Can objective criteria for poor tolerance of proximal humerus malunion be identified?

Griffart, Aude; Joly-Monrigal, Pauline; Andrin, Julien; Lazerges, Cyril; Chammas, Michel; Coulet, Bertrand

doi:10.1016/j.otsr.2018.11.020

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…However, elderly or low demanding people may tolerate some limitations in range of motion. Another classification was developed by Boileau et al 19 whereas Griffart et al 20 has recently proposed a measurement method which relies on CT scans and provides a quantitative assessment of post-fracture disharmony based on four reproducible angles. Many fixation techniques are available for proximal humerus fractures and there is no consensus on the best solution.…”

Section: Malunionmentioning

confidence: 99%

Nonunion and malunion in proximal humerus fractures

Vigni

Tomasi²,

Gervasi³

2020

Lo Scalpello

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Proximal humerus fractures are common injuries and the development of nonunion or malunion is infrequent. However, these complications can occur with both operative and non-operative treatment of the fracture. A complete evaluation of these patients must include an investigation of the original fracture, bone and soft tissue quality as well as an extensive radiological study with X-Ray, CT and MRI. Asymptomatic and low demanding patients can benefit from conservative treatment, otherwise surgery is necessary. Multiple treatment options exist with no consensus upon the gold standard. The management of these complications is case-specific and needs extensive pre-operative planning. Arthroscopic procedures, osteotomies and bone grafting are viable joint preservation techniques. Bone loss or articular pathology are indications for joint replacement. The surgical treatment of nonunion and malunion is challenging even for experienced surgeons.

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Section: Malunionmentioning

confidence: 99%