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A proximal humerus fracture is a break of the upper part of the bone of the arm . [3] Symptoms include pain, swelling, and a decreased ability to move the shoulder . [ 1 ] Complications may include axillary nerve or axillary artery injury.
The native humerus and scapula bones are prepared using precise machining to accommodate their respective implants. At the end of the procedure, the subscapularis muscle is typically repaired, although some surgeons advocate not repairing this muscle due to the excess tension placed on it by the altered mechanics of the reverse shoulder design. [8]
One example of a commonly used regional anesthetic is an interscalene brachial plexus block and it has been used in a number of shoulder procedures including instability repairs, proximal humeral prosthetic replacements, total shoulder arthroplasties, anterior acromioplasties, rotator cuff repairs, and operative treatment of humeral fractures. [24]
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]
When a bone fractures, the fragments lose their alignment in the form of displacement or angulation. For the fractured bone to heal without any deformity the bony fragments must be re-aligned to their normal anatomical position. Orthopedic surgery attempts to recreate the normal anatomy of the fractured bone by reduction of the displacement.
Buck's traction, involving skin traction. It is widely used for femoral fractures, low back pain, acetabular fractures and hip fractures. [2] Skin traction rarely causes fracture reduction, but reduces pain and maintains the length of the bone. [2] Dunlop's traction – humeral fractures in children; Russell's traction; Halo-gravity traction
impacted posterior humeral head fracture occurring during anterior shoulder dislocation: Hill Sachs Lesion at Wheeless' Textbook of Orthopaedics online Holstein–Lewis fracture: Arthur Holstein Gwylim Lewis: fracture of the distal third of the humerus resulting in entrapment of the radial nerve: Holstein-Lewis fracture at Orthopedic Weblinks
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 ...