This protocol is for nondisplaced proximal humerus fractures, or patients stable fractures after surgical fixation. Goal: Maintain range of motion (ROM) without displacing the proximal humerus fracture. Due to variable stability of the fracture, check for specifications and precautions ordered by the ...
the indications for humeral head replacement have diminished over the last two decades. However, hemiarthroplasty for fracture maintains an important role. This chapter aims to define its current role in the proximal humeral management algorithm (Figure 6.1) and highlight the pearls, pitfalls, outcomes...
Once the fracture is stabilized, therapy may follow an advanced nonoperative treatment protocol. Depending on the type of surgical procedure performed, there are some special therapy considerations. Close communication with the surgeon is essential. ...
Participants allocated to surgery received either internal fracture fixation (eg, with plate and screws) that preserved the humeral head or humeral head replacement (hemiarthroplasty). Participants allocated to nonsurgical treatment were given a sling for the injured arm for as long as deemed necessary...
A 4-part-fracture, head split component, nonanatomic head shaft reposition and preoperative radiological signs of osteoarthritis were significant negative predictors for poorer clinical scores. Unfavourable events were observed in 27 patients (27.6%). Revision surgery was performed in 8 (8.2%) patients...
humeral head and the plate and the change at the minimum value of abduction (varus impaction) for each load cycle. Brunner et al. [78] used a 3D motion analysis system, fracture gap motion along the shaft axis and the maximum varus tilt of the humeral head was recorded for each load ...
Hertel R, Hempfing A, Stiehler M, Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg. 2004 Jul-Aug;13(4):427-33. Hartmann A, Resch H, OKU-Shoulder and Elbow 3rd edition, 2008...
Prospective Evaluation of a Treatment Protocol Based on Fracture Displacement for Pediatric Lateral Condyle Humerus Fractures: A Preliminary Studydoi:10.1097/BPO.0000000000001955Rehm, Andreas MD, FRCS Glasgow, FRCS Tr&OrthoNgu, Albert MDThahir, Azeem MD...
Non-operatively treated PHFs are frequently treated in a commercially available sling that holds the humeral shaft in a relatively internally rotated position in relation to the humeral head, potentially displacing the fracture. Surgical neck fractures may heal in a position with the humeral shaft ...
Construct stiffness and angular displacement of the humerus head were recorded. Results:Humeral head angular displacement was statistically greater in the CPC group than in the FS group at the applied force of 300N and higher (p <0.05). Axial stiffness was statistically greater in the FS ...