Avaliação dos resultados do tratamento cirúrgico das fraturas-luxações da extremidade proximal do antebraço no adulto

Checchia, Sérgio Luiz; Miyazaki, Alberto Naoki; Fregoneze, Marcelo; Santos, Pedro Doneux; Silva, Luciana Andrade da; Nakandakari, Eduardo Yoshiaki; Sella, Guilherme do Val; Schiefer, Márcio

doi:10.1590/s0102-36162007000900005

Cited by 6 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to Chicketal, 19 complex traumatic injuries of the proximal end of the forearm bones are the two main types, with the Monteggia luxation-fracture being the most common. This study, while agreeing with Checchia et al 20 shows the prevalence of falling as a trauma mechanism. However, what stands out among the elbow injuries are the supracondylar humerus fractures.…”

Section: Discussionsupporting

confidence: 93%

Profile of patients with traumatic injuries of the upper limb treated in a tertiary hospital

Barbosa¹,

Raimundo²,

Fonseca³

et al. 2013

Acta Fisiátrica

View full text Add to dashboard Cite

The incidence of traumatic injuries of the upper limbs in a tertiary hospital has a wide variety. This is why the creation of a unified database becomes important-to know the patients' profile. Objective: This study sought to determine the profile of patients with traumatic injuries of the upper limbs, treated by Physical Therapy in Rehabilitation Center of the Clinics Hospital of Ribeirão Preto. Method: Two hundred and twenty-three patient records were evaluated (58 women and 116 men). They had an average age of 34.54 (± 19.05) years and were referred by the orthopedic clinic of this hospital. Results: Of the cases studied, wrist and hand injuries had the highest incidence (60.99%), followed by injuries of the shoulder (20.63%), elbow (12.55%), arm (3.59%) and forearm (2.24%). In injuries of wrist and hand, the trauma mechanism with the highest percentage was the motorcycle accident, associated with multiple handbone fractures. Falling down, motorcycle accidents, and falling off a ladder were the mechanisms of injury correlated with proximal humerus fractures, shoulder dislocations, and broken scapulas, respectively. Conclusion: The incidence of injury, trauma mechanism, and characteristics of the population was verified and further improvements in protocols for specific disorders and prevention can be made.

show abstract

Section: Discussionsupporting

confidence: 93%

Profile of patients with traumatic injuries of the upper limb treated in a tertiary hospital

Barbosa¹,

Raimundo²,

Fonseca³

et al. 2013

Acta Fisiátrica

View full text Add to dashboard Cite

show abstract

“…In the current study, more than two third (73%) of PHFs were treated nonoperatively with sling immobilization. This was in line with the current evidence from the literature reporting non-surgical treatment in up to 85% of PHFs, particularly in minimally displaced stable fractures [ 16 , 17 ]. The surgical treatment options for patients with displaced PHFs reported in this study involved open reduction and locking plate fixation in most of the cases, and 9.6% of operatively treated patients underwent hemiarthroplasty.…”

Section: Discussionsupporting

confidence: 91%

Epidemiology of proximal humerus fractures in Qatar

Alzobi

Salman

Derbas

et al. 2023

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

Objective This study aimed to investigate the epidemiological characteristics and treatment options of proximal humerus fractures at a level one trauma center and to compare our data with the current literature. Methods A retrospective review was conducted on all patients diagnosed and treated for proximal humerus fractures at Hamad General Hospital, a level one trauma center, between January 2018 and December 2019. Age, gender, mechanism of injury, fracture classification, mode of treatment, implant type, length of hospital stay, associated injuries and complications were analyzed. Results A total of 190 patients with a mean age of 52.4 years were included; 56.8% were males. The incidence of proximal humerus fracture was 4.1/100,000 per year. Falling from a standing height was the most common cause of injury (50.5%). Additionally, Neer’s two-part fracture was found to be the most common type (n = 132, 69%). Forty-one patients (21.3%) had other associated injuries. Most fractures were treated nonoperatively with an arm sling (n = 138, 72.6%). Conclusion In summary, the incidence of proximal humerus fractures during the two-year study period was found to be 4.1 per 100,000 persons per year. Our results showed a lower incidence of proximal humerus fractures with a predominance of males and younger patients in Qatar’s population compared to females and older patients in the developed countries. Our results may contribute to the development of effective strategies for preventing and treating proximal humerus fractures, and can provide important data for further high-level clinical research. Level of evidence IV.

show abstract

“…To minimize these impacts, these fractures should undergo anatomical reduction, which would offer satisfactory results. ( 4 ),( 10 Surgical treatment fails to provide superior results than conservative methods, ( 11 ),( 12 but arthroplasty is specifically used for patients with progressive symptoms, showing better outcomes.…”

Section: Discussionmentioning

confidence: 99%

Correlation of Osteonecrosis Rates in the Surgical Treatment of Proximal Humeral Fractures According to the Neer and Hertel Classifications

BUSCARIOLO,

PARRON,

COSTA JUNIOR

et al. 2023

Acta ortop. bras.

View full text Add to dashboard Cite

Objective: To predict the risk of osteonecrosis (ON) according to the Neer and Hertel et al. classification for surgically treated proximal humeral fractures after at least one year of follow-up. Methods: This is a retrospective, cross-sectional, and observational cohort study. A total of 44 patients, 16 (36.36%) men and 28 (63.63%) women, with a mean age of 61.36 years, participated in this study. Lesions were categorized according to Neer and Hertel’s classifications, considering the preoperative prognosis for ON. After at least a year of follow-up, patients were reassessed. Data were evaluated using IBM SPSS Statistics®. Results: A total of three patients (6.8%) developed osteonecrosis. Comparisons showed no statistically significant difference, but we observed a superior association of osteonecrosis for the Hertel classification than that of Neer. Conclusion: Both classifications showed a similar ability to identify patients at low risk of developing ON. New studies with a greater number of participants and sample homogeneity may intensify the value of the evaluation of clinical applicability and predictive capacity of the studied classifications with greater significance and correlation. Level of Evidence III, Case Control Study.

show abstract

Avaliação dos resultados do tratamento cirúrgico das fraturas-luxações da extremidade proximal do antebraço no adulto

Abstract: Avaliação dos resultados do tratamento cirúrgico das fraturas-luxações da extremidade proximal do antebraço no adulto

Cited by 6 publications

References 14 publications

Profile of patients with traumatic injuries of the upper limb treated in a tertiary hospital

Profile of patients with traumatic injuries of the upper limb treated in a tertiary hospital

Epidemiology of proximal humerus fractures in Qatar

Correlation of Osteonecrosis Rates in the Surgical Treatment of Proximal Humeral Fractures According to the Neer and Hertel Classifications

Contact Info

Product

Resources

About