12,397 results match your criteria Fracture Humerus


Parameterization of proximal humerus locking plate impingement with in vitro, in silico, and in vivo techniques.

J Shoulder Elbow Surg 2019 Feb 13. Epub 2019 Feb 13.

Biedermann Laboratory for Orthopaedic Research, Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.

Background: Locked plating of displaced proximal humeral fractures is common, but rates of subacromial impingement remain high. This study used a multidisciplinary approach to elucidate the relationships between common surgical parameters, anatomic variability, and the likelihood of plate impingement.

Methods: The experiment was completed in 3 phases. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.062DOI Listing
February 2019

Prospective outcome analysis following tenodesis of the long head of the biceps tendon along with locking plate osteosynthesis for proximal humerus fractures.

Injury 2019 Feb 10. Epub 2019 Feb 10.

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Germany. Electronic address:

Background: Fractures of the proximal humerus are often associated with lesions of the long head of the biceps (LHB) tendon. This often leads to prolonged shoulder pain. Hence, many surgeons decide to perform a tenodesis of the LHB tendon simultaneous to ORIF. Read More

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http://dx.doi.org/10.1016/j.injury.2019.02.003DOI Listing
February 2019

Is the Charlson comorbidity index a good predictor of mortality and adverse effects in proximal humerus fractures?

Orthop Traumatol Surg Res 2019 Feb 11. Epub 2019 Feb 11.

Shoulder and Elbow Unit, Department of Orthopaedic Surgery and Traumatology, Clínico San Carlos Hospital, Complutense University of Madrid, Madrid, Spain. Electronic address:

Introduction: Proximal humerus fractures (PHF) are frequent in elderly patients. This population also suffers from a series of associated comorbidities, and PHF increases morbidity and mortality. The Charlson Comorbidity Index (CCI) is a tool used for calculating comorbidity and therefore the mortality risk. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.11.016DOI Listing
February 2019

Assessment of incidence and various demographic risk factors of traumatic humeral shaft fractures in China.

Sci Rep 2019 Feb 13;9(1):1965. Epub 2019 Feb 13.

Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, P. R. China.

As a sub-study of the China National Fracture Study, this study aimed to better determine the incidence and risk factors of humeral shaft fracture in mainland China. We obtained all the data on humeral shaft fracture from the China National Fracture Study reported in 2017. Trained research teams personally interviewed all qualifying household members using a standardised questionnaire. Read More

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http://dx.doi.org/10.1038/s41598-018-38035-yDOI Listing
February 2019

Cutibacterium (formerly Propionibacterium) acnes clavicular infection.

J Bone Jt Infect 2019 29;4(1):40-49. Epub 2019 Jan 29.

University of California San Francisco, Department of Orthopaedic Surgery.

(formerly ) is a slow growing, gram-positive bacteria that is naturally found in higher concentrations as skin flora on the chest and back, as well as in other areas with greater numbers of hair follicles. Most of the reported cases of shoulder girdle infection follow arthroplasty surgery, which then often requires debridement, administration of intravenous antibiotics, and surgical revision of the implanted device. In a recent study, 56% of 193 shoulder revisions had a positive culture, 70% of which grew . Read More

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http://dx.doi.org/10.7150/jbji.29153DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367193PMC
January 2019

Evaluation of Fixation for Distal Humeral Diaphyseal Fracture by Locking Compression Plate.

Mymensingh Med J 2019 Jan;28(1):60-69

Dr Malay Kumar Saha, Associate Professor, Department of Orthopaedics, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:

Treatment of extra-articular distal humeral shaft fractures with plating techniques is often difficult. The recent development of LCP has improved the surgical treatment of fractures by overcoming the few drawbacks of older fixators. The aim of this prospective observational study was to assess the effectiveness of osteosynthesis of extra-articular diaphyseal fractures of the distal third of the humerus using a single locking compression plate (LCP) and was conducted from July 2016 to June 2018 at the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka, Bangladesh. Read More

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January 2019

Comparative Study of Stabilization of Humerus Supracondylar Fracture in Children by Percutaneous Pinning From Lateral Side and Both Sides.

Mymensingh Med J 2019 Jan;28(1):15-22

Dr Malay Kumar Roy, Junior Consultant (Ortho-Surgery), Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh; E-mail:

The aim of this prospective experimental study was to analyze the radiological and clinical results of the supra condylar fracture of Humerus in children and conducted the functional outcome of closed reduction and internal fixation by percutaneous Kirschner-wire from lateral side and crossed technique in the National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-E-Bangla Nagor, Dhaka, Bangladesh from July 2011 to June 2013. Patients diagnosed as closed Supracondylar fracture of Humerus in children due to trauma were the study population. Total 30 patients aged 2 to 12 years irrespective of sex were included in the study and were divided in 2 groups. Read More

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January 2019
2 Reads

Can objective criteria for poor tolerance of proximal humerus malunion be identified?

Orthop Traumatol Surg Res 2019 Feb 7. Epub 2019 Feb 7.

Service de chirurgie de la main et du membre supérieur, chirurgie des nerfs périphériques, hôpital Lapeyronie, CHU, 371, avenue du doyen Gaston-Giraud, 34000 Montpellier cedex, France.

Background: Malunion of the proximal humerus is common and variably tolerated. Classifications developed for proximal humerus malunion (PHM) rely on standard radiographs, which underestimate bone fragment displacement and lack accuracy. The clinical tolerance of PHM is subjective, and revision surgery is not always necessary. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.11.020DOI Listing
February 2019
1 Read

"90/90" Plating of proximal humerus fracture-a technical note.

J Orthop Surg Res 2019 Feb 11;14(1):41. Epub 2019 Feb 11.

Tallaght University Hospital, Dublin, Ireland.

Introduction: While locking plates have markedly improved fixation of proximal humerus fractures, a cohort of fractures remains difficult to treat. This cohort has been identified as fractures with marked medial comminution and varus deformity. Loss of reduction and fixation failure are the most frequently reported complications for this cohort. Read More

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http://dx.doi.org/10.1186/s13018-019-1083-3DOI Listing
February 2019

Type III Monteggia Equivalent Lesion with Ipsilateral Fracture Lateral Condyle of Humerus in a Four-year-old Child: A Case Report and Literature Review.

J Orthop Case Rep 2018 Sep-Oct;8(5):19-21

Department of Trauma and Orthopaedics, Mater Dei Hospital, Triq Dun Karm, Msida MSD 2090, Malta.

Introduction: Monteggia fracture-dislocations are uncommon injuries in children, rarely associated with other ipsilateral upper limb injuries. We present a case of type III Monteggia lesion associated with an ipsilateral fracture of the lateral condyle of the humerus in a child.

Case Report: A 4-year-old girl presented with a left elbow swelling after falling from a height of 2 meters. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367291PMC
February 2019

The increasing role of reverse total shoulder arthroplasty in the treatment of proximal humerus fractures.

Injury 2019 Jan 30. Epub 2019 Jan 30.

Department of Orthopedic Surgery, Southern California Permanente Medical Group, Harbor City, CA USA.

Introduction: Hemiarthroplasty of the shoulder is a well established treatment for proximal humerus fractures not amenable to open reduction internal fixation. However, orthopedic surgeons have recently increased utilization of reverse total shoulder arthroplasty (RTSA) in the treatment of these injuries. The purpose of this study was to evaluate the use of hemiarthroplasty and RTSA between 2009 and 2016 for the treatment of proximal humerus fractures within a large United States integrated healthcare system. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.034DOI Listing
January 2019

All-cause mortality with current and past use of antidepressants or benzodiazepines after major osteoporotic and hip fracture.

Osteoporos Int 2019 Feb 8. Epub 2019 Feb 8.

Division of Pharmacoepidemiology & Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, Netherlands.

In the first year, after an osteoporotic fracture of a hip, forearm, upper arm, or spine, the dispensing rates of antidepressants and benzodiazepines increased significantly. After those fractures, recent and past use of antidepressants and benzodiazepines was associated with increased all-cause mortality; current use was not associated with mortality risk.

Introduction: It remains unclear to what extent use of antidepressants and benzodiazepines is associated with mortality risk after a major osteoporotic fracture (MOF). Read More

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http://dx.doi.org/10.1007/s00198-019-04851-9DOI Listing
February 2019
1 Read

Haematology panel biomarkers for humeral, femoral, and tibial diaphyseal fractures.

Int Orthop 2019 Feb 6. Epub 2019 Feb 6.

Department of Pharmacology, 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.

Purpose: The neutrophil to lymphocyte ratio (NLR) is a simple predictor used in oncology and cardiology. We aimed to analyze the NLR profile of patients with diaphyseal fractures of the humerus, femur, and tibia.

Methods: We performed a cross-sectional, consecutive-case population-based study including 148 patients (41. Read More

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http://dx.doi.org/10.1007/s00264-019-04305-1DOI Listing
February 2019

[Endoprosthetic replacement of the proximal humerus in revision shoulder arthroplasty].

Oper Orthop Traumatol 2019 Feb 6. Epub 2019 Feb 6.

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Rheinische Friedrich-Wilhelms-Universität Bonn, Sigmund-Freud-Straße 25, 53105, Bonn, Deutschland.

Objective: Reconstruction of proximal humeral bone defects in the setting of shoulder revision arthroplasty by implantation of a modular humeral component.

Indications: Severe segmental humeral bone defects in revision total shoulder arthroplasty, after tumor resection, trauma, pathological fractures, post-infectious or after failed osteosynthesis.

Contraindications: Acute or chronic local infections, large diaphyseal bone defects preventing adequate anchorage of the prosthesis, very short life expectancy (<3 months). Read More

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http://dx.doi.org/10.1007/s00064-019-0588-6DOI Listing
February 2019

Perioperative Ketorolac for Supracondylar Humerus Fracture in Children Decreases Postoperative Pain, Opioid Usage, Hospitalization Cost, and Length-of-Stay.

J Pediatr Orthop 2019 Feb 1. Epub 2019 Feb 1.

Division of Orthopaedic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA.

Background: There is a need for improved opioid stewardship in orthopedic surgery through multimodal analgesia strategies. Perioperative administration of ketorolac in children undergoing closed reduction and percutaneous pinning (CRPP) for displaced supracondylar humerus (SCH) fracture may decrease pain, reduce opioid requirements, and decrease hospitalization costs.

Methods: Retrospective case-control investigation of children (aged, 1 to 14) treated with CRPP for closed, modified Gartland type III extension-type SCH fractures at a single children's hospital between 2011 and 2017. Read More

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http://Insights.ovid.com/crossref?an=01241398-900000000-9855
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http://dx.doi.org/10.1097/BPO.0000000000001345DOI Listing
February 2019
3 Reads

[A woman with shoulder pain after surgery abroad].

Ned Tijdschr Geneeskd 2019 Jan 30;163. Epub 2019 Jan 30.

St.-Antonius Ziekenhuis, afd. Radiologie, Midden-Nederland.

A 58-year-old woman came to the outpatient clinic with exacerbation of chronic shoulder pain following a shoulder accident two week before. After the accident, she had been treated abroad with percutaneous K-wire fixation following the diagnosis of a displaced greater tuberosity fracture. X-ray images of the shoulder, however, showed calcification of the supraspinatus tendon fixed to the humerus, rather than a greater tuberosity fracture. Read More

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January 2019

Investigation of thermally induced damage to surrounding nerve tissue when using curettage and cementation of long bone tumours, modelled in cadaveric porcine femurs.

Arch Orthop Trauma Surg 2019 Feb 4. Epub 2019 Feb 4.

Avon Orthopaedic Centre, Southmead Hospital, North Bristol NHS Trust, Brunel Building, Southmead Road, Bristol, BS10 5NB, UK.

Introduction: Curettage with cement augmentation is a technique used in the treatment of bone tumours. Thermal energy released during the cement polymerisation process can damage surrounding tissues. This study aims to record temperature changes at various sites on and around bone during the cementing process. Read More

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http://dx.doi.org/10.1007/s00402-019-03129-3DOI Listing
February 2019

Annular ligament repair using allograft for the treatment of chronic radial head dislocation: a case report.

Acta Biomed 2018 Dec 19;90(1-S):154-157. Epub 2018 Dec 19.

Orthopaedic and Traumatology Department, Hospital Santa Maria delle Croci, Ravenna, Italy.

Background: The annular ligament has a crucial role in the radial head stability and  it is critical to the proper functioning of the proximal  radio-capitellar joint. Its chronic injury may lead to radial head instability, elbow pain with decrease in motion and valgus deformity. Method: We present the case of a 53-year-old heavy laborer who reported a complex trauma of the right upper limb with a Floating Elbow Injury, associated to an open Monteggia fracture-dislocation. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.8010DOI Listing
December 2018
2 Reads

Cementless metaphyseal reverse shoulder arthroplasty: our preliminary experience.

Acta Biomed 2019 Jan 10;90(1-S):47-53. Epub 2019 Jan 10.

Department of Orthopaedic Surgery, Azienda Ospedaliera Universitaria Integrata, Polo Chirurgico P. Confortini, Verona, Italy.

Reverse shoulder arthroplasty (rTSA) is a largely used procedure with a wide variety of indications. The incidence of this surgery is increased in recent years and the literature expects similar trend for them future. Metaphyseal stem rTSA seems to be a promising solution considering major objectives the preservation of humeral bone stock and ease of revision. Read More

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http://www.mattioli1885journals.com/index.php/actabiomedica/
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http://dx.doi.org/10.23750/abm.v90i1-S.8064DOI Listing
January 2019
3 Reads

Comparative Fracture Risks among US Medicaid Enrollees with and without Systemic Lupus Erythematosus.

Arthritis Rheumatol 2019 Feb 4. Epub 2019 Feb 4.

Division of Rheumatology, Immunology and Allergy, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.

Objective: Poor bone health is common in SLE patients. We evaluated fracture risks among low-income SLE and lupus nephritis patients compared to those without SLE.

Methods: We performed a cohort study within Medicaid 2007-2010, among SLE patients and age- and sex-matched non-SLE comparators. Read More

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http://dx.doi.org/10.1002/art.40818DOI Listing
February 2019
1 Read

Evaluation of radial nerve continuity early after humeral shaft fracture fixation using high-resolution nerve ultrasonography: a pilot study of feasibility.

J Shoulder Elbow Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Orthopedic and Trauma Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland.

Background: This study evaluated the feasibility and reliability of high-resolution ultrasonography (HRUS) of the radial nerve in the early, postoperative period after operative stabilization of humeral shaft fractures.

Methods: This study enrolled patients between September 2015 and April 2018 with a humeral shaft fracture who were assessed with HRUS within 2 weeks after surgery. Based on the ultrasound artifacts, the examiners subjectively defined quality of ultrasound as "bad" or "good. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.042DOI Listing
January 2019

Outcomes of Uncemented Versus Cemented Reverse Shoulder Arthroplasty for Proximal Humerus Fractures.

Orthopedics 2019 Jan 30:1-6. Epub 2019 Jan 30.

Reverse shoulder arthroplasty (RSA) for proximal humerus fractures (PHFs) is traditionally performed with cemented humeral fixation. The purpose of this study was to compare the clinical and radiographic outcomes of cemented and cementless RSA for PHF. Between 2010 and 2014, 38 acute PHFs were treated with RSA and followed for a minimum of 2 years (mean, 37 months; range, 24-66 months). Read More

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http://dx.doi.org/10.3928/01477447-20190125-03DOI Listing
January 2019

Shoulder and Elbow Fractures in Athletes.

Curr Rev Musculoskelet Med 2019 Jan 31. Epub 2019 Jan 31.

Department of Orthopedic Surgery, Mayo Clinic and Mayo College of Medicine, Gonda 14, 200 First Street SW, Rochester, MN, 55905, USA.

Purpose Of Review: The purposes of this review are to discuss the management of shoulder and elbow fractures in athletes to optimize the return to sport and to highlight treatment impact on the return to play.

Recent Findings: Fractures of the shoulder and elbow can have profound implications in an athlete career. Recent technique of fractures management trended toward to preserve soft tissue which is critical for an early recovery in athletic population. Read More

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http://dx.doi.org/10.1007/s12178-019-09530-0DOI Listing
January 2019
1 Read

Pectoralis Major Tear and Extensive Capsulolabral Injury After Military Combatives Class.

J Orthop Sports Phys Ther 2018 Dec;48(12):982

A 26-year-old man presented to a direct-access physical therapy clinic with right shoulder pain that began 1 week prior, after forceful abduction and external rotation during combatives training. Radiographs were noncontributory. Due to suspicion of a pectoralis major tear, the patient was referred to an orthopaedic surgeon. Read More

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http://dx.doi.org/10.2519/jospt.2018.7808DOI Listing
December 2018
1 Read

Humeral Simple Bone Cysts: Observational Versus Interventional Management.

J Pediatr Orthop 2019 Jan 29. Epub 2019 Jan 29.

Royal Orthopaedic Hospital NHS Foundation Trust, Bristol Road South, Northfield.

Aims: Our study aims to review the outcomes of conservative and interventional management of simple bone cysts (SBC) in the humerus.

Methods: We retrospectively reviewed our center's prospectively collected database. All patients with a diagnosis of a humeral SBC and a minimum of 1-year follow-up or complete healing and discharge within the first year were included. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001344DOI Listing
January 2019

Treatment of diaphyseal pathological fractures in children with monostotic fibrous dysplasia using cortical strut allografts and internal plating: A retrospective clinical study.

Medicine (Baltimore) 2019 Feb;98(5):e14318

Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou.

Children with fibrous dysplasia (FD) chronically suffer from pain, pathological fractures, and limb deformities. The most effective methods for managing the associated pathological fractures remain controversial. The purpose of this study was to evaluate the clinical results of the treatment of diaphyseal pathological fractures in children with monostotic fibrous dysplasia (MFD) using cortical strut allografts and internal plating. Read More

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http://dx.doi.org/10.1097/MD.0000000000014318DOI Listing
February 2019
3 Reads

Nordic Innovative Trials to Evaluate osteoPorotic Fractures (NITEP) Collaboration: The Nordic DeltaCon Trial protocol-non-operative treatment versus reversed total shoulder arthroplasty in patients 65 years of age and older with a displaced proximal humerus fracture: a prospective, randomised controlled trial.

BMJ Open 2019 Jan 29;9(1):e024916. Epub 2019 Jan 29.

Tampere University Hospital, Tampere, Finland.

Introduction: The proximal humerus fracture (PHF) is one of the most common fractures in the elderly. The majority of PHFs are treated non-operatively, while 15%-33% of patients undergo surgical treatment. Recent randomised controlled trial (RCT) and meta-analyses have shown that there is no difference in outcome between non-operative treatment and locking plate or hemi-arthroplasty. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024916DOI Listing
January 2019

Biomechanical comparison of screw-based zones of a spatial subchondral support plate for proximal humerus fractures.

Proc Inst Mech Eng H 2019 Jan 31:954411919827984. Epub 2019 Jan 31.

1 School of Mechanical, Aerospace and Civil Engineering, The University of Manchester, Manchester, UK.

Stabilisation of proximal humerus fractures remains a surgical challenge. Spatial subchondral support (S3) plate promises to overcome common complications associated with conventional proximal humerus plates. This study compared the biomechanical performance of S3 plate with a fixed-angle hybrid blade (Equinoxe Fx) plate and a conventional fixed-angle locking plate (PHILOS). Read More

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http://dx.doi.org/10.1177/0954411919827984DOI Listing
January 2019

Nanoscale Coatings for Ultralow Dose BMP-2-Driven Regeneration of Critical-Sized Bone Defects.

Adv Sci (Weinh) 2019 Jan 19;6(2):1800361. Epub 2018 Nov 19.

Centre for the Cellular Microenvironment University of Glasgow G12 8LT Glasgow UK.

While new biomaterials for regenerative therapies are being reported in the literature, clinical translation is slow. Some existing regenerative approaches rely on high doses of growth factors, such as bone morphogenetic protein-2 (BMP-2) in bone regeneration, which can cause serious side effects. An ultralow-dose growth factor technology is described yielding high bioactivity based on a simple polymer, poly(ethyl acrylate) (PEA), and mechanisms to drive stem cell differentiation and bone regeneration in a critical-sized murine defect model with translation to a clinical veterinary setting are reported. Read More

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http://dx.doi.org/10.1002/advs.201800361DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343071PMC
January 2019

The importance of locking plate positioning in proximal humeral fractures as predicted by computer simulations.

J Orthop Res 2019 Jan 28. Epub 2019 Jan 28.

AO Research Institute Davos, Davos, Switzerland.

Multifragmented proximal humeral fractures frequently require operative fixation. The locking plates commonly used are often placed relative to the greater tuberosity, however no quantitative data exists regarding the effect of positional changes. The aim of the study was to establish the effects from variations in proximal-distal PHILOS humeral plate positioning on predicted fixation failure risk. Read More

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http://dx.doi.org/10.1002/jor.24235DOI Listing
January 2019

Biomechanical Comparison of Ulnar Collateral Ligament Reconstruction With a Modified Docking Technique With and Without Suture Augmentation.

Am J Sports Med 2019 Jan 28:363546518820304. Epub 2019 Jan 28.

West Coast Sports Institute, San Francisco, California, USA.

Background:: Throwing athletes with ulnar collateral ligament (UCL) injury and symptomatic valgus instability can expect to return to the same or higher level of play. Reconstruction with tendon graft is the dominant method of surgical treatment. Recent evidence suggests that spanning the joint with a suture anchored on both sides is biomechanically equivalent to reconstruction, with faster time to return to play. Read More

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http://dx.doi.org/10.1177/0363546518820304DOI Listing
January 2019
2 Reads

Effect of Tuberosity Healing on Clinical Outcomes in Elderly Patients Treated With a Reverse Shoulder Arthroplasty for 3- and 4-Part Proximal Humerus Fractures.

J Orthop Trauma 2019 Feb;33(2):e39-e45

Department of Orthopaedic Surgery, Hospital for Joint Disease, NYU Langone Medical Center, New York, NY.

Objectives: To evaluate tuberosity union rate and clinical outcome after 3- and 4-part proximal humerus fractures in the elderly.

Design: Retrospective, multicenter database cohort study.

Setting: Level I and Level II trauma centers. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001348DOI Listing
February 2019

Treatment of Periprosthetic Humeral Shaft Fracture after Total Elbow Arthroplasty in an Osteoporotic Patient, using the Ilizarov External Ring Fixator: A Case Report.

J Orthop Case Rep 2018 Jul-Aug;8(4):82-85

Department of Orthopaedic Surgery, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.

Introduction: Periprosthetic humeral shaft fracture after total elbow arthroplasty (TEA) and open reduction and internal fixation at the same side humeral neck fracture in patients with osteoporosis poses a treatment challenge. Herein, we describe our experience with its treatment using the Ilizarov external ring fixator.

Case Report: A 74-year-old Japanese woman with rheumatoid arthritis and osteoporosis sustained a periprosthetic humeral shaft fracture. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343564PMC
January 2019
1 Read

Bilateral Posterior Fracture-Dislocation of Shoulder Following Seizures Secondary to Cavernous Sinus Venous Thrombosis - A Rare Association.

J Orthop Case Rep 2018 Jul-Aug;8(4):49-52

Department of Orthopaedics, Krishna Institution of Medical Sciences Ltd., Secunderabad, Telangana. India.

Introduction: Bilateral posterior fracture dislocation of both shoulders is a rare condition which can easily be missed due to its imprecise presentation. In this case report, we emphasize its diagnosis and summarize the various treatment options available for bilateral posterior fracture-dislocation of shoulders and also its management in conjunction with cavernous sinus venous thrombosis (CSVT).

Case Report: A 29-year-old gentleman had bilateral posterior fracture-dislocation of shoulders, with comminuted three-part fractures of both humeral heads, after two episodes of seizures, following CSVT. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343556PMC
January 2019
1 Read

[Reduction techniques for minimally invasive stabilization of proximal humeral fractures].

Oper Orthop Traumatol 2019 Feb 25;31(1):63-80. Epub 2019 Jan 25.

Klinik für Orthopädie und Unfallchirurgie, Luzerner Kantonsspital, Spitalstrasse 31, 6000, Luzern 16, Schweiz.

Objective: The aim of surgical stabilization of proximal humerus fractures is to restore the anatomical relations between the greater and lesser tubercle, to reconstruct the joint and preserve the vascular supply of the fragments.

Indications: Approximately 80% of proximal humeral fractures can be treated conservatively. Surgical treatment is indicated based on the fracture pattern, patient-related factors and the risk of avascular head necrosis. Read More

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http://dx.doi.org/10.1007/s00064-018-0586-0DOI Listing
February 2019
1 Read

Age, gender, and etiology differences of sports-related fractures in children and adolescents: A retrospective observational study.

Medicine (Baltimore) 2019 Jan;98(4):e13961

Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA, Shenyang, Liaoning, China.

To investigate the age, gender, and etiology differences of sports-related fractures in children and adolescents (6-18 years old).We retrospectively reviewed 410 child and adolescent patients (335 males and 75 females aged 13.5 ± 3. Read More

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http://dx.doi.org/10.1097/MD.0000000000013961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358360PMC
January 2019
2 Reads
5.723 Impact Factor

[Surgical revision for complications after gamma3-nailing osteosynthesis of proximal humeral fractures : Follow-up series of 1500 patients].

Unfallchirurg 2019 Jan 24. Epub 2019 Jan 24.

Abteilung für Unfallchirurgie und Sporttraumatologie, Donauspital Wien, Langobardenstraße 122, 1220, Wien, Österreich.

Background: The γ‑nailing system is a widespread intramedullary therapeutic option that has been used for intertrochanteric and subtrochanteric fractures since the late 1980s; however, some reports from the 1990s describing femoral shaft fractures questioned the indications for this system in simple fracture types. Due to increasing numbers of patients treated with this system, the complication rate is continuously falling as confirmed by many recent studies.

Objective: Between 2008 and 2013 a total of 1500 operations using the γ‑nailing system were performed at this traumatology department. Read More

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http://dx.doi.org/10.1007/s00113-019-0607-yDOI Listing
January 2019

[Treatment principles and outcome after fractures of the lateral humeral condyle in children].

Unfallchirurg 2019 Jan 24. Epub 2019 Jan 24.

Abteilung für Kinderchirurgie und Kinderurologie, Universitätsklinikum Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Deutschland.

Background: Fractures of the lateral humeral condyle with displacement (>2 mm; <2 mm articular gap) require open reduction and stabilization. Non-displaced fractures should be treated conservatively; however, there are difficulties in the differentiation of complete (potentially unstable) an incomplete (stable) articular fractures. The aim of this study was to analyze the frequency of conservative and operative treatment approaches as well as the accuracy of treatment decisions based on fracture stability displayed on repetitive X‑rays. Read More

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http://dx.doi.org/10.1007/s00113-019-0605-0DOI Listing
January 2019
1 Read

Osteochondritis dissecans of the capitellum secondary to fishtail deformity treated with osteochondral autograft.

JSES Open Access 2018 Jul 10;2(2):126-128. Epub 2018 Apr 10.

Orthopedic Department, Japanese Red Cross Hospital Nagoya Daiichi, Nagoya, Japan.

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http://dx.doi.org/10.1016/j.jses.2018.02.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334876PMC
July 2018
1 Read

Orthogeriatric treatment reduces potential inappropriate medication in older trauma patients: a retrospective, dual-center study comparing conventional trauma care and co-managed treatment.

Eur J Med Res 2019 Jan 22;24(1). Epub 2019 Jan 22.

Department of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.

Background: Multimorbidity and polypharmacy are common challenges in the treatment of older trauma patients. Therefore, various integrated care models were developed over the last few years, merging the expertise of geriatricians and trauma surgeons. The aim of this study was to evaluate, if the number of prescriptions of potentially inappropriate medication (PIM) could be reduced in these patients by an interdisciplinary co-managed concept compared to conventional trauma care. Read More

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http://dx.doi.org/10.1186/s40001-019-0362-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341562PMC
January 2019
1 Read

Inferior displacement of greater tuberosity fracture suggests an occult humeral neck fracture: a retrospective single-centre study.

Int Orthop 2019 Jan 21. Epub 2019 Jan 21.

Orthopaedic Traumatology, Trauma Center, Shanghai General Hospital, School of Medicine, Shanghai Jiaotong University, 650# Xinsongjiang RD, Songjiang Area, Shanghai, 201620, China.

Purpose: To radiographically characterize the relationship between inferior displacement of great tuberosity (GT) fracture and associated occult or minor displaced humeral neck fracture.

Methods: Thirty patients with inferior displacement of the GT on the initial anterior-posterior (AP) view X-ray were included in this study. Twenty-four patients received further computed tomography (CT) scans. Read More

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http://link.springer.com/10.1007/s00264-019-04294-1
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http://dx.doi.org/10.1007/s00264-019-04294-1DOI Listing
January 2019
5 Reads

Geographic variation in the treatment of proximal humerus fracture: an update on surgery rates and treatment consensus.

J Orthop Surg Res 2019 Jan 21;14(1):22. Epub 2019 Jan 21.

Center for Effectiveness Research in Orthopaedics, P.O. Box 25571, Greenville, SC, 29616, USA.

Background: Using a larger, more comprehensive sample, and inclusion of the reverse shoulder arthroplasty as a primary surgical approach for proximal humerus fracture, we report on geographic variation in the treatment of proximal humerus fracture in 2011 and comment on whether treatment consensus is being reached.

Methods: This was a retrospective cohort study of Medicare patients with an x-ray-confirmed diagnosis of proximal humerus fracture in 2011. Patients receiving reverse shoulder arthroplasty, hemiarthroplasty, or open reduction internal fixation within 60 days of their diagnosis were classified as surgical management patients. Read More

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https://josr-online.biomedcentral.com/articles/10.1186/s1301
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http://dx.doi.org/10.1186/s13018-018-1052-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341604PMC
January 2019
3 Reads

Sliding the Medial Pin: A Safer Approach to Cross-pinning Humerus Supracondylar Fractures?

Tech Hand Up Extrem Surg 2019 Jan 17. Epub 2019 Jan 17.

Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore, Singapore.

Introduction: Many methods have been described to minimize the risk of ulnar nerve injury during the insertion of a medial pin for the percutaneous pinning of pediatric supracondylar humerus fractures (SCHF). The most recent AAOS Clinical Practice Guidelines suggests that physicians might want to avoid the use of medial-entry pins due to considerations of potential injury to the ulnar nerve. However, there are circumstances whereby a cross pin configuration is required. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000230DOI Listing
January 2019
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Complications of open reduction and internal fixation of distal humerus fractures.

EFORT Open Rev 2018 Oct 24;3(10):558-567. Epub 2018 Oct 24.

First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece.

Treatment of distal humerus fractures is demanding. Surgery is the optimal treatment and preoperative planning is based on fracture type and degree of comminution.Fixation with two precontoured anatomical locking plates at 90:90 orthogonal or 180 parallel is the optimal treatment. Read More

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http://dx.doi.org/10.1302/2058-5241.3.180009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335604PMC
October 2018
3 Reads

Management of supracondylar fractures of the humerus in children.

EFORT Open Rev 2018 Oct 1;3(10):526-540. Epub 2018 Oct 1.

Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain.

Supracondylar fractures of the humerus are the most frequent fractures of the paediatric elbow, with a peak incidence at the ages of five to eight years.Extension-type fractures represent 97% to 99% of cases. Posteromedial displacement of the distal fragment is the most frequent; however, the radial and median nerves are equally affected. Read More

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http://dx.doi.org/10.1302/2058-5241.3.170049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335593PMC
October 2018

Conservative versus surgical treatment of Gartland type 2 supracondylar humeral fractures: What can help us choosing?

J Orthop 2019 Jan-Feb;16(1):31-35. Epub 2018 Dec 18.

Department of Orthopaedics and Traumatology, Sant'Andrea Hospital, University of Rome "La Sapienza", Rome, Italy.

Background: Pediatric supracondylar humeral fractures (PSHF) are most common elbow fractures among children and adolescents. While there is substantial agreement on treating type 1 and type 3 fractures (conservatively and surgically, respectively), the debate on optimal treatment of Gartland type 2 fractures is still open.We wanted to review our cases, analyzing outcomes and seeking for parameters that could help surgeons treating these injuries. Read More

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http://dx.doi.org/10.1016/j.jor.2018.12.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324759PMC
December 2018

Acute versus delayed reverse total shoulder arthroplasty for the treatment of proximal humeral fractures in the elderly population: a systematic review and meta-analysis.

J Shoulder Elbow Surg 2019 Jan 15. Epub 2019 Jan 15.

Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, NH, USA.

Background: Recent literature has shown that acute reverse total shoulder arthroplasty (RTSA) yields good outcomes in the treatment of displaced proximal humeral fractures, and there have also been recent studies showing that delayed RTSA can be successfully used for sequelae of proximal humeral fractures such as nonunion and malunion. The use of meta-analysis affords the opportunity to formally compare the outcomes of acute RTSA for fracture and delayed RTSA for fracture sequelae.

Methods: We searched the MEDLINE, Embase, and Cochrane Library databases. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183073
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http://dx.doi.org/10.1016/j.jse.2018.10.004DOI Listing
January 2019
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Exploring the difficulties to improve minimally invasive application with long PHILOS plate in multifocal metadiaphyseal fractures of the proximal humerus: analysis of intraoperative procedure and clinical outcomes.

Acta Biomed 2019 Jan 15;89(4):532-539. Epub 2019 Jan 15.

Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy.

The MIPO (Minimally Invasive Plate Osteosynthesis) technique for treating metadiaphyseal fractures of the proximal humerus has gained great attention during the past years. The purpose of this retrospective study was to underline all the important difficulties when the MIPO technique is applied, to propose practical solutions and to evaluate the overall clinical outcome of our patients treated with this technique. A total of 14 patients had been operated in two different surgical units, at San Carlo Borromeo Hospital (Milan, Italy - 11 patients) and in Policlinico Umberto I Hospital (Rome, Italy - 3 patients), between June 2013 and November 2016. Read More

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http://dx.doi.org/10.23750/abm.v89i4.6212DOI Listing
January 2019