Proximal Humerus and Humeral Shaft Nonunions

Cadet, Edwin R.; Yin, Bob; Schulz, Brian; Ahmad, Christopher S.; Rosenwasser, Melvin P.

doi:10.5435/00124635-201309020-00005

Cited by 16 publications

(23 citation statements)

References 43 publications

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“…T reatment of fracture nonunions of the proximal part of the humerus is challenging, and various surgical options have been described [3][4][5]7,9,12,13 .…”

Section: Discussionmentioning

confidence: 99%

“…N onunion of a fracture of the surgical neck of the humerus is a disabling condition that leads to pain and loss of shoulder function [1][2][3][4][5][6][7] . Several surgical treatment options have been described, with various outcomes [3][4][5][6]8,9 .…”

mentioning

confidence: 99%

“…Several surgical treatment options have been described, with various outcomes [3][4][5][6]8,9 . Some authors have preferred open reduction and internal fixation of the proximal part of the humerus with use of intramedullary bone graft combined with internal fixation 4,5,9 .…”

mentioning

confidence: 99%

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Reverse Shoulder Arthroplasty for the Treatment of Nonunions of the Surgical Neck of the Proximal Part of the Humerus (Type-3 Fracture Sequelae)

Raiss

Edwards

Silva

et al. 2014

The Journal of Bone and Joint Surgery-American Volume

111

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Nonunions of the proximal part of the humerus can be treated with reverse shoulder arthroplasty. Although clinical outcomes improved significantly, we found an unacceptably high rate of dislocations associated with intraoperative resection of the tuberosities. The tuberosities and the attached rotator cuff should be preserved if possible to reduce the risk of dislocation after reverse total shoulder arthroplasty.

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“…T reatment of fracture nonunions of the proximal part of the humerus is challenging, and various surgical options have been described [3][4][5]7,9,12,13 .…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Reverse Shoulder Arthroplasty for the Treatment of Nonunions of the Surgical Neck of the Proximal Part of the Humerus (Type-3 Fracture Sequelae)

Raiss

Edwards

Silva

et al. 2014

The Journal of Bone and Joint Surgery-American Volume

111

View full text Add to dashboard Cite

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“…f Klinischer Befund mit seitengleicher Rotation 6 Wochen postoperativ letzte Option für Patienten mit Humeruskopfnekrose oder bei zu kleinen bzw. qualitativ schlechten proximalen Fragmenten vorbehalten bleiben [16]. …”

Section: Leitthemaunclassified

Posttraumatische Fehlstellungen und Pseudarthrosen des proximalen Humerus

et al. 2015

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A variety of corrective surgical strategies are available, which are indicated depending on the location and extent of the malunion. The depicted single-cut osteotomy technique represents an elegant therapeutic option for multidimensional deformities of the proximal humerus. Nonunions of the proximal humerus can usually be successfully managed with autologous cancellous bone grafting and locking plate osteosynthesis.

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“…Humeral functional bracing is commonly used to provide mechanical stability aiding fracture healing 1. However, non-union is a recognised complication of these fractures with an estimated prevalence of 5.5% 2. Non-union occurs when a fracture has failed to heal in the expected time; hypertrophic non-union is associated with adequate healing response and good vascularity but lacks adequate immobilisation or stability to progress to union 2 3…”

Section: Descriptionmentioning

confidence: 99%

Humeral shaft hypertrophic non-union mimicking malignant lesion

2013

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DESCRIPTIONIsolated humeral shaft fractures account for 3-5% of adult fractures, and non-operative management is the mainstay of the treatment with overall good results. Humeral functional bracing is commonly used to provide mechanical stability aiding fracture healing.1 However, non-union is a recognised complication of these fractures with an estimated prevalence of 5.5%.2 Non-union occurs when a fracture has failed to heal in the expected time; hypertrophic non-union is associated with adequate healing response and good vascularity but lacks adequate immobilisation or stability to progress to union. 3We present an interesting case of hypertrophic non-union of humeral shaft fracture in a 63-yearold woman. She is fully independent, medically fit and well, right-handed and a non-smoker presented to minor injuries unit with a painful left shoulder following a simple fall. On examination, she had mild tenderness over her acromioclavicular joint with a good range of motion in her shoulder and had an intact neurovascular status. However, while examining her arm, a completely asymptomatic mass was readily palpable over the middle left humerus with a detectable motion in the midhumerus. On further questioning, it appeared that she was involved in a road traffic accident and sustained a closed humeral shaft fracture 17 years ago which was treated non-operatively.Plain radiographs (figure 1) demonstrated a suspicious solitary diaphyseal humeral lesion, sparing the cortices and surrounding soft tissues with an abundance of bone formation. However, the diagnosis of hypertrophic non-union is confirmed on MRI (figure 2). She is fully functional and asymptomatic and no further management is required. Figure 1 Anteroposterior and lateral plain radiographs of left humerus demonstrating a hypertrophic non-union of humeral shaft fracture.

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Proximal Humerus and Humeral Shaft Nonunions

Cited by 16 publications

References 43 publications

Reverse Shoulder Arthroplasty for the Treatment of Nonunions of the Surgical Neck of the Proximal Part of the Humerus (Type-3 Fracture Sequelae)

Reverse Shoulder Arthroplasty for the Treatment of Nonunions of the Surgical Neck of the Proximal Part of the Humerus (Type-3 Fracture Sequelae)

Posttraumatische Fehlstellungen und Pseudarthrosen des proximalen Humerus

Humeral shaft hypertrophic non-union mimicking malignant lesion

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