Locked Nailing for Displaced Surgical Neck Fractures of the Humerus

Lin, Jinn; Hou, Sheng‐Mou; Hang, Yi‐Shiong

doi:10.1097/00005373-199812000-00013

Cited by 90 publications

(53 citation statements)

References 32 publications

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“…Critical features of a straight antegrade nail are the inevitable longitudinal incision of the rotator cuff and the loss of articular cartilage by drilling the insertion point at the apex of the humeral head fragment [9,[27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopical Findings after Antegrade Nailing of a Proximal Humeral Fracture

Großterlinden

Ueblacker

Rueger

2007

Eur J Trauma Emerg Surg

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Proximal humeral fractures represent up to five percent of all fractures in adults, commonly found in elderly patients. The final functional results after different operative procedures are among other factors dependent on whether or not a rotator cuff lesion is pre-existent, prior to the fracture, and how its surgical therapy is carried out. However, to what extent prior rotator cuff tears in this special patient group contribute to the functional outcome remains widely unclear. In our institution antegrade intramedullary nailing is the treatment of choice for proximal humeral fractures. One critical point of this technique is the unavoidable split of the rotator cuff on the approach to the proximal humerus and the insertion of the nail through the incised cuff. We report on a case of an impingement after antegrade intramedullary nailing of a proximal humeral fracture. Diagnostic glenohumeral arthroscopy revealed neither a residual lesion of the former rotator cuff incision nor a chondral lesion at the former insertion site of the nail. In the same session subacromial decompression and a nettoyage of adhesions were performed. We assume that splitting the rotator cuff for the insertion of an antegrade nail in a proximal humeral fracture is less relevant than previously assumed and described.

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Section: Discussionmentioning

confidence: 99%

Arthroscopical Findings after Antegrade Nailing of a Proximal Humeral Fracture

Großterlinden

Ueblacker

Rueger

2007

Eur J Trauma Emerg Surg

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“…To achieve this goal, a variety of implants of internal fixation have been employed with variable success.Implants can range from percutaneous k-wiring conventional plates such as T plate , [9,36,39,44] blade plate one third tubular plate43,circlage or tension band wiring using a stainless steel wire, [26,38,24] helix wiring, [35] externalfixator, [28,30] intramedullary nail, [14,20,23,24,25,27,41] locking plate, [1,4,8,14,16,29,32,33,37,38,42] to hemiarthoplasty. [19] The best treatment for displaced proximal humerus fracture remains controversial and the discussion about ideal implant for such cases still continues.…”

Section: Section: Orthopaedicsmentioning

confidence: 99%

Philos Plating in Displaced Surgical Neck of Humerus Fracture

Sharma¹,

Dhingra²,

Sharma³

2017

Ann. Int. Med. Den.Res.

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Variations in the arterial pattern of the upper limb are very common as observed in many cadaveric and angiographic studies. Knowledge of variations in the origin and course of the radial artery is important because they are used for many diagnostic procedures as well as vascular and reconstructive surgeries like coronary angiography, percutaneous coronary intervention and coronary artery bypass surgery. During routine dissection in our institute, we observed a case of high origin of the radial artery in a 33 year old male cadaver. It was found to be unilateral; on left side, radial artery was taking origin from 3 rd part of the axillary artery at the lower border of pectoralis minor before the origin of subscapular artery and anterior circumflex humeral artery. It had a superficial course in the arm crossing the median nerve from medial to lateral side. The further course of this superficial radial artery in the forearm was normal and it terminated by forming a deep Palmar arch in hand. These variations may be of great clinical implications for vascular and plastic surgeons and radiologists. Superficial course of radial artery makes it vulnerable to accidental injuries and elevates the risk of bleeding.

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“…The methods of fixation and operative techniques have evolved over the years. Such fixation has included closed reduction with percutaneous pinning [19,33], tension band wiring [11,12,15,37], plate fixation [7,8], intramedullary nailing [1,41], and hemiarthroplasty [26,28]. More recently, the advent of locked plate technology has increased ORIF indications and some surgeons are replacing the previously mentioned fixation methods with locked plates [28].…”

Section: Introductionmentioning

confidence: 99%