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Most proximal humerus fractures are stable and can be treated without surgery. [8] Typical non-operative treatment consists of shoulder immobilization with a sling. Close follow-up and weekly x-rays are recommended in order to ensure that the fracture is healing and maintaining good alignment.
The Müller AO Classification of fractures is a system for classifying bone fractures initially published in 1987 [1] by the AO Foundation as a method of categorizing injuries according to therognosis of the patient's anatomical and functional outcome. "AO" is an initialism for the German "Arbeitsgemeinschaft für Osteosynthesefragen", the ...
Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
Among proximal fractures, 80% are one-part, 10% are two-part, and the remaining 10% are three- and four-part. [22] The most common location of proximal fractures is at the surgical neck of the humerus. [3] Incidence of proximal fractures increases with age, with about 75% of cases occurring among people over the age of 60. [11]
Some fractures, however, cannot be held in a satisfactory position by this method, and require some additional form of fixation. This is the usual situation with all displaced fractures of the first metacarpal and of the proximal phalanges of the hand, and of about two thirds of fractures of the distal end of the radius. Percutaneous pinning is ...
X-ray showing the proximal portion of a fractured tibia with an intramedullary nail Proximal femur nail with locking and stabilisation screws for treatment of femur fractures of left thigh An intramedullary rod , also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a ...
Injury of axillary nerve (axillary neuropathy) is a condition that can be associated with a surgical neck of the humerus fracture.. It can also be associated with a dislocated shoulder [1] or with traction injury to the nerve, which may be caused by over-aggressive stretching or blunt trauma that does not result in fracture or dislocation. [2]
Hill–Sachs lesions have been classified as "engaging" or "non-engaging", with engaging lesions defined by the ability of the glenoid to sublux into the humeral head defect during abduction and external rotation. Engaging dislocations have a higher risk of recurrent anterior dislocation, and their presence can help guide surgical management. [2]
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