13,283 results match your criteria Fracture Humerus


Results of the modified reverse step-cut osteotomy in paediatric cubitus varus.

Int Orthop 2020 May 27. Epub 2020 May 27.

Department of Orthopaedics, PGIMER Chandigarh, 162 K Block Mdh Pgimer, Chandigarh, 160012, India.

Purpose: Cubitus varus deformity occurs in children as a late consequence of supracondylar fracture of the distal humerus. Different types of corrective osteotomies have been described, but a gold standard has not yet been established. The aim of this study is to report the clinical, radiological, and cosmetic outcome of the modified reverse step-cut osteotomy technique. Read More

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http://dx.doi.org/10.1007/s00264-020-04648-0DOI Listing

Complications after surgical management of proximal humeral fractures: a systematic review of event terms and definitions.

BMC Musculoskelet Disord 2020 May 26;21(1):327. Epub 2020 May 26.

Department of Orthopedic Surgery and Traumatology, University Hospital of Basel, Basel, Switzerland.

Background: The most frequently used surgical procedures for treating a proximal humeral fracture (PHF) are plate osteosynthesis, nail osteosynthesis and arthroplasty. Evidence-based recommendations for an appropriate surgical procedure after PHF requires transparent and valid safety data. We performed a systematic review to examine reported terms and definitions of complications after surgically-treated PHFs. Read More

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http://dx.doi.org/10.1186/s12891-020-03353-8DOI Listing

Appropriate Use Criteria for Treatment of Pediatric Supracondylar Humerus Fractures With Vascular Injury: Do Our Hospital Practice Patterns Agree With Current Recommendations?

J Pediatr Orthop 2020 May 22. Epub 2020 May 22.

Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute.

Background: Managing the pulseless pediatric supracondylar humerus fracture (PSHF) remains a significant clinical decision-making challenge for the treating surgeon. The purpose of the study is to determine frequency of the treatments according to the American Academy of Orthopaedic Surgeons (AAOS) Appropriate Use Criteria (AUC) for the PSHF with vascular injury and evaluate the appropriateness of these interventions.

Methods: We identified all PSHF with concern for vascular injury at one high volume, level 1 trauma center managed by 6 fellowship-trained pediatric orthopaedic surgeons over 4. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001592DOI Listing

Management of humeral impending or pathological fractures with intramedullary nailing: reaming versus non reaming technique-a retrospective comparative study.

Musculoskelet Surg 2020 May 25. Epub 2020 May 25.

Department of Orthopaedic Surgery, University of Miami Hospital, 1400 NW 12th Ave, Miami, FL, 33136, USA.

Purpose: To compare reamed intramedullary nailing (RIM) versus un-reamed intramedullary nailing (URIM) for the treatment of impending and pathological fractures of the humeral shaft in terms of 24-h postoperative pain, blood transfusion requirements, surgical time, surgical complications, medical complications, length of stay and consolidation rates.

Methods: A retrospective comparative study between January 2013 and December 2018 was conducted. Student's t test, Mann-Whitney U and Chi-square tests were used to detect differences within the two study groups. Read More

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http://dx.doi.org/10.1007/s12306-020-00668-6DOI Listing

The initial treatment of complex proximal humerus fracture affects the outcome of revision with reverse shoulder arthroplasty.

Int Orthop 2020 May 25. Epub 2020 May 25.

Clinique du Ter, Ploemeur, France.

Purpose: The purpose of the study is to report the results of reverse shoulder arthroplasty (RSA) after three types of initial treatment performed for complex proximal humeral fracture (PHF): conservative, reduction and internal fixation (RIF), or hemiarthroplasty.

Methods: This is a retrospective study of 63 patients separated into three groups with a minimum follow-up of two years. Group I included 25 patients with an initial conservative fracture treatment, group II included 25 patients treated by RIF, and group III included 13 patients initially treated by hemiarthroplasty. Read More

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http://dx.doi.org/10.1007/s00264-020-04612-yDOI Listing

Functional outcome following elbow release and hardware removal after bicolumnar fixation of distal humeral fractures.

Injury 2020 May 19. Epub 2020 May 19.

Department of Orthopaedic Surgery, University of Arizona College of Medicine - Phoenix, Phoenix, Arizona, USA. Electronic address:

Introduction: Intra-articular fractures of the distal humerus are typically treated with bicolumnar plate fixation. Despite prompt and accurate reduction and fixation, there is a high rate of complications post-surgical fixation. The purpose of this study was to determine the indications, technique, and outcomes of patients who had undergone an elbow release and hardware removal following bicolumnar plate fixation for an intra-articular fracture of the distal humerus. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.039DOI Listing

Complication rate after operative treatment of three- and four-part fractures of the proximal humerus: locking plate osteosynthesis versus proximal humeral nail.

Eur J Trauma Emerg Surg 2020 May 24. Epub 2020 May 24.

Department of Trauma Surgery, AUVA Trauma Center Vienna Meidling, Kundratstraße 37, 1120, Vienna, Austria.

Purpose: There is still disagreement regarding the optimal surgical treatment of three- and four-part fractures of the proximal humerus. The aim of this monocentric, retrospective study was to compare the complication rate of internal fixation with a locking plate versus proximal humeral nailing after a one-year follow-up.

Methods: From 2005 to 2016, 292 patients suffered a fracture of the proximal humerus and were treated surgically at our level-I trauma center. Read More

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http://dx.doi.org/10.1007/s00068-020-01380-7DOI Listing

A systematic review and meta-analysis of vitamin D and calcium in preventing osteoporotic fractures.

Clin Rheumatol 2020 May 24. Epub 2020 May 24.

School of Sciences and Engineering, Pharmacy School, Pharmacoepidemiology-Pharmacovigilance, University of Nicosia, Makedonitissis 46, 2417, Nicosia, Cyprus.

To assess and update the effect of the combination of vitamin D and calcium in the reduction of osteoporotic fractures, a systematic review across Cochrane Database, NIHR HTA database, PubMed and Google Scholar was performed using mesh terms : Cohort studies OR Prospective Studies OR Longitudinal Studies OR Follow-Up Studies OR Incidence OR Risk OR Rate and Osteoporotic Fractures OR Fractures, Bone OR Fractures, Spontaneous OR Spinal Fractures OR Humeral Fractures OR Hip Fractures OR Femoral Neck Fractures AND Vitamin D AND Calcium and key words: vitamin D, fractures, osteoporosis, calcium, dietary supplements. Statistical analysis was performed with Review Manager (RevMan 5.3) using relative risk and confidence interval 95%. Read More

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http://dx.doi.org/10.1007/s10067-020-05122-3DOI Listing

Correlation between modified trochleocapitellar index and post-traumatic elbow stiffness in type C2-3 distal humeral fractures among adults.

J Shoulder Elbow Surg 2020 May 20. Epub 2020 May 20.

Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine, Beijing, China. Electronic address:

Background: The purpose of this study was to propose the modified trochleocapitellar index (mTCI), assess its reliability, and evaluate its correlation with post-traumatic elbow stiffness in type C2-3 distal humeral fractures among adults.

Methods: From January 2013 to June 2017, a total of 141 patients with type C2-3 distal humeral fractures were included. The mTCI was calculated as the ratio between the modified trochlear and capitellar angles relative to the humeral axis (mTCI-HA), lateral humeral line (mTCI-LHL), and medial humeral line (mTCI-MHL) from anteroposterior radiographs taken immediately after the operation. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.016DOI Listing

Sex-based differences in pediatric supracondylar humerus fractures.

Medicine (Baltimore) 2020 May;99(20):e20267

Division of Pediatric Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Supracondylar humerus (SCH) fractures are reported to be approximately twice as common among boys as among girls. Little is known about sex-associated differences in fracture patterns and complications. We compared the incidence of pediatric SCH fractures, injury mechanism (high-energy or low-energy), fracture subtypes, associated neurologic injuries, and treatment types by patient sex. Read More

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http://dx.doi.org/10.1097/MD.0000000000020267DOI Listing

Association of Patient-reported Outcomes With Clinical Outcomes After Distal Humerus Fracture Treatment.

J Am Acad Orthop Surg Glob Res Rev 2020 Feb 6;4(2). Epub 2020 Feb 6.

Harvard Combined Orthopaedics Residency Program, Boston, MA (Dr. Bhashyam); the Department of Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands (Dr. Ochen, Dr. van der Vliet, Dr. Leenen, Dr. Hietbrink, and Dr. Houwert); the Department of Orthopaedics, Brigham and Women's Hospital, Harvard Orthopaedic Trauma Initiative, Harvard Medical School (Dr. Dyer); and the Department of Orthopaedics, Massachusetts General Hospital, Harvard Orthopaedic Trauma Initiative, Harvard Medical School (Dr. Heng), Boston, MA.

In this study, we assessed the patient-reported outcomes of distal humerus fracture treatment using Patient-Reported Outcomes Measurement Information System (PROMIS) or QuickDASH (Disabilities of the Arm, Shoulder, and Hand) scores and the association between patient-reported outcomes and clinical outcomes.

Methods: We performed a retrospective cohort study of 76 adult patients who sustained an acute distal humerus fracture between 2016 and 2018; 53 patients completed at least one patient-reported outcome measure used to assess physical function (PF) during their routine follow-up care (69.7% response rate). Read More

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http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209807PMC
February 2020

Fractures of the coracoid process - pathoanatomy and classification: based on thirty nine cases with three dimensional computerised tomography reconstructions.

Int Orthop 2020 May 20. Epub 2020 May 20.

Institute of Anatomy, First Faculty of Medicine, Charles University Prague, Prague, Czech Republic.

Purpose: Until now, classifications of coracoid fractures have been based on plain radiographs, without use of 3D CT reconstructions. Therefore, the aim of the present study has been to describe the pathoanatomy of these fractures and their associated injuries to the shoulder girdle, on the basis of 3D CT reconstructions.

Methods: The cohort comprised 39 patients, who each sustained a coracoid fracture investigated with 3D CT reconstructions. Read More

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http://dx.doi.org/10.1007/s00264-020-04634-6DOI Listing

Cost Analysis in Shoulder Surgery: A Systematic Review.

Orthop J Sports Med 2020 May 13;8(5):2325967120917121. Epub 2020 May 13.

Department of Orthopaedic Surgery, University Medicine Rostock, Rostock, Germany.

Background: Cost analysis studies in medicine were uncommon in the past, but with the rising importance of financial considerations, it has become increasingly important to use available resources most efficiently.

Purpose: To analyze the current state of cost-effectiveness analyses in shoulder surgery.

Study Design: Systematic review; Level of evidence, 4. Read More

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http://dx.doi.org/10.1177/2325967120917121DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223215PMC

A Novel Technique of Proximal Humerus Fixation.

Cureus 2020 Apr 17;12(4):e7706. Epub 2020 Apr 17.

Trauma & Orthopaedics, University Hospital Galway, Galway, IRL.

Proximal humerus fractures account for 4%-6% of all the fracture presentations. There are many ways of treating different kinds of proximal humerus fractures. We describe the percutaneous fixation of proximal humerus which is not widely used but is a cost effective, less invasive and comparable to other techniques with regard to results. Read More

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http://dx.doi.org/10.7759/cureus.7706DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233515PMC

Accuracy of Conventional Triplane Measures Compared to 3-D Analysis for Assessment of Cubitus Varus Deformities in Adults.

Ther Clin Risk Manag 2020 1;16:349-355. Epub 2020 May 1.

Department of Orthopedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, South Korea.

Purpose: Cubitus varus is a common triplane deformity in adults associated with supracondylar humeral fractures experienced as a child and consists of varus, extension, and internal rotation components. When corrective osteotomy is indicated, these three components should be measured precisely. This study aimed to evaluate the accuracy of radiographic and physical measurements of cubitus varus deformities in adults compared to values measured on three-dimensional (3-D) bone surface models of the adult bilateral humerus. Read More

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http://dx.doi.org/10.2147/TCRM.S238142DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200231PMC

Hypogastric Artery Stenting for Chronic Intermittent Spinal Cord Ischemia After Thoracic Endovascular Aortic Repair.

J Endovasc Ther 2020 May 20:1526602820925445. Epub 2020 May 20.

German Aortic Center Hamburg, Department of Vascular Medicine, University Heart & Vascular Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

Purpose: To report a case of chronic intermittent spinal cord ischemia (SCI) after thoracic endovascular aortic repair (TEVAR) and its successful treatment using hypogastric artery stenting.

Case Report: A 79-year-old patient presented in May 2013 with a thoracic aortic aneurysm (TAA) and a contained rupture. He urgently underwent TEVAR that covered 274 mm of descending thoracic aorta without immediate postoperative signs of acute SCI. Read More

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http://dx.doi.org/10.1177/1526602820925445DOI Listing

Clinical and radiographic outcomes after antegrade intramedullary nail fixation of humeral fractures.

Injury 2020 May 11. Epub 2020 May 11.

Department of Orthopaedics, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy, Università cattolica del Sacro Cuore, Roma, Italia.

Introduction: Humerus fractures are frequent, accounting for about 3-4% of all fractures in adults. Treatment for fractures of the diaphyseal and proximal meta-epiphyseal regions remains controversial: there is no unanimity in the scientific community about the superiority of surgical treatment over non-surgical treatment and which is the best between possible surgical treatments. Among the choices for surgical treatment the most commonly used implants are the locking-compression plate and the intramedullary nailing. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.043DOI Listing

Predrilled locking compression plate is more accurate than tension band wiring in restoring articular geometry of the ulnar greater sigmoid notch after olecranon Chevron osteotomy.

Injury 2020 May 16. Epub 2020 May 16.

Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland. Electronic address:

Introduction: The olecranon Chevron osteotomy (OCO) is commonly used to approach complex intra-articular fractures of the distal humerus. Predrilled tension band wiring (TBW) has historically been used to fix OCO. However, clinical outcomes are burdened by secondary loss of reduction and up to 21. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.052DOI Listing

Reliability of Radiographic Union Scoring in Humeral Shaft Fractures.

J Orthop Trauma 2020 May 8. Epub 2020 May 8.

Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut.

Objectives: To establish the reliability of two radiographic union scoring systems for non-operative humeral shaft fractures.

Design: Retrospective medical record review. Patients identified had humeral shaft fractures and radiographs at various follow-up time points which were graded according to the both the standard (RUST) and modified radiographic union scoring systems (mRUST). Read More

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http://dx.doi.org/10.1097/BOT.0000000000001811DOI Listing

Does osteoporosis affect the healing of subcapital humerus and distal radius fractures?

J Orthop 2020 Nov-Dec;22:237-241. Epub 2020 May 6.

Leiden University Medical Center, Departments of Trauma Surgery, Center for Bone Quality, Leiden, P.O. Box 9600, 2300, RC, Leiden, the Netherlands.

Introduction: Animal models indicate that osteoporosis may negatively influence the fracture healing process, but clinical studies on this topic are scarce. In this study we investigated the effect of osteoporosis on fracture healing in patients with an upper extremity fracture.

Methods: This retrospective cohort study included all patients aged 50 years or older, with a fracture of the proximal humerus or the distal radius treated in the period June 2012 to July 2015 and a DEXA scan within a year after fracture. Read More

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http://dx.doi.org/10.1016/j.jor.2020.05.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226641PMC

Iatrogenic humeral anatomic neck fracture after intraosseous vascular access.

Skeletal Radiol 2020 May 18. Epub 2020 May 18.

Department of Radiology, Mayo Clinic Arizona, Phoenix, AZ, USA.

Intraosseous infusion has become a key tool in the resuscitation of critically ill or injured patients, both in pre-hospital settings and in emergency departments. Intraosseous access is obtained through the percutaneous placement of a needle into the medullary space of a bone, thereby allowing access into the systemic venous circulation via the medullary space, which is essential to treat patients in shock, cardiac arrest, airway compromise, or major trauma. This becomes critically important when obtaining conventional intravenous access is difficult or impossible. Read More

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http://dx.doi.org/10.1007/s00256-020-03462-4DOI Listing

Supracondylar humeral fractures and lateral elbow condyle fractures in children: association between body weight, clinical signs, and fracture severity.

Minerva Pediatr 2020 May 15. Epub 2020 May 15.

Universidad Autonoma de Nuevo Leon, Departamento de Ortopedia y Traumatología, Hospital Universitario "Dr. José E. González", Nuevo Leon, Mexico -

Background: The objective of our study was to investigate the association between body weight, clinical signs and surgical time, and the severity of elbow fractures sustained exclusively by a ground-level fall in children.

Methods: Patients aged 2-11 years with elbow fracture caused exclusively by a ground- level fall were included. BMI was plotted on the sex-specific BMI-for-age percentile growth chart to obtain the BMI percentile. Read More

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http://dx.doi.org/10.23736/S0026-4946.20.05585-1DOI Listing

Biomechanical comparison of biodegradable magnesium screws and titanium screws for operative stabilization of displaced capitellar fractures.

J Shoulder Elbow Surg 2020 May 13. Epub 2020 May 13.

Faculty of Medicine, Department of Orthopedics and Trauma Surgery, Medical Center, Albert Ludwig University of Freiburg, Freiburg, Germany; Department of Trauma Surgery, Asklepios Klinikum Hamburg, Hamburg, Germany.

Background: Displaced fractures of the humeral capitellum are commonly treated operatively and fixed by titanium screws (TSs) either directly or indirectly. In the case of direct transcartilaginous fixation, biodegradable screws with the ability to be countersunk can be favorable regarding implant impingement and cartilage destruction. Hence, the goal of this study was to biomechanically compare headless compression screws made from titanium with a biodegradable equivalent made from a magnesium alloy. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.009DOI Listing

Comparison of maternal and fetal complications in pregnant women with breech presentation undergoing spontaneous or induced vaginal delivery, or cesarean delivery.

Taiwan J Obstet Gynecol 2020 May;59(3):392-397

Department of Obstetrics and Gynecology, Istanbul Medeniyet University Goztepe Education and Research Hospital, Doktor Erkin caddesi, Kadıkoy/Istanbul, Turkey. Electronic address:

Objective: Breech presentation is the most common form of malpresentation, and associated with perinatal asphyxia and mortality, and maternal morbidity. Data associated with labor induction in breech presentation are limited. The aim of this study was to compare maternal and fetal complication rates in induced and spontaneous vaginal, and cesarean delivery with breech presentation. Read More

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http://dx.doi.org/10.1016/j.tjog.2020.03.010DOI Listing

Declining trends in Medicare physician reimbursements for shoulder surgery from 2002 to 2018.

J Shoulder Elbow Surg 2020 May 12. Epub 2020 May 12.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address:

Background: As the current health care system evolves toward cost-containment and value-based approaches, evaluating trends in physician reimbursements will be critical for assessing and ensuring the financial stability of shoulder surgery as a subspecialty.

Methods: The Medicare Physician Fee Schedule Look-up Tool was used to retrieve average reimbursement rates for 39 shoulder surgical procedures (arthroscopy with or without repair, arthroplasty, acromioclavicular or clavicular open reduction-internal fixation, fixation for proximal humeral fracture and/or shoulder dislocation, open rotator cuff repair or tendon release and/or repair, and open shoulder stabilization) from 2002 to 2018. All reimbursement data were adjusted for inflation to 2018 dollars. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.005DOI Listing

Clinical Outcome of Free Vascularized Fibula Graft in the Surgical Treatment of Extremity Osteosarcoma.

Orthop Surg 2020 May 15. Epub 2020 May 15.

Department of Orthopedic Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.

Objective: To determine the clinical outcome and complications associated with use of free vascularized fibular graft (FVFG) in the resection and reconstruction of extremity osteosarcoma (OS).

Methods: This is a retrospective study recruiting a consecutive series of 18 patients who had undergone resection of extremity OS between May 2009 and June 2017 in our clinic center. Reconstruction of the bone defect with FVFG was performed for each patient. Read More

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http://dx.doi.org/10.1111/os.12646DOI Listing

[Minimally Invasive Cancellous Bone Graft Harvesting in Trauma Indication - Clinical Part of the Study].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):108-113

Oddělení úrazové chirurgie Nemocnice České Budějovice, a.s.

PURPOSE OF THE STUDY The clinical prospective study presents the results of minimally invasive harvesting of cancellous bone tissue in trauma indications. We focused on evaluating the clinical outcomes of this technique, particularly on the amount of cancellous bone harvested, the effectiveness of its use and complications. The pain in the bone graft harvest site is evaluated and compared with the pain after a standard harvest from the iliac crest. Read More

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January 2020

Effect of Surgery vs Functional Bracing on Functional Outcome Among Patients With Closed Displaced Humeral Shaft Fractures: The FISH Randomized Clinical Trial.

JAMA 2020 May;323(18):1792-1801

Orthopedics and Traumatology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.

Importance: Humeral shaft fractures traditionally have been treated nonsurgically, but there has been a steady increase in the rate of surgery over the past 2 decades without high-quality evidence to justify the trend.

Objective: To compare the effectiveness of surgical treatment with open reduction and internal plate fixation to nonsurgical treatment with functional bracing in the treatment of closed humeral shaft fractures.

Design, Setting, And Participants: Randomized clinical trial conducted at 2 university hospital trauma centers in Finland, enrollment between November 2012 and January 2018 with a final follow-up of January 2019. Read More

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http://dx.doi.org/10.1001/jama.2020.3182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218498PMC

Indications and results of osteosynthesis for proximal humerus fragility fractures in elderly patients.

Orthop Rev (Pavia) 2020 Apr 28;12(1):8559. Epub 2020 Apr 28.

Orthopedic and Trauma Unit, University Hospital "Maggiore della Carità", Department of Health Sciences, University of East Piedmont, Novara, Italy.

Proximal humerus fractures (PHF) are common injuries in the elderly population. Conservative treatment is indicated for undisplaced and stable fractures, which account for almost 80% of the cases. More complex fracture patterns might need surgery, with a wide variety of indication criteria and surgical techniques described in the literature. Read More

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http://dx.doi.org/10.4081/or.2020.8559DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206366PMC

What is the validity of self-reported fractures?

Bone Rep 2020 Jun 1;12:100256. Epub 2020 May 1.

Department of Endocrinology, CHU Brugmann, Université Libre de Bruxelles, Brussels, Belgium.

We assessed the validity of self-reported fractures, over a median follow-up period of 6.2 years, in a well characterized population-based cohort of 3560 postmenopausal women, aged 60-85 years, from the Fracture Risk Brussels Epidemiological Enquiry (FRISBEE) study. Incident low-traumatic (falls from a standing height or less) or non-traumatic fractures, including peripheral fractures, were registered during each annual follow-up telephone interview. Read More

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http://dx.doi.org/10.1016/j.bonr.2020.100256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200867PMC

Synthetic Bone Substitutes and Mechanical Devices for the Augmentation of Osteoporotic Proximal Humeral Fractures: A Systematic Review of Clinical Studies.

J Funct Biomater 2020 May 5;11(2). Epub 2020 May 5.

Orthopedic and Trauma Clinic, Department of Surgical Sciences, Cagliari State University, 09126 Cagliari, Italy.

Background: Different augmentation techniques have been described in the literature in addition to the surgical treatment of proximal humeral fractures. The aim of this systematic review was to analyze the use of cements, bone substitutes, and other devices for the augmentation of proximal humeral fractures.

Methods: A systematic review was conducted by using PubMed/MEDLINE, ISI Web of Knowledge, Cochrane Library, Scopus/EMBASE, and Google Scholar databases according the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines over the years 1966 to 2019. Read More

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http://dx.doi.org/10.3390/jfb11020029DOI Listing

Effect of Postoperative Nonsteroidal Anti-inflammatory Drugs on Nonunion Rates in Long Bone Fractures.

Orthopedics 2020 May 5:1-7. Epub 2020 May 5.

The association of nonsteroidal anti-inflammatory drugs (NSAIDs) with non-union in long bone fractures has been controversial. The purpose of this study was to evaluate whether NSAID exposure results in increased risk of non-union in operatively treated long bone fractures. The authors used International Classification of Diseases and Current Procedural Terminology codes to identify patients under a single-payer private insurance with operatively treated humeral shaft, tibial shaft, and subtrochanteric femur fractures from a large database. Read More

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http://dx.doi.org/10.3928/01477447-20200428-06DOI Listing

Dietary calcium and vitamin K are associated with osteoporotic fracture risk in middle-aged and elderly Japanese women, but not men: the Murakami Cohort Study.

Br J Nutr 2020 May 7:1-25. Epub 2020 May 7.

Division of Preventive Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Although dietary calcium, vitamin D, and vitamin K are nutritional factors associated with osteoporosis, little is known about their effects on incident osteoporotic fractures in East Asian populations. This study aimed to determine whether intakes of these nutrients predict incident osteoporotic fractures. We adopted a cohort-study design with a 5-year follow-up. Read More

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http://dx.doi.org/10.1017/S0007114520001567DOI Listing

Disease burden of osteoporosis and other non-communicable diseases in Lebanon.

Osteoporos Int 2020 May 6. Epub 2020 May 6.

Calcium Metabolism and Osteoporosis Program, Division of Endocrinology and Metabolism, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Osteoporosis is more common than most feared non-communicable diseases in the Middle East. This justifies the need to place osteoporosis as a health priority in the region.

Introduction: Osteoporosis is a common disease associated with severe debilitating consequences. Read More

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http://dx.doi.org/10.1007/s00198-020-05433-wDOI Listing

Headless compression screw fixation for type 2 and 3 articular surface fractures of the distal humerus using transolecranon approach.

Acta Orthop Belg 2019 Dec;85(4):448-458

The objectives of this study were to determine the clinical and radiologic outcome after headless compression screw fixation through the transolecranon approach in patients who had sustained Dubberley type 2 and 3 articular surface fractures of the distal humerus. Twenty-seven patients were included in the study. There were 23 Dubberley type 2 and 4 type 3 fractures. Read More

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December 2019

Dual plate for comminuted proximal humerus fractures.

Acta Orthop Belg 2019 Dec;85(4):429-436

The purpose of this study is to evaluate radiological, clinical results and complication rates of dual plate fixation for severe metaphyseal comminuted fracture of proximal humerus. 21 patients who have proximal humerus fractures with impaired posteromedial buttress were enrolled. Fractures were treated with dual plate technique using Proximal Humeral Locking plate and Variable Angle Plate. Read More

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December 2019

Recording Risk Factors of Physical Abuse in Children Younger Than 36 Months With Bone Fractures: A 12-Years Retrospective Study in an Italian General Hospital Emergency Room.

Front Pediatr 2020 21;8:183. Epub 2020 Apr 21.

Department of Medicine and Surgery, Pediatric Clinic, Pietro Barilla Children's Hospital, University of Parma, Parma, Italy.

Skeletal fractures (SFs) are very common in pediatrics. In some cases, they are secondary to child abuse. Differentiation of accidental from non-accidental fractures (NAFs) is essential as in abused children risk of further injuries leading to severe clinical problems and death is significant. Read More

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http://dx.doi.org/10.3389/fped.2020.00183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186300PMC

Changing practice patterns: the impact of a cost analysis project on surgeons' preference for treatment of pediatric displaced humeral lateral condyle fractures.

J Pediatr Orthop B 2020 May 2. Epub 2020 May 2.

Department of Orthopedic Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.

A 2012 publication regarding the surgical management of pediatric lateral humeral condyle fractures (PLHCF) found that leaving pins exposed produced an average savings of $3442 per patient compared to burying pins, with fewer complications. The primary objective of this present study was to determine the impact of this cost analysis on surgeons' treatment preferences at the same hospital. The secondary aim was to verify that leaving pins exposed continued to be a cost-effective and safe treatment strategy. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000734DOI Listing

Editorial Commentary: Biceps Tenodesis Fixation: Screw, Button, or None of the Above?

Authors:
Rachel M Frank

Arthroscopy 2020 May;36(5):1261-1263

University of Colorado School of Medicine.

Clinical outcomes following shoulder subpectoral biceps tenodesis are generally favorable, with a very low complication rate (2%). One of the most devastating complications following this procedure is the occurrence of a proximal humerus fracture. Although all constructs have their unique advantages and disadvantages, creating a smaller bone hole while achieving good biomechanical outcomes is worth considering. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.03.021DOI Listing

Prognosis and risk factors of nerve injuries in displaced pediatric supracondylar humerus fractures.

Niger J Clin Pract 2020 May;23(5):647-653

Trakya University, Medical Faculty, Department of Biostatistics, Edirne, Turkey.

Background: Supracondylar humerus (SCH) fractures are serious injuries due to the neighborhood of critical neural and vascular structures. One of the most devastating complications of SCH fractures is neurological damage, since it may cause permanent disability. The aim of this study is to categorize neurological complications, to report long-term functional outcomes, and to determine risk factors associated with childhood SCH fractures. Read More

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http://dx.doi.org/10.4103/njcp.njcp_575_18DOI Listing

Doing Our Part to Conserve Resources: Determining Whether All Personal Protective Equipment Is Mandatory for Closed Reduction and Percutaneous Pinning of Supracondylar Humeral Fractures.

J Bone Joint Surg Am 2020 May 4. Epub 2020 May 4.

Emory University School of Medicine, Atlanta, Georgia.

Background: Closed reduction and percutaneous pinning (CRPP) of supracondylar humeral fractures is one of the most common procedures performed in pediatric orthopaedics. The use of full, standard preparation and draping with standard personal protective equipment (PPE) may not be necessary during this procedure. This is of particular interest in the current climate as we face unprecedented PPE shortages due to the current COVID-19 pandemic. Read More

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http://dx.doi.org/10.2106/JBJS.20.00567DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224617PMC

Percutaneous alcohol-based sclerotherapy in aneurysmal bone cyst in children and adolescents.

Orthop Traumatol Surg Res 2020 Apr 28. Epub 2020 Apr 28.

Service de chirurgie orthopédique, hôpital Necker-Enfants-Malades, Paris, France.

Introduction: Aneurysmal bone cyst (ABC) is a benign bone lesion of childhood and adolescence. It can be locally aggressive, with risk of fracture. Management is controversial. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.12.024DOI Listing

Lateral External-fixation Adjacent to Radial Nerve.

Cureus 2020 Mar 27;12(3):e7435. Epub 2020 Mar 27.

Orthopaedic Surgery, San Antonio Military Medical Center, San Antonio, USA.

Introduction The aim of our study was to describe the injury pattern and outcomes of active-duty subjects that underwent humeral external fixation and to determine if the placement of external fixator pins outside of the radial nerve safe zones is correlated with injury to the radial nerve. Materials and methods We examined all US Service members treated with humeral external fixation at our facility from June 2005 through June 2015. The mechanism of injury, injury pattern, location of external fixation application, pre- and postoperative radial nerve function, presence or absence of radial nerve transection from injury or external fixation, anatomic location of pins in relation to the radial nerve safe zone, and final radial nerve outcomes were recorded. Read More

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http://dx.doi.org/10.7759/cureus.7435DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186088PMC

[Lateral mini plate and Kirschner wire assisted fixation for the treatment of distal humeral metaphyseal junction fracture in children].

Zhongguo Gu Shang 2020 Apr;33(4):379-82

Department of Orthopaedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, Shandong, China.

Objective: To explore the operative method and clinical effect of lateral mini plate and Kirschner wire in the treatment of distal humeral metaphysis junction fracture in children.

Methods: From January 2015 to December 2018, 21 cases of distal humeral diaphyseal metaphyseal junction fracture were analyzed retrospectively, including 12 males and 9 females, aged 2 to 10 years with an average age of 4.5 years, and the time from injury to operation was 6 hours to 7 days. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.04.018DOI Listing

Treatment options for proximal humeral fractures in the older adults and their implication on personal independence.

Arch Orthop Trauma Surg 2020 Apr 30. Epub 2020 Apr 30.

Department of Orthopaedic Surgery and Traumatology, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.

Background: No consensus exists on the optimal treatment of proximal humeral fractures (PHFx). Uncertainty about surgical treatment in the older adults using locking plates (e.g. Read More

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http://dx.doi.org/10.1007/s00402-020-03452-0DOI Listing

Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study.

JNMA J Nepal Med Assoc 2020 Mar;58(223):153-157

Department of General Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal.

Introduction: Supracondylar fracture of humerus is one of the common pediatric fractures encountered in our daily clinical practice. The purpose of this study is to determine the pattern of supracondylar fracture operated at rural teaching hospital of Jumla, Karnali Nepal.

Methods: A descriptive cross sectional study was conducted at Jumla, Karnali after Institutional Review Committee approval. Read More

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When infection isn't infection.

Ann R Coll Surg Engl 2020 Apr 29:e1-e2. Epub 2020 Apr 29.

Imperial College Healthcare NHS Trust, London, UK.

Following open reduction and internal fixation for a proximal humerus fracture a 71-year-old man re-presented with wound changes consistent with infection and elevated inflammatory markers. No significant improvement was seen with concomitant intravenous antibiotics and multiple debridement procedures. This case was further complicated by soft tissue breakdown at the site of a left thigh haematoma also requiring debridement. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0091DOI Listing

Clinical Outcomes and Shoulder Kinematics for the "Gray Zone" Extra-articular Scapula Fracture in 5 Patients.

Int J Orthop 2020 7;3(1). Epub 2020 Feb 7.

Department of Orthopaedics and Rehabilitation, Penn State Health Hershey and Penn State College of Medicine, Hershey, PA, USA.

Aims: There is a subset of scapula fractures, which can be considered in the "gray zone," where treatment guidelines are not clear-cut, based on published literature. Our paper presents the outcomes of five such scapula fractures treated non-operatively.

Methods: Adult patients who had been treated non-operatively at our institution for an isolated scapula fracture from 2003-2012 were found using Current Procedural Terminology (CPT) codes. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188186PMC
February 2020

Validity of the distance between the anterior humeral line and capitellum as a quantitative measure of supracondylar humeral fracture in children.

Injury 2020 Apr 10. Epub 2020 Apr 10.

Department of Orthopaedic Surgery, Iwate Medical University, 2-1-1 Idaidori, Yahaba-cho, Shiwa-Gun, Iwate, 028-3695, Japan.

Introduction: The anterior humeral line (AHL) is a radiographic marker used to quantify anterior-posterior displacement in supracondylar humeral fractures on lateral radiographs. As both the anterior border of the capitellum and the undeveloped ossific nucleus are clearly recognisable on lateral radiographs, we analysed the distance between the AHL and capitellum (AC distance). We hypothesised that the AC distance would provide a highly reproducible and useful index of correction losses in supracondylar humeral fractures. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.003DOI Listing

Racial Disparities Exist in Outcomes After Major Fragility Fractures.

J Am Geriatr Soc 2020 Apr 26. Epub 2020 Apr 26.

Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Background: Fractures associated with postmenopausal osteoporosis (PMO) are associated with pain, disability, and increased mortality. A recent, nationwide evaluation of racial difference in outcomes after fracture has not been performed.

Objective: To determine if 1-year death, debility, and destitution rates differ by race. Read More

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http://dx.doi.org/10.1111/jgs.16455DOI Listing