The surgical treatment of proximal humerus fractures 2010-2019: United States national case volume and incidence trends

Cooke, Hayden L.; Gabig, Andrew M.; Karzon, Anthony L.; Hussain, Zaamin B.; Ojemakinde, Akinade; Wagner, Eric R.; Gottschalk, Michael B.

doi:10.1016/j.xrrt.2023.02.009

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…The surgical treatment of PHF is a complex and complicated procedure and the results depend on the description of the fractures, the experience of the surgeons and the individuality of the patients [11].…”

Section: Discussionmentioning

confidence: 99%

Volume Rendering Techniques in Computerized Tomography for the Evaluation of Proximal Humerus Fractures: A Case report

Zarakovitis,

Karametos

2024

Preprint

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Background: Proximal Humerus Fracture (PHF) is the third most common type of fracture, commonly occurring in older people, with a higher incidence in those over 50 years of age. Diagnostic imaging includes X-rays of the shoulder and a CT scan to aid surgical treatment and pre-operative surgical planning. The CT scan is performed in combination with the new applications of artificial intelligence in image reconstruction. Cost is a major limitation when it comes to AI technology, therefore public hospitals in Greece cannot afford it. The novelty of our article is that we investigate a practical way to reconstruct CT images of proximal humerus fractures by using the Volume Rendering Technique algorithm to generate images of great accuracy and detail, especially in the absence of Deep Learning Reconstruction systems. Case presentation: We present the case of a 48-year-old worker who was injured after falling from a ladder and was diagnosed with a PHF and a scapula fracture. Three-dimensional (3D) image reconstruction of the shoulder joint showed a fracture line with high accuracy. The surgeons were supported in the decision to transfer the patient to a specialized hospital for treatment of severe fractures. Conclusions: The Volume Rendering Technique algorithm is a helpful tool that allows physicians to create three-dimensional images of proximal humerus fractures with great accuracy. The process is performed in a very short time and allows surgeons to proceed with preoperative planning of the shoulder.

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Section: Discussionmentioning

confidence: 99%

Volume Rendering Techniques in Computerized Tomography for the Evaluation of Proximal Humerus Fractures: A Case report

Zarakovitis,

Karametos

2024

Preprint

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Optimising safe margins in shoulder surgeries: a cadaveric study on brachial plexus nerves with anthropometric and movement correlation

Kodandapani,

Sangani,

Chakrapani

et al. 2024

International Orthopaedics (SICOT)

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Trends in the surgical management of proximal humerus fractures in Ireland from 2009 to 2022: An increasing usage of reverse shoulder arthroplasty

O’Driscoll,

Vukanic,

Daly

et al. 2024

Ir J Med Sci

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Background Proximal humeral fractures are a common injury accounting for a significant workload across orthopaedic departments. Though often managed non-operatively, surgical management is indicated for a proportion of patients. Aims The aim of this study is to examine the trends in the management of proximal humeral fractures within Ireland over the past 13 years. Methods A retrospective review of Irish Hospital In-Patient Enquiry (HIPE) data was performed between January 2009 and December 2022. Information regarding demographics including age and gender, along with procedure type were collated after patients with proximal humerus fractures, were identified using relevant ICD 10 codes. Results Demographic details remained stable with females and those within the 55–69 year age bracket accounting for the highest proportion of patients. The mean annual number of procedures performed across the study period was 365 (273–508), with an increase from 288 cases in 2009 to 441 in 2022. Open reduction and internal fixation were the most common procedures accounting for 76.4% of cases. There has been a rising usage of total shoulder arthroplasty for fixation with an increase from < 5 cases in 2016 to 84 in 2022. A decrease in the usage of hemiarthroplasty and closed reduction internal fixation was also observed. Conclusions There has been an increasing volume of operatively managed proximal humeral fractures in Ireland, which sustained despite the 2015 publication of the highly publicised PROPHER trial. The increasing utilisation of total shoulder arthroplasty in acute trauma management is notable and necessitates appropriate training for trauma theatre personnel.

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The surgical treatment of proximal humerus fractures 2010-2019: United States national case volume and incidence trends

Cited by 3 publications

References 32 publications

Volume Rendering Techniques in Computerized Tomography for the Evaluation of Proximal Humerus Fractures: A Case report

Volume Rendering Techniques in Computerized Tomography for the Evaluation of Proximal Humerus Fractures: A Case report

Optimising safe margins in shoulder surgeries: a cadaveric study on brachial plexus nerves with anthropometric and movement correlation

Trends in the surgical management of proximal humerus fractures in Ireland from 2009 to 2022: An increasing usage of reverse shoulder arthroplasty

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