Evaluation and Management of Proximal Humerus Fractures
Proximal humerus fractures are common injuries, especially among older osteoporotic women. Restoration of function requires a thorough understanding of the neurovascular, musculotendinous, and bony anatomy. This paper addresses the relevant anatomy and highlights various management options, includin...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2012/861598 |
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| author | Ekaterina Khmelnitskaya Lauren E. Lamont Samuel A. Taylor Dean G. Lorich David M. Dines Joshua S. Dines |
| author_facet | Ekaterina Khmelnitskaya Lauren E. Lamont Samuel A. Taylor Dean G. Lorich David M. Dines Joshua S. Dines |
| author_sort | Ekaterina Khmelnitskaya |
| collection | DOAJ |
| description | Proximal humerus fractures are common injuries, especially among older osteoporotic women. Restoration of function requires a thorough understanding of the neurovascular, musculotendinous, and bony anatomy. This paper addresses the relevant anatomy and highlights various management options, including indication for arthroplasty. In the vast majority of cases, proximal humerus fractures may be treated nonoperatively. In the case of displaced fractures, when surgical intervention may be pursued, numerous constructs have been investigated. Of these, the proximal humerus locking plate is the most widely used. Arthroplasty is generally reserved for comminuted 4-part fractures, head-split fractures, or fractures with significant underlying arthritic changes. Reverse total shoulder arthroplasty is reserved for patients with a deficient rotator cuff, or highly comminuted tuberosities. |
| format | Article |
| id | doaj-art-2fdddba6bbae429b875450b56fea6038 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-2fdddba6bbae429b875450b56fea60382025-02-03T05:50:46ZengWileyAdvances in Orthopedics2090-34642090-34722012-01-01201210.1155/2012/861598861598Evaluation and Management of Proximal Humerus FracturesEkaterina Khmelnitskaya0Lauren E. Lamont1Samuel A. Taylor2Dean G. Lorich3David M. Dines4Joshua S. Dines5Sports Medicine and Shoulder Service, Orthopaedic Trauma Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USASports Medicine and Shoulder Service, Orthopaedic Trauma Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USASports Medicine and Shoulder Service, Orthopaedic Trauma Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USASports Medicine and Shoulder Service, Orthopaedic Trauma Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USASports Medicine and Shoulder Service, Orthopaedic Trauma Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USASports Medicine and Shoulder Service, Orthopaedic Trauma Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USAProximal humerus fractures are common injuries, especially among older osteoporotic women. Restoration of function requires a thorough understanding of the neurovascular, musculotendinous, and bony anatomy. This paper addresses the relevant anatomy and highlights various management options, including indication for arthroplasty. In the vast majority of cases, proximal humerus fractures may be treated nonoperatively. In the case of displaced fractures, when surgical intervention may be pursued, numerous constructs have been investigated. Of these, the proximal humerus locking plate is the most widely used. Arthroplasty is generally reserved for comminuted 4-part fractures, head-split fractures, or fractures with significant underlying arthritic changes. Reverse total shoulder arthroplasty is reserved for patients with a deficient rotator cuff, or highly comminuted tuberosities.http://dx.doi.org/10.1155/2012/861598 |
| spellingShingle | Ekaterina Khmelnitskaya Lauren E. Lamont Samuel A. Taylor Dean G. Lorich David M. Dines Joshua S. Dines Evaluation and Management of Proximal Humerus Fractures Advances in Orthopedics |
| title | Evaluation and Management of Proximal Humerus Fractures |
| title_full | Evaluation and Management of Proximal Humerus Fractures |
| title_fullStr | Evaluation and Management of Proximal Humerus Fractures |
| title_full_unstemmed | Evaluation and Management of Proximal Humerus Fractures |
| title_short | Evaluation and Management of Proximal Humerus Fractures |
| title_sort | evaluation and management of proximal humerus fractures |
| url | http://dx.doi.org/10.1155/2012/861598 |
| work_keys_str_mv | AT ekaterinakhmelnitskaya evaluationandmanagementofproximalhumerusfractures AT laurenelamont evaluationandmanagementofproximalhumerusfractures AT samuelataylor evaluationandmanagementofproximalhumerusfractures AT deanglorich evaluationandmanagementofproximalhumerusfractures AT davidmdines evaluationandmanagementofproximalhumerusfractures AT joshuasdines evaluationandmanagementofproximalhumerusfractures |