Distal Humeral Fractures-Current Concepts

Beazley, James; Baraza, Njalalle; Jordan, Robert W.; Modi, Chetan S.

doi:10.2174/1874325001711011353

Cited by 30 publications

(19 citation statements)

References 58 publications

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“…Whether treated operatively or nonoperatively, distal humerus fractures are initially immobilized in a sling for comfort with the elbow at 90° of flexion. 21 Finger range of motion can begin immediately, as well as shoulder pendulum exercises in the sling. Active shoulder abduction and resultant varus elbow stress should be avoided for the first 6 weeks.…”

Section: Upper Extremitymentioning

confidence: 99%

“…Passive- and active-assisted range of motion of the elbow can begin at 7–14 days to prevent elbow stiffness. 21 The athlete should not begin weight-bearing or strengthening exercises until 6–8 weeks or until radiographic healing is evident. 21 Progression of exercises should be gradual and performed as tolerated, with a typical return to sport around 6 months to 1 year.…”

Section: Upper Extremitymentioning

confidence: 99%

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Management of injuries in snowboarders: rehabilitation and return to activity

Helmig¹,

Treme²,

Richter³

2018

OAJSM

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Snowboarding has seen a continuous increase in popularity, leading to an increase in the number of snowboarding injuries seen in orthopedic practice. Upper-extremity injuries are more common than lower-extremity, spine, and pelvis injuries. In this review, we focus on the most common snowboarding injuries of the extremities, spine, and pelvis and provide an overview of their respective rehabilitation and return-to-sport protocols. Despite many of the injuries seen in snowboarding also occurring in other sports, objective data about rehabilitation and return to sport are lacking for many injuries. This provides an opportunity for research in the area with regard to many sports and many different injuries.

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Section: Upper Extremitymentioning

confidence: 99%

Section: Upper Extremitymentioning

confidence: 99%

Management of injuries in snowboarders: rehabilitation and return to activity

Helmig¹,

Treme²,

Richter³

2018

OAJSM

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“…Patients with TEA have a life-long restriction placed upon them with limited weight-bearing. 14 , 15 In the reported case, TEA has some relative contraindications like large open wound, severe functional impairment, relative younger patient and wound infection. 7 Celli and Morrey 16 reported revision rate of 22% in patients who received TEA younger than 40 years old.…”

Section: Discussionmentioning

confidence: 84%

Complex open elbow fracture Gustilo-Anderson type IIIB treated with the primary elbow arthroplasty: A case report

Cibula

Hrubina

Kiss

et al. 2021

Chinese Journal of Traumatology

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Total elbow arthroplasty as a treatment option for open elbow fracture is relatively rare described. We reported a 39 years old polytrauma patient with complex open elbow fracture (Gustilo-Anderson type IIIB). The patient presented with large soft tissues defect on dorsal part of the left elbow, ulnar palsy due to the irreparable loss of the ulnar nerve, distal triceps loss due to the complete loss of the olecranon, loss of both humeral condyles with collateral ligaments and complex elbow instability. Only few similar cases have been published. Reconstructive surgery included repetitive radical debridement, irrigation, vacuum assisted closure system therapy, external fixation, coverage of the soft tissue defect with fascia–cutaneous flap from the forearm. Four months after the injury, total elbow arthroplasty with autologous bone graft (from the proximal radius) inserted in the ulnar component, was performed. At 3 years postoperatively, the patient is able to perform an active flexion from 0° to 110° with full prono-supination. Only passive extension is allowed. The ulnar neuropathy is persistent. Patient has no signs of infection or loosening of the prosthesis.

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“…Th e success of the treatment of distal distal humeral fractures is dependent on correct fracture diagnosis, a correct reduction with a reconstruction of the joint surfaces, a stable fi xation of the fragments, and a functional recovery program with the fastest postoperative onset 4, 16 .…”

Section: Discussionmentioning

confidence: 99%

Proximal and Distal Humerus Fractures in a Patient with Chronic Inflammatory Joint Disease Undergoing Biologic Therapy

Turcu¹,

Moga²,

Dinache³

et al. 2018

Rev. Med. Mod.

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Bone changes occurring in people with rheumatoid arthritis increase the incidence of fractures in these patients. In the complex fractures of the 3-part proximal humerus, the treatment of choice is represented by open reduction and osteosynthesis. Because of the important role of the distal portion of the humerus in the elbow joint, fi rm osteosynthesis with angularly blocked implants provides a superior biomechanics and stability in the treatment of complex fractures even in the elderly with a diminished bone stock due to osteoporosis. The preliminary diagnosis was established following simple radiographs. Establishing the diagnosis required computerized tomography and three-dimensional elbow reconstruction. Surgery was performed following the analysis of the imaging data, practicing the fi rst step of reduction and osteosynthesis by the MIPO technique of the proximal humerus fracture, subsequent reduction and osteosynthesis of the distal humerus fracture, the defective bone was fi lled with artifi cial bone graft, and the osteosynthesis of the osteotomized olecan. Reduced soft tissue damage, reduced postoperative pain, reduced functional impairment, and axillary nerve protection confer superiority to osteosynthesis through the mini-invasive approach (MIPO) versus the transdeltoid approach. RezumatModifi cările ososase ce apar la persoanele cu poliartrită reumatoidă cresc incidenţa fracturilor la acești pacienţi. În fracturile complexe ale humerusului proximal cu 3 fragmente, tratamentul de elecţie este reprezentat de reducerea deschisă și osteosinteză. Datorită rolului important al porţiunii distale a humerusului, în cadrul articulaţiei cotului, osteosinteza fermă prin plăci blocate premulate, angular stabile, oferă o biomecanică și o stabilitate superioară în tratamentul fracturilor complexe chiar și la persoanele în vârstă, cu un stoc osos diminuat din cauza osteoporozei. Diagnosticul preliminar a fost stabilit în urma efectuării radiografi ilor simple. Stabilirea diagnosticului a impus efectuarea unei tomografi i computerizate și o reconstrucţie tridimensională a cotului. Intervenţia chirurgicală a fost efectuată în urma analizei datelor imagistice, practicându-se în primă etapă reducere și osteosinteză prin tehnica MIPO a fracturii de humerus proximal, ulterior reducerea și osteosinteza fracturii de humerus distal, plombajul defectului osos cu substituent și hobanajul olecranului osteotomizat. Lezarea redusă a ţesuturilor moi, reducerea durerii postoperator, diminuarea gradului de insufi cienţă funcţională și protejarea nervului axilar conferă superioritate osteosintezei prin abordul miniminvaziv (MIPO) faţă de abordul transdeltoidian. Cuvinte cheie: MIPO, reconstrucţie 3D tomografi e computerizată, poliartrită reumatoidă, fractura humerus proximal, fractură humerus distal CASE REPORT

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Distal Humeral Fractures-Current Concepts

Cited by 30 publications

References 58 publications

Management of injuries in snowboarders: rehabilitation and return to activity

Management of injuries in snowboarders: rehabilitation and return to activity

Complex open elbow fracture Gustilo-Anderson type IIIB treated with the primary elbow arthroplasty: A case report

Proximal and Distal Humerus Fractures in a Patient with Chronic Inflammatory Joint Disease Undergoing Biologic Therapy

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