Epidemiology of distal humerus fractures in the elderly

Charissoux, J.-L.; Vergnenegre, Guillaume; Pelissier, M; Fabre, Thierry; Mansat, Pierre

doi:10.1016/j.otsr.2013.08.002

Cited by 35 publications

(18 citation statements)

References 13 publications

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“…[16][17][18] The incidence in adults follows a bimodal distribution with most cases occurring either in men age 18 to 40 years (typically due to high-energy trauma) or in women > 65 years (typically due to low-energy trauma where underlying osteoporosis is often a predisposing factor). [18][19][20][21] Distal humerus fractures are most common overall in young children, but the management of pediatric fractures is beyond the scope of this article. Open reduction and internal fixation (ORIF) is the preferred surgical intervention and standard of care for these fractures with the approach and hardware placement dependent on the fracture type.…”

Section: Distal Humerusmentioning

confidence: 99%

Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures

Bartolotta

Daniels

Verret

et al. 2019

Semin Musculoskelet Radiol

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The universal goals of upper limb fracture management are to restore anatomic alignment, establish stable fracture fixation (while preserving blood supply), and allow for early mobilization of the elbow, wrist, and digits. However, the indications for operative management and fixation constructs are specific to each fracture type. This article systematically reviews current classifications and treatment options for adult fractures of the distal humerus, radius, ulna, scaphoid, metacarpals, and phalanges. For each anatomic location, we discuss the salient imaging features to guide management decisions (conservative versus internal and/or external fixation). Specifically, we emphasize the amount of displacement, angulation, comminution, and/or intra-articular involvement typically guiding operative management for each fracture type. Through this understanding of the surgical indications, rationale behind different fixation options, and common complications, the radiologist can better support the orthopaedic surgeon via more informed fracture reporting.

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Section: Distal Humerusmentioning

confidence: 99%

Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures

Bartolotta

Daniels

Verret

et al. 2019

Semin Musculoskelet Radiol

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show abstract

“…Additionally, in select older patients who are medically unwell, non-operative treatment, often referred to as the “bag of bones” approach, 1 can facilitate early rehabilitation without the risks of operative intervention, though this method can be associated with poor functional outcomes, instability, pain, distorted distal humerus geometry, and joint dysfunction. 2 - 10 …”

Section: Introductionmentioning

confidence: 99%

A Limited Fixation, Olecranon Sparing Approach, for Management of Geriatric Intra-Articular Distal Humerus Fractures

Kaiser

Newman

Haggerty

et al. 2020

Geriatr Orthop Surg Rehabil

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Purpose: We propose that geriatric comminuted intra-articular distal humerus fractures can be effectively treated with a limited fixation approach aimed at achieving varus/valgus stability with columnar fixation, but allowing intra-articular comminution to heal by secondary congruency against an intact olecranon, thus avoiding an olecranon osteotomy. Methods: Fifty-six elderly patients with AO 13-C type fractures, who underwent surgical fixation with ≥12-months of follow-up were retrospectively reviewed. Thirty patients were treated with intra-articular open reduction internal fixation (ORIF) with an olecranon osteotomy and 26 patients were treated with our limited fixation (L-ORIF) approach. Outcomes were range of motion (ROM), complications, additional surgery, and patient-reported outcome measures (PROMIS). Results: At final follow-up, the average elbow ROM was 97° (40°-155°) in the ORIF group and 86.5° (20°-145°) in the L-ORIF group. There was a trend toward more complications and additional surgery in the ORIF group. PROMIS scores for pain were 53.1 and 52.14, and PROMIS functional scores were 41.7 and 41.4 in the ORIF and L-ORIF group respectively. No differences in outcomes were statistically significant. Conclusion: A limited fixation technique based on achieving varus/valgus stability with columnar fixation, demonstrated equivalent outcomes in elderly patients with intra-articular distal humerus fractures when compared to intra-articular ORIF with an olecranon osteotomy

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“…As such, there is a need for new and efficacious treatment options, able to stimulate the recovery of bone density and structure. Additionally, there are a number of other conditions, such as complex fracture and malunion, that would also benefit from this [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Bioactive Compounds from Marine Organisms: Potential for Bone Growth and Healing

Carson

Clarke

2018

Marine Drugs

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Marine organisms represent a highly diverse reserve of bioactives which could aid in the treatment of a wide range of diseases, including various musculoskeletal conditions. Osteoporosis in particular would benefit from a novel and effective marine-based treatment, due to its large disease burden and the inefficiencies of current treatment options. Osteogenic bioactives have been isolated from many marine organisms, including nacre powder derived from molluscan shells and fucoidan—the sulphated polysaccharide commonly sourced from brown macroalgae. Such extracts and compounds are known to have a range of osteogenic effects, including stimulation of osteoblast activity and mineralisation, as well as suppression of osteoclast resorption. This review describes currently known soluble osteogenic extracts and compounds from marine invertebrates and algae, and assesses their preclinical potential.

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Epidemiology of distal humerus fractures in the elderly

Cited by 35 publications

References 13 publications

Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures

Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures

A Limited Fixation, Olecranon Sparing Approach, for Management of Geriatric Intra-Articular Distal Humerus Fractures

Bioactive Compounds from Marine Organisms: Potential for Bone Growth and Healing

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