Loss of reduction and screw perforation causes high failure rates in the treatment of proximal humerus fractures. The purpose of the present study was to evaluate the early postoperative complications using modern Dynamic Locking Screws (DLS 3.7) for plating of proximal humerus fractures. Between 03/2009 and 12/2010, 64 patients with acute proximal humerus fractures were treated by angular stable plate fixation using DLSs in a limited multi-centre study. Follow-up examinations were performed three, six, twelve and twenty-four weeks postoperatively and any complications were carefully collected. 56 of 64 patients were examined at the six-month follow-up. Complications were observed in 12 patients (22%). In five cases (9%), a perforation of the DLS 3.7 occurred. Despite the use of modern DLS 3.7, the early complications after plating of proximal humerus fractures remain high. The potential advantage of the DLS 3.7 regarding secondary screw perforation has to be confirmed by future randomized controlled
Surgeons continue to debate the role of surgery in the treatment of acute proximal humerus fractures. Recently, reports have shown a trend towards increased utilization of operative fixation. Surgical options include: all suture fixation, closed reduction and percutaneous pinning, open reduction internal fixation with locked proximal humerus plates, proximal humerus nailing, Bilboquet implants, and arthroplasty. No single form of treatment has been shown to be superior to another. In some patients, there remains debate if surgical options are superior to non-operative management alone. The purpose of this article is to review the natural history of non-operative treatment of proximal humerus fractures, describe the most common surgical treatments, and discuss the sequelae of fractures treated nonoperatively.. ...
This page includes the following topics and synonyms: Proximal Humerus Fracture, Upper Humerus Fracture, Humeral Fracture, Humerus Fracture, Humeral Anatomical Neck Fracture, Humeral Surgical Neck Fracture, Humeral Head Fracture, Neer Classification, Neer Fracture Type.
During the past few decades, significant advances have been made in the treatment of proximal humeral fractures. Nonetheless, their management remains controversial. This article describes the key points for decision-making and the currents trends in the treatment of complex proximal humeral fractures. The surgeon should define the fracture pattern and decide whether surgical intervention will benefit the patient. Furthermore, the preoperative plan needs to evaluate whether the viability of the humeral head can be preserved and proximal humeral anatomy can be restored. Osteosynthesis can be accomplished by various means, including open transosseous sutures, percutaneous fixation, conventional plating, intramedullary nailing, and locking plates. Locking plates have gained considerable popularity over the last few years because they address the issue of poor bone stock in elderly patients. Furthermore, prosthetic replacement with either hemiarthroplasty or the more recently introduced reverse ...
... is when the bone fragments of the proximal humerus are shifted out of place surgery is typically required.
As shown below, a metal humeral head prosthesis (cobalt chrome alloy Dr. Erin McKerney, in collaboration with Dr. Susan Stover from the J.D Wheat Veterinary Orthopedic Research Laboratory at the University of California-Davis, is conducting a study to better understand the events that lead to catastrophic fractures of the (Photo credit: Wikipedia) According to Supreme Court spokesperson Kathleen Arberg, Associate Justice Stephen Breyer underwent reverse shoulder replacement surgery for a proximal humerus fracture at MedStar Georgetown University Hospital on the morning of It is the third publicly known major bike crash for Breyer in the last two decades. At the hospital, the 74-year-old was diagnosed with a proximal humerus fracture - the humerus being the upper bone of the arm. He underwent reverse shoulder replacement Shoulder Options Inc. officials announce the limited user release of its AFT Proximal Humerus Fracture Plate. The new plate is intended for the treatment of fractures and ...
Background: This study compared the outcomes between patients with proximal humerus fractures (PHF) whounderwent acute reverse total shoulder arthroplasty (RSA) to those who underwent an alternative initial treatmentbefore requiring (secondary) RSA.Methods: Patients who underwent RSA after suffering a PHF were identified. Two year clinical follow-up was requiredfor inclusion. Patients were divided into an acute group (RSA secondary RSA group was subdivided by initial treatment (non-operative, hemiarthroplasty, open reduction internalfixation (ORIF)). Clinical and radiographic outcomes were compared.Results: Forty-seven patients met inclusion criteria with 15 in the acute RSA group and 32 in the secondary RSA group.The acute RSA group demonstrated better external rotation (28˚) than the secondary RSA group (18˚, P=0.0495). Theacute RSA group showed a trend towards better Single Assessment Numeric Evaluation (SANE) scores. Tuberosityhealing rate was higher in the acute RSA group.Conclusion: While acute
Two-part proximal humerus fractures are common orthopedic injuries for which surgical intervention is often indicated. Choosing a fixation device remains a topic of debate. The purpose of this study i
The results of clinical trial with polylactide implants for osteosynthesis of proximal humerus fractures in patients with osteoporosis
Introduksi a. Definisi Diskontinuitas yang terjadi pada diafisis shaft tulang humerus karena rudapaksa/trauma Klasifikasi fraktur humerus: 1. Fraktur proksimal humerus One part fractures (minimally displaced) Two part fractures Fraktur tuberositas minor Fraktur tuberositas mayor Surgical neck fracture Three part fractures (caput humeri, shaft humeri dan salah satu dari tuberositas) Four part fractures Fraktur dislokasi Head…
Study of functional outcome of surgical management of proximal humerus fracture by various modalities: a two-year study at a tertiary care hospital
This clinical pathway aims to assist ED Physicians, GPs and orthopaedic surgeons manage pediatric proximal humerus fractures that present acutely.
The ultimate goal of management of proximal humeral fractures in the elderly patient is to get the patient independently mobile. This article will review the current literature regarding this cohort of patient. Recent Cochrane reviews and a large multicentre randomised study question the role of surgical intervention. Implant design is evolving rapidly, and many elderly patients now behave more like the younger patient. There remains little compelling evidence to guide decision-making for the complex proximal humeral fracture in the elderly, and the decision needs to be made on a case-by-case basis taking into account the patients comorbidities, the fracture pattern and characteristics, the attending surgeons skill sets, and the availability of equipment. ...
Reverse total shoulder arthroplasty (RSA) is a standard treatment for proximal humeral fractures (PHF) and its sequelae. In this study we analyzed the
Cvetanovich GL, Orthopedics, Acute proximal humeral fractures are common injuries in elderly patients. These fractures can lead to significant pain and functional loss. Nonoperati
Background: Concerning surgical management experience with locking plates for proximal humeral fractures has been described with promising results. Though, distinct hardware related complaints after fracture union are reported. Information concerning the outcome after removal of hardware from the proximal humerus is lacking and most studies on hardware removal are focused on the lower extremity. Therefore the aim of this study was to analyze the functional short-term outcome following removal of locking plate fixation of the proximal humerus. Methods: Patients undergoing removal of a locking plate of the proximal humerus were prospectively followed. Patients were subdivided into the following groups: Group HI: symptoms of hardware related subacromial impingement, Group RD: persisting rotation deficit, Group RQ: patients with request for a hardware removal. The clinical (Constant-Murley score) and radiologic (AP and axial view) follow-up took place three and six months after the operation. To ...
Proximal humerus fractures occur most commonly in the elderly and their incidence is increasing. Fractures of the humerus can occur proximally, in the shaft (diaphysis), or distally. The majority of both proximal and midshaft humerus fractures are no
With an ever-increasing elderly population, orthopaedic surgeons are faced with treating a high number of fragility fractures. Biomechanical tests have demonstrated the potential role of osteoporosis in the increased risk of fracture fixation complications, yet this has not been sufficiently proven in clinical practice. Based on this knowledge, two clinical studies were designed to investigate the influence of local bone quality on the occurrence of complications in elderly patients with distal radius and proximal humerus fractures treated by open reduction and internal fixation. The studies were planned using a prospective multicentre open cohort design and included patients between 50 and 90 years of age. Distal radius and proximal humerus fractures were treated with locking compression 2.4 mm and proximal humerus internal locking plates, respectively. Follow-up examinations were planned for 6 weeks, 3 and 12 months as well as a telephone interview at 6 months. The primary outcome focuses on the
Shoulder Replacement Approximately 60% of all shoulder replacements result from proximal humeral fractures.1 A proximal humeral fracture is a break to the ball at the top of the upper-arm bone. These fractures typically occur when people fall on an outstretched hand.1 The Comprehensive® Shoulder System was developed in conjunction with David Dines, M.D., Russell Warren, M.D., Edward Craig, M.D., and Donald Lee, M.D. The implant is designed to enable surgeons to repair broken bone while replacing the damaged shoulder joint. The Comprehensive® Shoulder System can allow patients to regain shoulder movement while reducing or eliminating pain. Rotator Cuff Tear If you are a potential candidate for reverse shoulder replacement, you may be suffering from pain as a result of a previous rotator cuff tear. A cuff-tear causes your shoulder joint to lose much of its natural support, leading to increased instability. Often, this results in the normal shoulder becoming destabilized, and moving out of socket
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Ιατρός ορθοπεδικός Αγγουλές Αντώνης . Θέματα σχετικά με οσφυαλγια ισχυαλγια αρθροσκοπηση κακωσεις-ρηξεις χιαστου και θεραπευτικες επεμβατικες προσεγγισεις.
Ιατρός ορθοπεδικός Αγγουλές Αντώνης . Θέματα σχετικά με οσφυαλγια ισχυαλγια αρθροσκοπηση κακωσεις-ρηξεις χιαστου και θεραπευτικες επεμβατικες προσεγγισεις.
A break in a bone that makes up the shoulder joint is called a shoulder fracture. Shoulder fracture treatment is offered by Dr Hartigan in Edina, Maple Grove and Minneapolis, MN.
Free, official coding info for 2020 ICD-10-CM S42.249D - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.
Surgical and nonsurgical treatments offer similar functional outcomes for elderly patients with two-part proximal humerus fractures.
The Stability of Percutaneous Fixation of Proximal Humeral Fractures. Castoldi, F.; Bonasia, D. E.; Blonna, D.; Rossi, R.; Dettoni, F.; Assom, M.; Sankey, M. A.; Halewood, C.; Amis, A. A. // Journal of Bone & Joint Surgery, American Volume;2010 Supplement 2, Vol. 92-A, p90 The article presents a research study which investigates the stability of the use of fracture fixation constructs to proximal humeral fractures. It mentions that fixation constructs such as 3-mm box construct and 3-mm fan construct were subjected for analysis on torsional stiffness, compression... ...
CONSOPHARMA PLUS - We are Exporter,Manufacturer,Supplier, and Wholesaler of Proximal Humerus Locking Plate (Philos) from New Delhi, India.
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Fea Of A Proximal Humerus Fracture With A Fixation Plate, SIMULIA The fracture of the proximal humerus is the second most common injury to the upper extremity. In severe fractures, surgery may be necessary which can be in the ...
OBQ12.62) A 67-year-old female who sustained a proximal humerus fracture as a result of a fall goes on to develop avascular necrosis (AVN). An injury was most likely sustained to which of the following arteries labeled 1-5 in Figure A? Review Topic ...
Postoperative CT, most notably 3D CT scans, are the preferred imaging technique in evaluating intra-articular screw penetration of proximal humerus fractures, according to a study published in Academic Radiology.
We analyzed the safety and feasibility of autologous BMC in a clinical phase-I trial as a therapeutic option for the treatment of bone defects at high risk of secondary dislocation in ten patients with a proximal humerus fracture. Both aspects, safety and feasibility, could be unequivocally demonstrated. A near-identical BMC production process is already approved by the German federal regulatory authority (Paul-Ehrlich-Institute, Germany) and established at the German Red Cross-Blood Service (DRK-BSD, Frankfurt) for the application of BMC in acute myocardial infarction and limb ischemia [7, 8]. Albeit applied by a different route (i.e.) and for an entirely different clinical indication, in at least six cardiovascular clinical trials the drug was found to be safe and probably efficacious, as well as the logistics of re-applying the cells within 48 h of marrow collections were shown to be feasible on a routine basis [11, 17-22]. The novelty of our approach dictates that similar reports about ...
(2013) Scola et al. The Open Orthopaedics Journal. OBJECTIVES: Surgical treatment of proximal humerus fractures can be challenging due to osteoporosis. The weak bone stock makes stable implant anchorage difficult, which can result in low primary stability. Accordingly, significant failure rates, ...
MODEL RELEASED. Stapled wound on the upper arm of an elderly patient, showing metal staples closing a wound following surgery to pin and repair a comminuted (three part) fracture of the head of the arm (humerus) bone. This multiple fracture followed a fall. (see images 1 to 7 showing this fracture before and after pinning, after skin wound stapling and unstapling). - Stock Image C002/9672
Individuals in Pennsylvania who are in car accidents may suffer shoulder fractures as a result. Three bones make up the ... Car Accidents
Ryan, P et al. Reverse total shoulder arthroplasty for complex proximal humeral fractures in the elderly: How to improve outcomes and avoid complications. SA orthop. j., Mar 2015, vol.14, no.1, p.25-33. ISSN 1681- ...
The conventus intramedullary cage is a novel method of internal stabilization of common fractures of the proximal humerus in the shoulder This avoids the
Failure rates of up to 30% are reported after proximal humeral fractures despite angular-stable devices. This may devastate not only the functional outcome but also the independence of elderly patients.. To increase bone mineral density and thereby holding-strength augmentation is an option. Autologous bone-graft, as current gold-standard, though is questionable in osteoporosis since osteoprogenitors are dysfunctional and the harvesting-morbidity considerable. Adipose tissue seems an alternative cell-source even in presence of osteoporosis.. Stromal vascular fraction (SVF) cells isolated from lipoaspirates display osteogenic and vasculogenic potential and can be harvested in high numbers. Expansion associated with costly good-manufacturers-practice facilities is avoidable, so are repeated interventions. These cells have been successfully used to generate osteogenic composite grafts with intrinsic vascularity in preclinical models.. For translation into clinical practice after a 20 patient ...
Failure rates of up to 30% are reported after proximal humeral fractures despite angular-stable devices. This may devastate not only the functional outcome but also the independence of elderly patients.. To increase bone mineral density and thereby holding-strength augmentation is an option. Autologous bone-graft, as current gold-standard, though is questionable in osteoporosis since osteoprogenitors are dysfunctional and the harvesting-morbidity considerable. Adipose tissue seems an alternative cell-source even in presence of osteoporosis.. Stromal vascular fraction (SVF) cells isolated from lipoaspirates display osteogenic and vasculogenic potential and can be harvested in high numbers. Expansion associated with costly good-manufacturers-practice facilities is avoidable, so are repeated interventions. These cells have been successfully used to generate osteogenic composite grafts with intrinsic vascularity in preclinical models.. For translation into clinical practice after a 20 patient ...
This three-part study will investigate single and multiple ascending doses ACT-453859 and multiple doses of setipiprant [ACT-129968] in healthy volunteers.
This study is investigating the effects of OPN-305 in preventing delayed graft function as well as improving other measures of kidney function and the overall
UPDATE: In 2013, director Michael Bay released an adaptation of this three-part series. That same year, New Times revisited Pain & Gain and tracked...
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Have you ever wondered why the human body looks the way it does? Why we walk on two legs instead of four? Why we can see in color but have a lousy sense of smell? Your Inner Fish delves deep into the past to answer questions like these. The three-part series reveals a startling truth: Hidden within... ...
Have you ever wondered why the human body looks the way it does? Why we walk on two legs instead of four? Why we can see in color but have a lousy sense of smell? Your Inner Fish delves deep into the past to answer questions like these. The three-part series reveals a startling truth: Hidden within... ...
Over six months, The Times examined the life and death of Derek Boogaard. The last article of a three-part series details his decline, and the determination that he had a brain condition believed to be caused by repeated blows to the head.