Fratura impactada em valgo do úmero proximal

Ribeiro, Fabiano Rebouças; Takesian, Fernando Hovaguim; Bezerra, Luiz Eduardo Pimentel; Filho, Rômulo Brasil; Júnior, Antonio Carlos Tenor; Costa, Miguel Pereira da

doi:10.1016/j.rbo.2015.03.004

Cited by 6 publications

(1 citation statement)

References 11 publications

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“…It corresponds to approximately 5% of the preoperative diagnosis of all performed shoulder arthroplasties. ( 4 ),( 5 …”

Section: Introductionmentioning

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.

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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.

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“…It corresponds to approximately 5% of the preoperative diagnosis of all performed shoulder arthroplasties. ( 4 ),( 5 …”

Section: Introductionmentioning

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.

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Operative Technique of Angular Stable Plate Fixation

Yıldırım

Özer

2020

Shoulder Arthroplasty

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Solely sutures is a reliable fixation for valgus-impacted proximal humeral fractures

Scheer¹,

Tillander²,

Dånmark³

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Valgus impacted proximal humeral fractures with substantial displacement may severely compromise shoulder function and open reduction can therefore be considered. Internal fixation hardware may eventually however constitute problems. In a small subset of these fractures, in which there is no medial comminution and intact blood supply it is possible to use a least possible fixation method with solely sutures through the tendons of the rotator cuff and the shaft as described by Bigliani 1990. The aim of the present study was to investigate the outcome of this fixation method in a retrospective series of patients. Methods: Twenty-seven patients, 23 women and 4 men, with a mean age of 66 years (53e83) and minimum follow-up time of 2 years (2e11 years) accepted follow-up with standard shoulder radiographs and 22 were examined with Oxford Shoulder Score (OSS), Constant-Murley (CM) shoulder score and Numeric Rating Scale for pain (NRS). Reoperations or adverse events were recorded. Results: The median OSS was 45 (range 5e48) and CM 63 (range 21e98). The relative CM score was 81% of the uninjured side and median NRS 0 (range 0e5). No reoperations were undertaken. One patient had a complete avascular necrosis (AVN), 3 patients had a partial AVN of the humeral head and two a partial resorption of the greater tuberosity. Conclusion:The use of sutures only for fixation of displaced valgus-impacted proximal humeral fractures provided a relatively reliable outcome with good functional scores and no reoperations. There appears to be no need for the use of hardware for fixation of this rare subset of fractures.

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Fratura impactada em valgo do úmero proximal

Cited by 6 publications

References 11 publications

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

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

Operative Technique of Angular Stable Plate Fixation

Solely sutures is a reliable fixation for valgus-impacted proximal humeral fractures

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