Helical plating for humeral shaft fractures has gained popularity in recent years as it avoids iatrogenic nerve damage. A total of 16 patients with humeral shaft fracture involving the metaphyseal proximal part were treated between Dicembrer 2016 and January 2023. Complications such as pseudarthrosis, infections and nerve lesions were investigated during the postoperative period. Functional outcome was quantified using the Italian version of the DASH 30 quality of life assessment item. Healing of the fracture was achie-ved at the last follow-up with good clinical recovery and no pain. The self-contoured Philos-Helix plate for humeral shaft fractures with proximal extension in combination with an anterior window approach is a safe procedure with good functional results at a follow-up of at least one year.
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http://dx.doi.org/10.7417/CT.2024.5136 | DOI Listing |
Curr Rev Musculoskelet Med
January 2025
Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO, USA.
Purpose Of Review: With the growing popularity and broadening indications for Reverse Shoulder Arthroplasty (RSA), increasing modularity in design and adjustments to each component can enhance postoperative range of motion (ROM), thus expanding treatment capabilities. This review outlines the advancements developed to optimize ROM through modifications in glenoid and humeral components and the integration of computational tools for surgical planning.
Recent Findings: Enhancements in glenoid component design aim to mitigate complications like scapular notching and improve ROM, particularly in abduction and external rotation.
J Orthop Surg Res
January 2025
Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-minamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Background: Although the Neer and AO/OTA classifications have been widely accepted, observer reliability studies of these two classifications have questioned their reliability and reproducibility to date. We developed an entirely new classification, the Mitsuzawa classification, for dislocated and displaced proximal humeral fractures and tested all three classifications for their intra- and interobserver reliability.
Methods: Two experienced shoulder surgeons and two orthopedic residents independently evaluated the Xray (xR) values of 100 proximal humeral fractures (PHFs).
Mymensingh Med J
January 2025
Dr Shah Md Atiqul Haque, Assistant Professor, Department of Anatomy, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
The upper end of the humerus consists of three necks such as anatomical neck, surgical neck and morphological neck. The anatomical neck of the humerus is the area just below the head of the humerus. The surgical neck of the humerus is the area just below the greater and lesser tubercle of the humerus.
View Article and Find Full Text PDFJ Pediatr Orthop B
December 2024
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
All-terrain vehicle (ATV) accidents frequently cause orthopedic injuries. Previous studies have reported the frequency of fractures in ATV injuries. No studies have provided detailed assessments of fracture patterns, types of operative intervention, or risks for multiple surgeries.
View Article and Find Full Text PDFMalays Orthop J
November 2024
Department of Orthopaedic Surgery, Japanese Red Cross Ashikaga Hospital, Tochigi, Japan.
Introduction: Antegrade intramedullary nail fixation for humeral shaft fractures yields satisfactory union rates. However, one of the related concerns is damage to the rotator cuff during nail insertion, which may affect long-term outcomes. The effect of a rotator cuff lesion on mid- and long-term shoulder outcomes remains unknown.
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