Management of Proximal Humerus Fractures in Adults—A Scoping Review

Baker, Hayden P.; Gutbrod, Joseph; Maassen, Nicholas H.; Shi, Lewis L.

doi:10.3390/jcm11206140

Cited by 27 publications

(29 citation statements)

References 112 publications

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“…The incidence in the age group >65 years is 140/100,000 for men and 356/100,000 for women and has been rising over the past years [ 1 ]. The optimal treatment is still under debate and involves non-operative treatment, open reduction and internal fixation (ORIF), hemiarthroplasty (HA) and reverse shoulder arthroplasty (RSA) [ 2 , 3 ]. Depending on factors such as patient age, gender, fracture type and rotator cuff status, the treatment decision can be difficult and is also influenced by surgeon preference.…”

Section: Introductionmentioning

confidence: 99%

Double Plating for Complex Proximal Humeral Fractures: Clinical and Radiological Outcomes

Michel

Raschke

Katthagen

et al. 2023

JCM

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Double plating for proximal humeral fractures (PHF) is an option to increase the primary fixation stability. Clinical data is missing for assessment of clinical and radiological outcome, as well as complications. We retrospectively examined 35 patients with unilateral PHF, who were treated with double plating for PHF between 2013 and 2019. The mean age was 59.5 ± 12 years and the leading fracture type was a varus dislocation (Resch type IV in 55.3%). A head-split was present in 22.9% of the cases. The primary outcome measurement was the radiological neck shaft angle (NSA). The radiological follow-up was 21 ± 16.6 months and the NSA did not differ between the intraoperative and follow-up time point (131.5 ± 6.9° vs. 136.6 ± 13.7°; p = 0.267). The clinical follow-up was 29.5 ± 15.3 months. The Constant-score was 78.5 ± 17 points, the simple-shoulder-test (SST) was 9.3 ± 3.2 points and the subjective shoulder value (SSV) was 78.8 ± 19.5%. The over-all complication rate was 31.4%, and without stiffness 14.3%. An avascular necrosis occurred in two patients (5.7%). In conclusion, this study shows good radiological and functional outcomes after double plating of highly complex proximal humeral fractures, while the complication rate is comparable to the literature. Double plating is a viable option especially for younger patients with complex fractures as a potential alternative to fracture arthroplasty.

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Section: Introductionmentioning

confidence: 99%

Double Plating for Complex Proximal Humeral Fractures: Clinical and Radiological Outcomes

Michel

Raschke

Katthagen

et al. 2023

JCM

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“…Proximal humerus fractures has the most occurrence which account for 5-6% of all fractures observed in accident and emergency departments and are more prevalent in the elderly particularly in the women. [1][2][3] The humerus fracture has >10% occurrence among children. The majority of humerus fractures among paediatric population, about 70% are distal humerus fracture (supracondylar fractures) while proximal humerus fractures accounts for 24% followed by diaphysis fracture of about 4%.…”

Section: Introductionmentioning

confidence: 99%

“…1,8 Moreover the incidences of humerus fractures also depends on the geographic location and demographics of that region. 2,7 In all of the studies associated with the epidemiology of humerus fracture, it is found that the female population has higher occurrence of such fractures and shows bimodal distribution for all fractures in humerus bone.…”

Section: Introductionmentioning

confidence: 99%

“…15,16 The operative fixation of proximal humerus fractures is indicated for the complex fractures because of, high energy trauma in adults which includes fixation techniques from Nail, plate or arthroplasty. 2,17 A study conducted by Xiaoqing et al shows that IMN nail for humerus shows better result as compare to plate fixation for the treatment of proximal humerus fractures, although plate fixation offer treatment of different type of fracture which lacks in the treatment from IMN. 21 The operative treatment for humerus shaft fractures shows better functional results compared to non-operative treatment.…”

Section: Introductionmentioning

confidence: 99%

“…18 As compared to the plate fixation in the humerus shaft fractures, use of IMN shows lower risk of infection, secondary radial nerve palsy and shorter operation duration. 2,19 The distal humerus fracture are managed non-operatively or operatively using plate fixation. 20 In the case of operative treatment for humerus fractures there are wide variety of implants are available but to date there is no consensus method of reduction and fixation.…”

Section: Introductionmentioning

confidence: 99%

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Clinical outcomes of the intramedullary humerus nailing system in the treatment of humerus fractures

Sharma¹,

Jain²,

Luthra³

et al. 2022

Int J Res Orthop

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Background: After femoral and tibia bone fractures, the humerus fracture is the third long bone fracture. The purpose of this study was to clinically evaluate the outcomes of treating humerus fractures with an KN-5H humerus nailing system. The fixation of humerus fracture especially shaft fractures from intramedullay humeral nail the clinical outcomes obtained from the retrospective study of humerus nailing system on humeral fracture is controversial feature in surgical technical research, follow-up factors, and implants.Methods: In this retrospective study of KN-5H humerus nailing system (KN-5H intramedullary cannulated humerus nail, KN-5H reconstruction nail, cannulated and KN-5H reconstruction cannulated intramedullary humerus nail) manufactured by the Kaulmed Pvt. Ltd. is used. The total 26 patients from which 11 males and 15 females between the age group of 18-70 years with humerus fracture were taken. Patients didn't received conservative management. The fractures were categorized based on AO classification and Neer type. Th post-operative clinical effectiveness was evaluated using the Radiological evaluation, VAS score and Functional ROM results.Results: The mean follow-up period was 15 months (range 13 to 24 months). The mean time of union was 14 weeks (range 10 to 18 weeks) in 26 patients. No non-union occurred in any patients. Functional end results of shoulder and elbow were excellent in 92.3% patients, moderate 5.75% patients and poor in 1.95% patients. Postoperative complications included one superficial infection, 3 patients had nail impingement complain, one patient has shoulder stiffness and had pain in adduction. No implant related complication was reported.Conclusions: The treatment of proximal and diaphysis humerus fracture is highly recommended using intramedullary humeral nailing due to lower post-operative complication with high union rate.

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Fracture line and comminution zone characteristics, and rotator cuff footprint involvement in OTA/AO 11C3-type proximal humeral fractures: complex proximal humerus fracture map

Mısır

Oğuzkaya

Kızkapan³

et al. 2023

Arch Orthop Trauma Surg

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Management of Proximal Humerus Fractures in Adults—A Scoping Review

Cited by 27 publications

References 112 publications

Double Plating for Complex Proximal Humeral Fractures: Clinical and Radiological Outcomes

Double Plating for Complex Proximal Humeral Fractures: Clinical and Radiological Outcomes

Clinical outcomes of the intramedullary humerus nailing system in the treatment of humerus fractures

Fracture line and comminution zone characteristics, and rotator cuff footprint involvement in OTA/AO 11C3-type proximal humeral fractures: complex proximal humerus fracture map

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