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AAOS 1999 Symposium Proximal Humerus Fractures- An Unsolved Fracture?
Archive Copy: - 1999 Annual Meeting Scientific Program. Proximal Humerus Fractures: An Unsolved Fracture?
Functional outcome after proximal humeral fractures treated with hemiarthroplasty
Objective: To evaluate functional outcome after hemiarthroplasty for displaced proximal humeral frac-
tures and to review whether prosthesis type, intraoperative technique or previous ipsilateral shoulder
surgery could affect the outcome.
Conclusion: We conclude that soft tissue status and operative technique play an im- portant role in late postoperative pain and range of motion. Hemiarthroplasty after failed open reduc- tion and internal fixation is associated with inferior results. We were unable to show a difference in long- term outcome related to the prosthesis type.
Salah Fallatah, MD;*Geoffrey F. Dervin, MD, MSc;†Jacques A. Brunet, MD, MSc;* Anna F. Conway, MA;†Heather Hrushowy, BScN†
Can J Surg, Vol. 51, No. 5, October 2008
Conclusion: We conclude that soft tissue status and operative technique play an im- portant role in late postoperative pain and range of motion. Hemiarthroplasty after failed open reduc- tion and internal fixation is associated with inferior results. We were unable to show a difference in long- term outcome related to the prosthesis type.
Salah Fallatah, MD;*Geoffrey F. Dervin, MD, MSc;†Jacques A. Brunet, MD, MSc;* Anna F. Conway, MA;†Heather Hrushowy, BScN†
Can J Surg, Vol. 51, No. 5, October 2008
Humeral Physeal Injuries Wheeless
Wheeless' Textbook of Orthopaedics
most of these injuries are either Salter I or II fractures; - frx separations of proximal humeral epiphysis occur most often between ages of 11 and 15 years; - 80% of longitudinal growth of humerus occurs in proximal physis; - large percentage of growth allows significant remodelling following injuryies of proximal humeral physis;
most of these injuries are either Salter I or II fractures; - frx separations of proximal humeral epiphysis occur most often between ages of 11 and 15 years; - 80% of longitudinal growth of humerus occurs in proximal physis; - large percentage of growth allows significant remodelling following injuryies of proximal humeral physis;
Inter- and intraobserver Reliability of the MTM-classification for proximal humeral fractures
Inter- and intraobserver Reliability of the MTM-classification for proximal humeral fractures: a prospective study
Christian Bahrs , Hagen Schmal , Erich Lingenfelter , Bernd Rolauffs , Kuno Weise , Klaus Dietz and Peter Helwig BMC Musculoskeletal Disorders 2008, 9:21
Conclusions Although the MTM-classification covers a wide spectrum of fracture types, our results indicate that the precise topographic and morphological description is not delivering reproducible results. Therfore, simplicity in fracture classsification may be more useful than extensive approaches, which are not adequately reliable to address current classification problems. (full text available)
Christian Bahrs , Hagen Schmal , Erich Lingenfelter , Bernd Rolauffs , Kuno Weise , Klaus Dietz and Peter Helwig BMC Musculoskeletal Disorders 2008, 9:21
Conclusions Although the MTM-classification covers a wide spectrum of fracture types, our results indicate that the precise topographic and morphological description is not delivering reproducible results. Therfore, simplicity in fracture classsification may be more useful than extensive approaches, which are not adequately reliable to address current classification problems. (full text available)
Proximal Humerus Fractures AO Surgery Reference
Online reference of proximal humerus fractures including fracture dislocations, fractures of the tuberosity and metaphyseal fractures (fractured neck of humerus)
Proximal Humerus Fractures eMedicine Orthopedics
Successful treatment of fractures of the proximal humerus presents a challenge for physicians. Many factors must be considered when developing a treatment plan. Accurate definition of the type of fracture, patient compliance problems that limit rehabilitation, medical comorbidities affecting prognosis, and time from injury to treatment are critical factors affecting outcomes of these injuries. Additionally, technical factors in the surgical reconstruction of these fractures require surgical experience that few surgeons have the opportunity to develop.
Frankle & Long 2005
Frankle & Long 2005
