Proximal humeral fracture classification systems revisited

2019-09-18 15:04

Aug 04, 2016 Proximal Humeral Fractures: Clinical Evaluation and Classification MATTHEW I. LEIBMAN AND JOSEPH D. ZUCKERMAN Fractures of the proximal humerus are potentially complex injuries that can be challenging to diagnose and treat. A comprehensive evaluation of the entire shoulder girdle is an essential component of the management of these injuries.Proximal humeral fracture classification systems revisited Author links open overlay panel Addie Majed MRCS a Iain Macleod FRCS(Orth) b Anthony M. J. Bull PhD c Karol Zyto MD d Herbert Resch MD e Ralph Hertel MD f Peter Reilly MD, FRCS(Orth) a Roger J. H. Emery MS, FRCS a proximal humeral fracture classification systems revisited

We hypothesized that current proximal humeral fracture classification systems, regardless of imaging methods, are not sufficiently reliable to aid clinical management of these injuries. MATERIALS AND METHODS: Complex fractures in 96 consecutive patients were investigated by generation of rapid sequence prototyping models from computed

Jun 30, 2012 Classification System. The foursegment classification system defines proximal humerus fractures by the number of displaced segments or parts, with additional categories for articular fractures and dislocations (Fig. 1 ). The potential segments involved are the greater tuberosity, lesser tuberosity, articular surface, and humeral diaphysis. Proximal Humerus Fractures HPI A 14 year old patient present after she had idiopathic left humeral head and shaft avascular necrosis (AVN) 6 years ago. At that stage, a fibular autograft was used to treat the AVN and fixed with a flexible nail. After a period of time, the grafted bone underwent AVN again. proximal humeral fracture classification systems revisited The ability to represent proximal humeral fracture morphology physically using rapid sequence prototype modelling provides an experimental technique that may allow classification systems to be tested by ruling out imaging as a cause of low reliability.

Proximal Humerus Fracture: Neers Classification Neer II, CS, JBJS (A), 52: , 1970. Minimally displaced one part fractures No segment displaced 1cm or angulated 45 deg Two part fracture of anatomical neck, articular segment displaced High risk of AVN Two part fracture of the surgical neck with shaft displacement: proximal humeral fracture classification systems revisited Sep 25, 2017 Bone grafting. Standardized proximal humerus fractures were created in a synthetic osteoporotic bone. In one group, osteosynthesis was performed with a lateral locking plate combined with calcar screws. In the second group, an intramedullary fibular graft of 6cm length supplemented the lateral locking plate. The decision to operate and the selection of the appropriate surgical modality for proximal humerus fractures are largely based on the fracture pattern. Understanding the particular fracture pattern in each case is complicated. Most wellaccepted classification systems were developed based on radiographs complemented by intraoperative findings. Proximal humeral fracture classification systems revisited. Authors: Addie Majed Imperial College London United Kingdom. Iain MacLeod Harvard School of Public Health United States. Anthony M J Bull. Karol Zyto Imperial College London United Kingdom. Herbert Resch Paracelsus Medical University Austria. Ralph Hertel Humerus fracture. Humerus fractures usually occur after physical trauma, falls, excess physical stress, or pathological conditions such as tumors. Falls are the most common cause of proximal and shaft fractures, and those who experience a fracture from a fall usually have an underlying risk factor for bone fracture.

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