Factors Influencing the Varus Deformity of Humeral Head in Proximal Humerus Fractures and Its Relation to Functional Outcome

H., Kantharaju; Gawhale, Sangeet; Kumar, G S Prasanna; Sahare, Balu; Shah, Nadir

doi:10.1007/s43465-020-00275-4

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…At the 2-year follow ups after fixation, the patients had an average Constant score of 88 and average DASH score of 86. Another study on treating varus misalignment of proximal humerus fractures with open reduction and internal fixation with locking plate and screw was done by Kantharaju et al 8 , which evaluated the functional outcomes and found an average Constant score of 75.15 at the 1-year follow-ups. Our case was diagnosed as a stable two-part fracture with varus misalignment and was treated with an arm sling for 8 weeks, at which time the Constant score and DASH score were 88 and 86, respectively, and the ranges of motion in forward flexion, abduction, internal rotation and external rotation were 175, 150, Thoracic level 12, and 60, respectively.…”

Section: Discussionmentioning

confidence: 99%

Displaced varus proximal humerus fracture with conservative treatment: a case report

Asavanapakas¹,

Klabklay²,

Maliwankul³

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: The authors report a case of an elderly female with a displaced varus misalignment of a proximal humerus fracture which met the indications for surgery, but the patient was treated conservatively with an arm sling due to the wishes of the patient and her relatives. The clinical outcome was nearly full function compared with the right shoulder. Presentation of case: A 65-year-old Thai female presented with right shoulder pain 1 h after a fall during which her right shoulder hit the floor. Radiographs of the right shoulder in anteroposterior and lateral transcapular views showed a proximal humerus fracture with varus misalignment. The patient and her relatives decided on conservative treatment with an arm sling. At 12 weeks following the fall she was able to move her right shoulder nearly equally to the left shoulder. Intervention and outcome: The authors discussed the treatment options with the patient and her relatives and recommended open reduction and internal fixation with a locking plate and screw, but they decided on conservative treatment with an arm sling. At 12 weeks following the fall she was able to move her right shoulder nearly equally to the left shoulder. She had no pain and could do normal life activities with the right shoulder. Relevance and impact: Patients with severe varus deformity are usually treated with surgery. If there are contraindications for surgery, the stability of the fracture should first be evaluated through radiographs of the fracture in various arm positions.

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Section: Discussionmentioning

confidence: 99%

Displaced varus proximal humerus fracture with conservative treatment: a case report

Asavanapakas¹,

Klabklay²,

Maliwankul³

et al. 2023

Annals of Medicine &Amp; Surgery

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“…Two other studies reported that varus malunion was correlated to worse functional outcomes, with as little as a 10-degree difference having an impact. 7,8…”

Section: Anatomymentioning

confidence: 99%

“…Conversely, West et al 6 found that retroversion was affected by sex, with a mean of 39 degrees in males and 32 degrees in females. Two other studies reported that varus malunion was correlated to worse functional outcomes, with as little as a 10-degree difference having an impact 7,8 …”

Section: Anatomymentioning

confidence: 99%

Corrective Open-wedge Valgus Proximal Humerus Lengthening Osteotomy. Technique and Case Series

Goetti,

Aibinder,

Rollick

et al. 2023

Techniques in Hand &Amp; Upper Extremity Surgery

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Symptomatic varus malunion after proximal humeral fractures is associated with weakness and painful limitation of shoulder range of motion. When there is conformity of the articular surface and no avascular necrosis, a head-preserving procedure is best indicated. Arthroscopic arthrolysis, subacromial decompression, and tuberoplasty have been described for the treatment of mild deformity. In cases with more severe deformity, corrective extracapsular lateral closing wedge valgus osteotomy has been reported as a reliable treatment option, in terms of both pain relief and improved function. While this procedure adequately restores rotator cuff tensioning, it is associated with a shortening of the lever arm to the deltoid muscle, secondary to a loss of humeral length. We describe our technique and results with a vascular-sparing, medial open-wedge osteotomy, using a structural allograft and lateral locking plate. In our opinion, this procedure is safe and effective, with the potential to improve functional outcomes in young and active patients.

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The relationship between humeral head angulation and bone void within the humeral head in proximal humerus fractures

Ju,

Zhou,

Chen

et al. 2024

Heliyon

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Factors Influencing the Varus Deformity of Humeral Head in Proximal Humerus Fractures and Its Relation to Functional Outcome

Cited by 4 publications

References 18 publications

Displaced varus proximal humerus fracture with conservative treatment: a case report

Displaced varus proximal humerus fracture with conservative treatment: a case report

Corrective Open-wedge Valgus Proximal Humerus Lengthening Osteotomy. Technique and Case Series

The relationship between humeral head angulation and bone void within the humeral head in proximal humerus fractures

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