to classify fractures. (orthopaper.com)

The cause of a humerus fracture is usually physical trauma such as a fall. (wikipedia.org)
Humerus fractures usually occur after physical trauma, falls, excess physical stress, or pathological conditions. (wikipedia.org)
Middle fractures are usually caused by either physical trauma or falls. (wikipedia.org)
Distal humerus fractures usually occur as a result of physical trauma to the elbow region. (wikipedia.org)
Material and methods: Comparative, longitudinal, prospective study at a third-level trauma center in patients with a fifth metacarpal neck fracture, with clinical, radiographic and Quick DASH scale follow-up at the 3rd, 6th, and 8th postoperative week. (bvsalud.org)
Journal of Trauma Management & Outcomes. (edu.iq)
Trauma to bones can result in fractures while injury to muscle and tendons typical results in tears. (drjarradstevens.com)
The Orthopaedic Trauma Service team meets every morning to review the previous afternoon/evening/overnight trauma admissions and discuss diagnosis, surgical indications, surgical tactic, and anticipated outcomes. (iu.edu)

The difficulty in treating complex distal humerus fractures lies in the unique and specific anatomy of the distal humerus, which allows it to articulate freely with the radius and ulna. (medscape.com)
Investigators confirmed the primary outcomes for the analysis were overall fractures, consisting of vertebral, hip, humerus, and distal radius fractures. (hcplive.com)
They are the third most common non-vertebral fragility fracture after the hip and distal radius. (scielo.org.za)

Rarely utilized, CT can be obtained to help better understand the fracture pattern preoperatively as one study showed that its use altered treatment in 2 of 10 patients (Chapman, 2005). (posna.org)
Often, a CT scan is obtained to better understand the fracture pattern and plan for surgery. (juliancarlomd.com)

The primary outcome is the Disability of Arm, Shoulder and Hand (DASH) score at 52 weeks, and is assessor blinded. (researchsquare.com)
concluded, generally in 2 to 3 weeks, a program to regain shoulder motion is started as for fractures with minimal displacement and anatomic neck fractures. (teachmeorthopedics.info)
If surgery is not required for your clavicle fracture, then a sling to help hold the shoulder high and in place will be fitted for you. (drjarradstevens.com)
In this case series, we aimed to evaluate the clinical and radiographic outcomes of the patients with infrafossal fracture of the humerus and to evaluate the upper extremity and elbow function with the Mayo Elbow Performance Score (MEPS) and Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire. (jointdrs.org)

Lateral condyle fractures account for 12-20% of all pediatric distal humerus fractures. (posna.org)
The authors concluded that surgeons should treat pediatric supracondylar humerus fractures on the basis of degree of displacement rather than the Gartland classification. (medscape.com)

abstract = "Relatively little is known about outcomes following clinical osteoporotic fractures at nonhip, nonvertebral skeletal sites. (umn.edu)

In 1943, Watson-Jones recommended closed treatment or a limited open reduction with Kirschner wires (K-wires) on the basis of poor outcomes with intra-articular involvement. (medscape.com)
Surgeons should have a low threshold for open reduction as an anatomic articular reduction is important for obtaining a good clinical outcome. (posna.org)
Type III fractures are managed with open reduction and pinning. (posna.org)
Results: Sixty patients were included (58 men, 2 women), age of 29.63±10.15 years, with a fifth metacarpal fracture, treated by closed reduction and stabilization with a Kirschner wire. (bvsalud.org)
Reduction of the fracture depends on an intact posteromedial periosteal sleeve in younger patients. (teachmeorthopedics.info)
Treatment delayed by 12-24 hours has no negative effect on the outcome following closed reduction. (aofoundation.org)
2] JANSEN H,EDEN L,MEFFERT R H,et al.Posttraumatic elbow agility and reduction of muscle force after intra-articular distal fractures of the humerus in adults[J].Technol Health Care,2019,27(4):431-439. (totcm.org.cn)

Many physicians once believed that optimal recovery for complex distal humerus fractures could be achieved with conservative treatment. (medscape.com)
Numerous advocates of conservative treatment have described less extensive operative techniques for these fractures. (medscape.com)
These were by far the best results reported in the treatment of these difficult fractures at that time. (medscape.com)
Patients declining randomization will be asked to enroll into an observational cohort with same outcomes and post-treatment regimes. (researchsquare.com)
Defining the lateral and accessory views of the patella: an anatomic and radiographic study with implications for fracture treatment. (wustl.edu)
Aim of the study: To compare the functional and clinical results of the treatment of fifth metacarpal fracture with the use of retrograde versus antegrade Kirschner wires. (bvsalud.org)
We present a 5-week-old neglected anterior dislocation of the right elbow joint with lateral condyle and medial epicondyle humerus fracture and a unique cantilever K-wiring technique used for its treatment. (jocr.co.in)
Treatment of distal humerus fractures. (medscape.com)
Treatment of intercondylar fractures of the elbow by means of traction. (medscape.com)
Depending on the type of fracture, different factors have to be taken into account regarding timing of treatment. (aofoundation.org)
The treatment of distal tibial fractures (DTF) is still up for debate. (edu.iq)
10] CHANG N,KING G J W.Elbow hemiarthroplasty for the treatment of distal humerus fractures[J].Orthop Clin North Am,2020,51(2):265-277. (totcm.org.cn)
Although the current study is very limited in terms of being a guide for the treatment, it may contribute to the literature in terms of defining a new fracture subtype. (jointdrs.org)
Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
Treatment depends on whether you have a non-displaced or displaced fracture. (raleighortho.com)
Conservative treatment is reserved for non-displaced fractures or low demand patients. (juliancarlomd.com)

HU Weijie,DOU Juan,WANG Zhenyun,et al.Finite Element Analysis on the Novel Anatomical Locking Plate for Distal Humerus Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(09):45-49. (totcm.org.cn)

Between January 2005 and July 2020, the clinical data and radiographs of 2,443 children who were treated due to distal humerus fracture were retrospectively analyzed. (jointdrs.org)

Distal fractures may also cause deformity, and they typically limit the ability to flex the elbow. (wikipedia.org)
Introduction: The fifth metacarpal fracture is a frequent pathology that can cause deformity and functional impairment for the adequate grip of the hand. (bvsalud.org)

Lateral condyle fractures are the second most common elbow fracture after the supracondylar humerus fracture in children. (posna.org)
Milch was the first to describe lateral condyle fracture patterns. (posna.org)
AP, lateral, and internal oblique radiographs should be obtained when a lateral condyle fracture is suspected. (posna.org)
Radiographs revealed lateral condyle and medial epicondyle humerus fracture and an unreduced anterior dislocation of the right elbow joint. (jocr.co.in)

Analyses showed the risk of fractures was not increased with the use of SGLT2 inhibitors and remained consistent regardless of the incretin-based comparator drug, including dipeptidyl-peptidase 4 inhibitors (DPP4i) and glucagon-like peptide 1 receptor agonists (GLP-1 RA). (hcplive.com)

For stable elbow motion, the trochlea must be restored to its normal position, acting as a tie rod between the medial and lateral columns of the distal humerus. (medscape.com)
Milch type 1 fractures extend through the ossification center of the trochlea, while Milch type 2 fractures extend medial to the ossification center. (posna.org)
Isolated ligament avulsions, such as medial epicondyle fractures, never require emergency surgery. (aofoundation.org)
Avascular necrosis (AVN) complicates between 21 and 75% of three- and four-part fractures, and is related to the initial injury, the fracture pattern, the integrity and size of the medial cortical hinge, and surgical dissection. (scielo.org.za)
The pectoralis major muscle originates from the medial clavicle and lateral sternum and inserts on the lateral lip of the bicipital groove of the humerus (see the image below). (medscape.com)

Proximal humerus fractures most often occur among elderly people with osteoporosis who fall on an outstretched arm. (wikipedia.org)
Less frequently, proximal fractures occur from motor vehicle accidents, gunshots, and violent muscle contractions from an electric shock or seizure. (wikipedia.org)
Ulnar neuropathy has been reported to occur in 7-15% of cases, is more common in C-type fractures, and may be related to plate placement [ 5 - 10 ]. (sicot-j.org)
Undisplaced linear fractures that extend into the humeral head can occur. (teachmeorthopedics.info)
A radial head fracture may occur when you put your hand out to break a fall. (raleighortho.com)

Hanging arm cast is not recommended for transverse fractures due to potential for fracture distraction. (eorif.com)

All had AO type C fractures of the distal humerus. (scielo.org.za)

Radial nerve palsy: exploration of radial nerve palsy in closed fractures is not recommended. (eorif.com)
Radial nerve palsy=pts with closed fx with radial nerve injury should be treated with fracture bracing, cock-up wrist splint and observation of radial nerve with delayed exploration at 3-4 months in there are no signs of return. (eorif.com)
11.1% of closed fx have associated Radial nerve palsy, 0.2% in closed fx's fail to recover. (eorif.com)
The force of impact pushes the radial head into the bottom of the humerus with such force that it fractures. (raleighortho.com)
Dislocating your elbow, another type of elbow injury, can put stress on the radial head and lead to a fracture. (raleighortho.com)
Terrible triad: A terrible triad injury to the elbow is a 1) dislocation of the elbow joint combined with a 2) radial head fracture and a 3) fracture of the coronoid process of the ulna. (juliancarlomd.com)
To treat this injury, the coronoid fracture is typically repaired, the radial head fracture is fixed or the head is replaced with an implant, and the ligaments are repaired as needed to provide stability to the elbows. (juliancarlomd.com)

Heal et al evaluated the IEOR and IAOR of the Gartland radiographic classification for supracondylar humerus fractures in children. (medscape.com)
Reproducibility of the Gartland classification for supracondylar humeral fractures in children. (medscape.com)
Patients were grouped according to a 3D classification of fracture pattern. (scielo.org.za)
Inclusion criteria: Patients with displaced three-part proximal humerus fractures based on Neer classification will be included. (who.int)
La prise en charge d'une fracture de jambe est fonction de la classification de la lésion, du plateau technique et de l'expérience du chirurgien. (bvsalud.org)

Anatomy9

Diseases28

Analytical, Diagnostic and Therapeutic Techniques and Equipment24

Phenomena and Processes6

Disciplines and Occupations1

Health Care9

Fixation42

Intra-articular distal humerus fractures2

Shaft23

Extra-articular distal humerus1

Forearm7

ORIF4

Dislocations5

Elbow fractures11

Proximal humeral fractures3

Injuries12

Bone17

Greater tuberosity2

Surgical treatment11

Olecranon5

Complications5

Incidence6

Intraarticular fractures3

Vertebral fractures4

Osteosynthesis8

Radiological2

Bicolumn fractures4

Supracondylar fractures3

Open Fractures2

20223

Functional Outcome3

Arthroplasty5

Underwent1

Elderly patients2

Fragments1

Diaphyseal2

Trauma8

Radius3

Better understand the fracture pattern2

Shoulder4

Pediatric2

Abstract1

Reduction7

Treatment16

20231

Retrospectively1

Deformity2

Lateral condyle4

Showed the risk of fractures1

Medial5

Occur5

Transverse fractures1

Type C fractures1

Radial7

Classification5