Proximal humerus fractures

Greiwe, R. Michael

doi:10.1016/b978-1-78242-449-9.00004-2

Cited by 1 publication

(2 citation statements)

References 258 publications

(121 reference statements)

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“…The optimal treatment for displaced proximal humerus fractures has been a topic of significant debate within the medical community. Several well-documented treatment options exist in the literature, including nonoperative management, hemiarthroplasty, RSA, open reduction and internal fixation, and proximal humeral nailing [11][12][13]. The decision to opt for surgical intervention in proximal humerus fractures typically arises when the viability of the humeral head is in question.…”

Section: Discussionmentioning

confidence: 99%

“…Right cemented humerus shaft stem size 10mm in diameter and 120mm in length was inserted. The tuberosities were secured in place with fiber wire suture through multiple cerclage stitches, following the technique described by Frankle and Mighell [ 11 ], and further augmentation with autologous bone graft harvested from the humeral head to close up the rotator interval to allow for union of tuberosities. Post-operative radiographs of the right shoulder demonstrated secure fixation and proper alignment of the prosthesis (Figures 3a - 3b ).…”

Section: Case Presentationmentioning

confidence: 99%

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A Reshaping Recovery: The Reverse Shoulder Arthroplasty Triumphs in Salvaging Chronic Four-Part Proximal Humerus Fractures

Kee,

Yeak,

Ahmad Hanif

et al. 2023

Cureus

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The aging population is witnessing a steady increase in the incidence of displaced proximal humerus fractures, particularly among elderly patients. Such fractures pose a significant challenge to orthopedic surgeons, given the complex interplay of factors involved, including fracture displacement, comminution, compromised bone quality, and the presence of concurrent medical comorbidities. While open reduction internal fixation (ORIF) remains a viable treatment option for these fractures, it is a technically demanding procedure associated with a high incidence of complications. Recently, reverse total shoulder arthroplasty (RTSA) with tuberosity repair has gained popularity as a successful approach for addressing such fractures. The present case report details a unique and complex case of a chronic four-part proximal humerus fracture, complicated by avascular necrosis of the humeral head, fracture non-union, and hardware penetration. The patient was successfully treated through a reverse shoulder arthroplasty procedure, highlighting the effectiveness of this surgical approach in such challenging scenarios. The advantages of RTSA in this context include the potential to address avascular necrosis, non-union, and hardware complications, as seen in our patient. Additionally, the procedure can restore functional independence and improve the overall quality of life in these challenging cases.

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Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%