12,528 results match your criteria Fracture Humerus


Damage control orthopedics applied in an 8-year-old child with life-threatening multiple injuries: A CARE-compliant case report.

Medicine (Baltimore) 2019 Apr;98(16):e15294

University Children's Hospital Basel (UKBB), Department of Pediatric Surgery, 4056 Basel.

Rationale: Damage control is a staged surgical approach to manage polytraumatized patients. The damage control approach comprises three steps. First, bleeding is controlled and fractures are stabilized temporarily; second, vital parameters are stabilized and the child is rewarmed in the intensive care unit; and third, the child is reoperated for definitive repair of injuries. Read More

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http://Insights.ovid.com/crossref?an=00005792-201904190-0005
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http://dx.doi.org/10.1097/MD.0000000000015294DOI Listing
April 2019
2 Reads

Predictors of fragility fracture and low bone mineral density in patients with a history of parental fracture.

Osteoporos Sarcopenia 2019 Mar 15;5(1):6-10. Epub 2019 Mar 15.

University Hospitals of Morecambe Bay NHS Foundation Trust, Royal Lancaster Infirmary, Rheumatology, Ashton Road, Lancaster, Lancashire, UK.

Objectives: Bone mineral density (BMD) and fragility fracture (FF) have high heritability, but few data exist on impact of other factors on families with fracture history. We aimed to evaluate predictors of FF and low BMD, in patients with family history of FF.

Methods: This was a retrospective study on patients undergoing dual energy X-ray absorptiometry at a district general hospital (DGH), 2004-2016. Read More

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http://dx.doi.org/10.1016/j.afos.2019.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452922PMC

Should Kirschner wires for fixation of lateral humeral condyle fractures in children be buried or left exposed? A systematic review.

Orthop Traumatol Surg Res 2019 Apr 19. Epub 2019 Apr 19.

Orthopaedic Surgery, Hinchingbrooke Hospital, North West Anglia NHS Foundation Trust, Hinchingbrooke Park Huntingdon PE29 6NT, Cambridgeshire, UK. Electronic address:

Background: Displaced lateral humeral condyle fractures in children are usually treated with open reduction and internal fixation. When treated operatively with Kirschner wires, the bent cut near side wire ends are either buried in the subcutaneous tissue or are left exposed. It is believed that burying the wires allows them to remain in longer and hence facilitate better union. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.03.007DOI Listing

Non-fracture stem vs fracture stem of reverse total shoulder arthroplasty in complex proximal humeral fracture of asian elderly.

Arch Orthop Trauma Surg 2019 Apr 20. Epub 2019 Apr 20.

Department of Orthopaedic Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 64, Daeheung-ro, Jung-gu, Daejeon, 34943, South Korea.

Purpose: Fracture stem of the reverse total shoulder arthroplasty (RTSA) was designed for better tuberosity bone healing for the proximal bone defect of complex proximal humeral fractures (PHF). Our purpose was to compare the clinical and radiological outcomes of patients using fracture stem vs non-fracture (conventional) stem of RTSA in complex PHF of elderly patients.

Methods: Between 2008 March and 2017 June, 48 patients who had undergone an RTSA with non-fracture or fracture stem for complex PHF with a minimum 18 months of follow-up were evaluated. Read More

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http://dx.doi.org/10.1007/s00402-019-03190-yDOI Listing
April 2019
1 Read

Evidence-based algorithm to treat patients with proximal humerus fractures-a prospective study with early clinical and overall performance results.

J Shoulder Elbow Surg 2019 Apr 16. Epub 2019 Apr 16.

Department of Orthopaedic Surgery and Traumatology, St. Gallen, Switzerland.

Background: On the basis of patients' demands, bone quality, and fracture type, we developed an evidence-based treatment algorithm for proximal humerus fractures (PHF) that includes all treatment modalities from open reduction and internal fixation, hemiprosthesis, to reverse total shoulder arthroplasty. This study was done to assess its feasibility and early clinical outcome.

Materials And Methods: Patients with isolated PHF in 2014 and 2015 were included in this prospective study. Read More

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http://dx.doi.org/10.1016/j.jse.2019.02.015DOI Listing

Olecranon Osteotomy Approach for Complex AO-13C Fractures of Distal Humerus: A Prospective Analysis of 24 Cases.

Malays Orthop J 2019 Mar;13(1):30-35

Department of Orthopaedics, Sir Ganga Ram Hospital, New Delhi, India.

Olecranon osteotomy is well described approach for complex intra-articular distal humeral fractures. In this study, we investigated the usefulness and complications of olecranon osteotomy approach for such fractures. We hypothesise that outcome is comparable in young adults and middle age group and also functional outcome is independent of fracture subtype following surgical fixation. Read More

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http://www.morthoj.org/2019/v13n1/olecranon-osteotomy-fractu
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http://dx.doi.org/10.5704/MOJ.1903.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459036PMC
March 2019
1 Read

Shearing Osteochondral Fracture of the Humeral Head: A Case Report.

JBJS Case Connect 2019 Apr 16. Epub 2019 Apr 16.

New Jersey Medical School, Rutgers University, New Jersey Orthopaedic Institute, Newark, New Jersey.

Case: A 30-year-old man was found to have a posteriorly displaced osteochondral shear fracture of his left humeral head, likely from dislocation and relocation. The fragment was fixed in its native position using headless screws, and the patient regained full strength and range of motion within 9 months.

Conclusions: Osteochondral shear fractures of the humeral head appear to shear off the anteromedial articular joint surface after dislocation and relocation. Read More

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http://Insights.ovid.com/crossref?an=01709767-900000000-9979
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http://dx.doi.org/10.2106/JBJS.CC.18.00094DOI Listing
April 2019
1 Read

[Application of the modified internal fixation method of minimally invasive percutaneous plate osteosynthesis in treatment of proximal humeral fracture].

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Apr;51(2):277-282

Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China.

Objective: To study the clinical outcomes and characteristics of fracture healing of a modified internal fixation method, which was implemented by placing four and two screws respectively at the proximal and distal end of the locking plate in the minimally invasive percutaneous plate osteosynthesis (MIPPO) for patients with proximal humeral fractures.

Methods: Patients in Peking University Third Hospital from February 2010 to December 2016 were brought into this retrospective study. Based on different operation methods, they were divided into minimally invasive (MI) group and non-minimally invasive (non-MI) group, and the patients in MI group were performed with the modified internal fixation. Read More

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April 2019
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An anterior neurovascular interval approach to coronal shear fractures of the distal humerus: a prospective clinical study with short- to mid-term follow-up.

Rev Assoc Med Bras (1992) 2019 Mar 11;65(3):355-360. Epub 2019 Apr 11.

Emergency Center of Trauma, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, China.

Object: To explore the treatment effect of the anterior medial neurovascular interval approach to coronal shear fractures of the distal humerus.

Methods: This prospective study included two female patients who were 30-64 years old, with a mean age of 47 years. Fractures were caused by falling from a bicycle. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1806-9282.65.3.355DOI Listing
March 2019
1 Read

Three-Dimensional Corrective Osteotomy for Malunited Fractures of the Upper Extremity Using Patient-Matched Instruments: A Prospective, Multicenter, Open-Label, Single-Arm Trial.

J Bone Joint Surg Am 2019 Apr;101(8):710-721

Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

Background: Medical image processing has facilitated simulation of 3-dimensional (3-D) corrective osteotomy, and 3-D rapid prototyping technology has further enabled the manufacturing of patient-matched surgical guides and implants (patient-matched instruments, or PMIs). However, 3-D corrective osteotomy using these technologies has not been the standard procedure. We aimed to prospectively verify the efficacy and safety of PMIs in corrective osteotomy for deformities of the upper extremity. Read More

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http://dx.doi.org/10.2106/JBJS.18.00765DOI Listing
April 2019
1 Read

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

Authors:
Zachary Robbins

J Pediatr Orthop 2019 Apr 15. Epub 2019 Apr 15.

Department of Anesthesiology Rhode Island Hospital Warren Alpert Medical School of Brown University Providence, RI.

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http://dx.doi.org/10.1097/BPO.0000000000001378DOI Listing

Surgical site infection associated with equine orthopedic internal fixation: 155 cases (2008-2016).

Vet Surg 2019 Apr 16. Epub 2019 Apr 16.

Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania.

Objective: To determine the prevalence of surgical site infection (SSI) after internal fixation and to identify risk factors for SSI and nonsurvival.

Study Design: Retrospective study.

Animals: One hundred fifty-five horses with long bone fractures or arthrodesis treated by internal fixation at 1 hospital between 2008-2016. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/vsu.13216
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http://dx.doi.org/10.1111/vsu.13216DOI Listing
April 2019
2 Reads

Factors affecting blood loss and blood transfusion in patients with proximal humeral fractures.

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

Center for Orthopedics and Trauma Surgery, University Hospital Marburg, Marburg, Germany.

Background: The aim of this study was to determine the amount of blood loss and the rate of blood transfusion in patients receiving surgery for proximal humeral fractures depending on the treatment and fracture classification. Moreover, factors associated with blood loss and blood transfusion were analyzed.

Methods: The study included 420 patients who had received surgery for proximal humeral fractures. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746193006
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http://dx.doi.org/10.1016/j.jse.2019.01.018DOI Listing
April 2019
2 Reads

DOES SURGEON SPECIALIZATION CHANGE THE PROXIMAL HUMERAL OSTEO-SYNTHESIS APPROACH?

Acta Ortop Bras 2019 Mar-Apr;27(2):113-115

Universidade Estadual de Campinas (UNICAMP), Department of Orthopedics and Traumatology, Shoulder and Elbow Group, Campinas, São Paulo, Brazil.

Objective: To evaluate the choice of surgical approach among Brazilian orthopedists and whether shoulder surgery specialty training or duration of experience influences the decision-making.

Methods: A questionnaire on the preferred approach and complications was administered to orthopedic surgeons with and without shoulder specialization training. The chi-square test or Fisher's exact test was applied. Read More

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http://dx.doi.org/10.1590/1413-785220192702212055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442719PMC
April 2019
2 Reads

Shoulder Arthroplasty for a Fracture Is Not the Same as Shoulder Arthroplasty for Osteoarthritis: Implications for a Bundled Payment Model.

J Am Acad Orthop Surg 2019 Apr 11. Epub 2019 Apr 11.

From the Department of Orthopaedics, Wexner Medical Center at The Ohio State University Columbus, OH.

Introduction: The Center for Medicare Services currently bundles all shoulder arthroplasties, total shoulder arthroplasty and reverse total shoulder arthroplasty, into one Diagnosis-Related Group on which bundled reimbursements are then further characterized. An arthroplasty performed for traumatic indications, such as fractures, may have a different postoperative course of care compared with the one being done for degenerative arthritis/osteoarthritis (OA), despite having the same Current Procedural Terminology (CPT) and Diagnosis-related Group code.

Methods: The 2012 to 2016 American College of Surgeons-National Surgical Quality Improvement Program databases were queried using CPT-23472 to retrieve records of patients undergoing total shoulder arthroplasty/reverse total shoulder arthroplasty for degenerative arthritis/OA or proximal humerus fracture. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00268DOI Listing
April 2019
1 Read

[Humerus fracture after an arm wrestling].

Rev Prat 2019 Mar;69(3):235

Centre médical des armées de Toulon, antenne médicale de Saint-Mandrier, Toulon, France.

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March 2019
2 Reads

[Treatment of distal humerus fracture with unexposed ulnar nerve medial elbow incision and anatomical locking compression plate].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):440-444

Department of Orthopaedics, Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou Sichuan, 646000,

Objective: To investigate the feasibility and effectiveness of unexposed ulnar nerve medial elbow incision, open reduction and internal fixation of anatomical locking compression plate (LCP) for distal humerus fractures.

Methods: Fourteen patients with distal humerus fracture were treated between January 2014 and June 2017. There were 5 males and 9 females, aged 18-85 years (mean, 65. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201808077
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http://dx.doi.org/10.7507/1002-1892.201808077DOI Listing
April 2019
4 Reads

[Effectiveness of open reduction and locking compression hook plate in treatment of isolated humeral greater tuberosity fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):436-439

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To observe the effectiveness of locking compression hook plate in treatment of humeral greater tuberosity fractures.

Methods: Between March 2014 and September 2017, 16 patients with isolated humeral greater tuberosity fractures were terated with open reduction and internal fixation with locking compression hook plates. There were 11 males and 5 females, with an average age of 38. Read More

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http://dx.doi.org/10.7507/1002-1892.201810119DOI Listing

Reverse shoulder arthroplasty for fracture sequelae: How the initial fracture treatment influences the outcomes of joint replacement.

Acta Orthop Traumatol Turc 2019 Apr 11. Epub 2019 Apr 11.

Department of Orthopedic Surgery, Hospital del Mar, Passeig Marítim 25, Barcelona, Spain. Electronic address:

Objective: The aim of this study was to analyze and compare the results of reverse shoulder arthroplasty (RSA) in proximal humeral fracture sequelae (PHFS) in fractures initially treated conservatively versus those initially treated with open reduction and internal fixation (ORIF).

Methods: It is a retrospective study that includes all PHFS treated with a RSA from September 2006 to December 2013. Twenty-seven patients met the inclusion criteria. Read More

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http://dx.doi.org/10.1016/j.aott.2019.03.010DOI Listing

State of the art in osteoporosis risk assessment and treatment.

J Endocrinol Invest 2019 Apr 12. Epub 2019 Apr 12.

MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, SO16 6YD, UK.

Background: Osteoporosis constitutes a major public health problem, through its association with age-related fractures, particularly of the hip, vertebrae, distal forearm, and humerus. Over recent decades, it has evolved from being viewed as an inevitable consequence of ageing, to being recognised as a serious and eminently treatable disease.

Materials And Methods: In this article, we review the literature pertaining to the epidemiology of osteoporosis, associated health burden, approaches to risk assessment and treatment. Read More

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http://link.springer.com/10.1007/s40618-019-01041-6
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http://dx.doi.org/10.1007/s40618-019-01041-6DOI Listing
April 2019
4 Reads

Distal humeral septic non-union treated with debridement and vascularized fibular transfer: case report and review of the literature.

Eur Rev Med Pharmacol Sci 2019 Apr;23(2 Suppl):12-18

Orthopedic Department, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy.

Clinical management of a septic non-union of the distal humerus is challenging and is complicated by the diversity of potential treatments which are variably successful. We report a novel and very successful treatment of a 58-year-old man presenting an infected non-union of the right distal humerus, secondary to a closed fracture initially treated with two anatomic plates. After hardware removal, a two-stage reconstruction was performed. Read More

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http://dx.doi.org/10.26355/eurrev_201904_17469DOI Listing

A new technique for olecranon osteotomy in the treatment of distal humeral fractures.

JSES Open Access 2019 Mar 24;3(1):1-4. Epub 2018 Dec 24.

Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, OR, USA.

Background: Olecranon osteotomy is a commonly used method for obtaining adequate exposure of the articular surface in complex distal humeral fractures. We describe a new technique whereby a precontoured olecranon plate is first fixed to the olecranon, and a Gigli saw is used to perform the osteotomy while the plate is in place.

Methods: By use of a standard posterior approach, a precontoured olecranon plate is applied to the olecranon and affixed with screws both proximally and distally to the planned osteotomy site. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24686026183003
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http://dx.doi.org/10.1016/j.jses.2018.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443936PMC
March 2019
2 Reads

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

J Pediatr Orthop 2019 Apr 9. Epub 2019 Apr 9.

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

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http://dx.doi.org/10.1097/BPO.0000000000001392DOI Listing

Associations between pre-injury racing history and tibial and humeral fractures in Australian Thoroughbred racehorses.

Vet J 2019 May 5;247:44-49. Epub 2019 Mar 5.

Equine Centre, Melbourne Veterinary School, Faculty of Veterinary and Agricultural Sciences, University of Melbourne, 250 Princes Hwy Werribee, Victoria, 3030, Australia.

Long bone fractures in racehorses may present as stress fractures which have a good prognosis, or complete fractures, which often result in a fatal outcome. In order to identify differences in modifiable management practices that may contribute to these outcomes, racing histories of horses with humeral or tibial fractures and of matched controls were examined. A retrospective case-control study of Australian Thoroughbred racehorses diagnosed with a fracture of the humerus or tibia by scintigraphy or at post-mortem between 2002 and 2016 was undertaken. Read More

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http://dx.doi.org/10.1016/j.tvjl.2019.03.001DOI Listing
May 2019
1 Read
1.755 Impact Factor

Patient Safety Checklists: Do They Improve Patient Safety for Supracondylar Humerus Fractures?

J Pediatr Orthop 2019 May/Jun;39(5):232-236

Department of Orthopaedics and Sports Medicine, Seattle Children's Hospital, Seattle, WA.

Background: The purpose of the study was to investigate whether a safety checklist could be used consistently in an academic center, and, whether its presence correlates with a decreased rate of complications, and therefore, improved overall patient safety.

Methods: Data from 3 years before and after the implementation of the checklist were compared. Prechecklist data from August 2008 through August of 2011, including all operative supracondylar humerus fractures treated at our institution, were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000928DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568993PMC

Humeral stress fracture in a female CrossFit athlete: a case report.

BMC Musculoskelet Disord 2019 Apr 9;20(1):150. Epub 2019 Apr 9.

Department of Radiology, Hospital do Coração (HCor) and Teleimagem, Rua Desembargador Eliseu Guilherme, 53, 7th floor, São Paulo, SP, CEP 04004-030, Brazil.

Background: Humeral stress fractures are rare injuries usually related to sports practice and joint overload without a direct trauma. A proximal humeral stress fracture has never been reported in a CrossFit athlete.

Case Presentation: We report a stress fracture in the humerus of a 22-year-old woman after intense CrossFit training. Read More

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http://dx.doi.org/10.1186/s12891-019-2532-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454729PMC
April 2019
1 Read

Use of external fixation for juxta-articular fractures in children.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics, Kurgan, Russian Federation. Electronic address:

In this article, the use of external fixation in the management of juxta-articular fractures in paediatric patients is discussed. Basic principles of Ilizarov technique are described for distal radial, distal femoral, distal humeral and distal tibial fractures. Common indications for external fixation in pediatric fractures are comminuted, complicated, and/or open fractures, particularly at the distal humerus, distal radius, distal femur and distal tibia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193016
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http://dx.doi.org/10.1016/j.injury.2019.03.043DOI Listing
March 2019
3 Reads

Pinning of supracondylar fractures in children - Strategies to avoid complications.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Department of Trauma Surgery, University Medical Centre Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, Germany. Electronic address:

In the pediatric population supracondylar humerus fracture (SHF) is one of the most common injuries. Diagnosis is based on inspection and conventional radiography. SHFs should be classified according to the modified Gartland classification, which guides treatment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193016
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http://dx.doi.org/10.1016/j.injury.2019.03.042DOI Listing
March 2019
3 Reads

Non-union: Indications for external fixation.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Department of Trauma and Orthopaedics, University of Edinburgh, Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, EH16 4SA, United Kingdom.

External fixation is currently used as the definitive mode of fracture stabilisation in the management of ˜50% of long-bone non-unions. Distinction between non-union and delayed union is a diagnostic dilemma especially in fractures healing by primary bone repair. This distinction is important, as non-unions are not necessarily part of the same spectrum as delayed unions. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.053DOI Listing

Clinical outcomes of dual 3.5-mm locking compression plate fixation for humeral shaft fractures: Comparison with single 4.5-mm locking compression plate fixation.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019839608

Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea.

Background:: Recently, several in vitro biomechanical studies that used dual small locking plate fixation for humeral shaft fractures have investigated. However, in vivo studies about dual plate fixation for humeral shaft fractures are limited. The purpose of our study was to report the outcomes of dual small plating for humeral shaft fractures in comparison with those of single large fragment plating. Read More

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http://dx.doi.org/10.1177/2309499019839608DOI Listing
April 2019
1 Read

[Conservative treatment of periprosthetic humeral fractures years after cemented fracture prostheses : A case series].

Unfallchirurg 2019 Apr 5. Epub 2019 Apr 5.

Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Martin-Luther Universität, Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.

Background: The exact incidence of postoperative periprosthetic humeral fractures (PPHF) months or years after fracture-related implantation of a hemiprosthesis is unknown. The currently available literature is predominantly concerned with operative treatment approaches. As a rule, these involved older patients and severe fracture conditions so that severe complications and unsatisfactory healing results were described. Read More

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http://link.springer.com/10.1007/s00113-019-0638-4
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http://dx.doi.org/10.1007/s00113-019-0638-4DOI Listing
April 2019
3 Reads

Predicting fracture risk in patients with chronic obstructive pulmonary disease: a UK-based population-based cohort study.

BMJ Open 2019 Apr 3;9(4):e024951. Epub 2019 Apr 3.

Nottingham Respiratory Research Unit, NIHR Nottingham Biomedical Research Centre, School of Medicine, University of Nottingham, Nottingham, UK.

Objective: To assess the incidence of hip fracture and all major osteoporotic fractures (MOF) in patients with chronic obstructive pulmonary disease (COPD) compared with non-COPD patients and to evaluate the use and performance of fracture risk prediction tools in patients with COPD. To assess the prevalence and incidence of osteoporosis.

Design: Population-based cohort study. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024951DOI Listing
April 2019
4 Reads

Pucker sign in an adult distal radial fracture.

BMJ Case Rep 2019 Apr 3;12(4). Epub 2019 Apr 3.

Medicine, University of Manchester, Manchester, Manchester, UK.

Puckering of the skin following a fracture is a rare sign which can result in skin necrosis if the fracture is not urgently reduced. Skin puckering is associated with humeral, tibia and clavicular fractures. We present a case of a 79-year-old woman who fell on to her outstretched hand sustaining a right radial fracture with obvious skin puckering. Read More

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http://dx.doi.org/10.1136/bcr-2018-228046DOI Listing

Malpractice Litigation Following Traumatic Fracture.

J Bone Joint Surg Am 2019 Apr;101(7):e27

Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Background: Poor clinical outcomes and adverse events following orthopaedic trauma are common, which may lead to litigation. To our knowledge, factors associated with litigation following fracture care have not previously been evaluated.

Methods: A retrospective review of fracture-related malpractice lawsuits from 1988 to 2015 was completed utilizing VerdictSearch (ALM Media Properties), a medicolegal database. Read More

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http://dx.doi.org/10.2106/JBJS.18.00853DOI Listing
April 2019
4 Reads

Incidence and Characteristics of Humeral Shaft Fractures After Subpectoral Biceps Tenodesis.

Orthop J Sports Med 2019 Mar 28;7(3):2325967119833420. Epub 2019 Mar 28.

Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.

Background: Biceps tenodesis is a procedure that can address biceps and labral pathology. While there is an increased risk of humeral fracture after biceps tenodesis, it has been described only in case reports.

Purpose: To identify the incidence, demographics, and characteristics of humeral shaft fractures after biceps tenodesis. Read More

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http://dx.doi.org/10.1177/2325967119833420DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440066PMC
March 2019
2 Reads

Proteinuria is Associated with Increased Risk of Fragility Fracture in Men With or at Risk for HIV infection Proteinuria and Fracture Risk Association.

J Acquir Immune Defic Syndr 2019 Mar 29. Epub 2019 Mar 29.

Johns Hopkins University.

Background: Proteinuria has been associated with bone loss and fractures in general population but data in HIV-infected population is lacking.

Setting: Prospective, multicenter cohort study of men with or at risk for HIV infection.

Methods: Between 2006 and 2015, urine protein measurements and bone fracture histories were ascertained semi-annually in 947 HIV-infected (HIV+) and 969 HIV-uninfected (HIV-) men ≥ age 40. Read More

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http://dx.doi.org/10.1097/QAI.0000000000002039DOI Listing
March 2019
1 Read

Cortical thickness analysis of the proximal humerus.

Shoulder Elbow 2019 Apr 5;11(2):87-93. Epub 2017 Nov 5.

Division of Surgery and Cancer, Imperial College London, London, UK.

Background: Structural changes within the proximal humerus influence the mechanical properties of the entire bone and predispose to low-energy fractures with complex patterns. The aim of the present study was to measure the cortical thickness in different regions of the proximal humerus.

Methods: Thirty-seven proximal humeri were analyzed using novel engineering software to determine cortical thickness in 10 distinct anatomical zones. Read More

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http://dx.doi.org/10.1177/1758573217736744DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434956PMC
April 2019
1 Read

A novel transverse ultrasonography technique for minimally displaced lateral humeral condyle fractures in children.

Orthop Traumatol Surg Res 2019 May 29;105(3):557-562. Epub 2019 Mar 29.

Wuhan Children's Hospital, Tongji, Medical College, Huazhong University of Science & Technology, Wuhan City, PR China.

Introduction: Management of minimally displaced lateral humeral condyle fractures in pediatric patients is controversial. This is primarily because with current imaging modalities it is difficult to accurately and conveniently determine the stability of the fractures by detecting the integrity of the cartilage hinge. Nevertheless, transverse ultrasonography has not been intensively reported in previous studies. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.02.005DOI Listing
May 2019
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Low revision rate despite poor functional outcome after stemmed hemiarthroplasty for acute proximal humeral fractures: 2,750 cases reported to the Danish Shoulder Arthroplasty Registry.

Acta Orthop 2019 Apr 1:1-9. Epub 2019 Apr 1.

b Department of Orthopaedic Surgery , Zealand University Hospital , Køge , Denmark.

Background and purpose - The revision rate of stemmed hemiarthroplasty (SHA) for acute proximal humeral fractures is low, but does not necessarily reflect the functional outcome. We report the revision rate of SHA for acute proximal humeral fractures and the proportion of arthroplasties that are not revised despite low functional outcome scores. Patients and methods - The Danish Shoulder Arthroplasty Registry was used to identify all patients with a proximal humeral fracture that was treated with a SHA between January 1, 2006 and December 31, 2015. Read More

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http://dx.doi.org/10.1080/17453674.2019.1597491DOI Listing
April 2019
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Compound heterozygous mutations Glu502Lys and Met527Thr of the FXII gene in a patient with factor XII deficiency.

Hematology 2019 Dec;24(1):420-425

a Department of Clinical Laboratory , The First Affiliated Hospital of Wenzhou Medical University , Wenzhou , People's Republic of China.

Objective: To study the gene mutation of human coagulation factor XII (FXII) in a Chinese family with FXII deficiency and it will help us to understand the pathogenesis of this type of disease.

Clinical Presentation: The proband was a 50-year-old male who had a fracture of the right humerus. The routine presurgical coagulation test showed a significant prolonged activated partial thromboplastin time (APTT) at 59. Read More

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http://dx.doi.org/10.1080/16078454.2019.1598679DOI Listing
December 2019

Impact of obesity on operative treatment and inpatient outcomes of paediatric limb fractures.

Bone Joint J 2019 Apr;101-B(4):491-496

Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Aims: The aim of this study was to utilize a national paediatric inpatient database to determine whether obesity influences the operative management and inpatient outcomes of paediatric limb fractures.

Patients And Methods: The Kids' Inpatient Database (KID) was used to evaluate children between birth and 17 years of age, from 1997 and 2012, who had undergone open and closed treatment of humeral, radial and ulna, femoral, tibial, and ankle fractures. Demographics, hospital charges, lengths of stay (LOS), and complications were analyzed. Read More

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http://dx.doi.org/10.1302/0301-620X.101B4.BJJ-2018-0740.R2DOI Listing
April 2019
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Surgical trends in elderly patients with proximal humeral fractures in South Korea: a population-based study.

BMC Musculoskelet Disord 2019 Mar 30;20(1):136. Epub 2019 Mar 30.

Department of Orthopaedic Surgery, Hanyang University College of Medicine, 222 Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea.

Background: It is known that there are large regional variations in treatment methods for the management of proximal humeral fractures. The objective of this study was to investigate the national surgical trends in elderly patients with proximal humeral fractures in South Korea.

Methods: We analyzed the Korean Health Insurance Review and Assessment Service database from 2008 to 2016. Read More

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http://dx.doi.org/10.1186/s12891-019-2515-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441205PMC
March 2019
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A comparative retrospective study of locking plate fixation versus a dedicated external fixator of 3- and 4-part proximal humerus fractures: Results after 5 years.

Injury 2019 Mar 9. Epub 2019 Mar 9.

Department of Basic Medical Sciences, Neurosciences and Sensory Organs University of Bari, Italy.

Introduction: Fractures of the proximal humerus (PHF) represent a common injury among orthopedic department; especially for three- and four-part fractures no consensus about the best treatment is still achieved. The aim of our study was to compare clinical and radiological outcomes in patients alternatively treated with plates and screws or external fixation system for a type III-IV proximal humerus fracture.

Material And Methods: Sixty-nine patients went surgery for type III-IV PHF between January 2011 and January 2014. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193005
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http://dx.doi.org/10.1016/j.injury.2019.01.051DOI Listing
March 2019
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Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):109-125. Epub 2019 Mar 29.

Weill Cornell Medical College, New York, New York.

The universal goals of upper limb fracture management are to restore anatomic alignment, establish stable fracture fixation (while preserving blood supply), and allow for early mobilization of the elbow, wrist, and digits. However, the indications for operative management and fixation constructs are specific to each fracture type. This article systematically reviews current classifications and treatment options for adult fractures of the distal humerus, radius, ulna, scaphoid, metacarpals, and phalanges. Read More

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http://dx.doi.org/10.1055/s-0039-1677699DOI Listing
April 2019
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Fractures Around the Shoulder: Radiologic Update on Surgical Fixation Techniques.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):99-108. Epub 2019 Mar 29.

Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan.

Although radiologists are likely familiar with basic fracture patterns around the shoulder, certain fracture types in this area have particularly relevant and controversial clinical management issues. These include proximal humeral fractures, in which conservative management is favored but some patients receive surgical treatment; glenoid fractures and Hill-Sachs lesions, in which surgery may be performed depending on the amount of bone loss; and distal clavicular fractures, in which certain displaced fractures have high rates of nonunion, but there is no clearly favored surgical technique. Knowledge of the different clinical issues and surgical options can aid the radiologist in identifying key imaging findings and creating a useful report. Read More

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http://dx.doi.org/10.1055/s-0038-1677465DOI Listing
April 2019
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Current Trends and Variations in the Treatment of Unicameral Bone Cysts of the Humerus: A Survey of EPOS and POSNA Members.

J Pediatr Orthop 2019 Mar 28. Epub 2019 Mar 28.

Department of Orthopaedic Surgery, Children's Hospital Boston, Boston, MA.

Background: A variety of treatment methods have so far been described for unicameral bone cysts (UBC). However, to the best of our knowledge, no particular consensus has yet been reached on when to operatively treat a patient with a humeral UBC. Therefore, members of the European Pediatric Orthopedic Society (EPOS) and Pediatric Orthopedic Society of North America (POSNA) were surveyed to characterize current treatment preferences. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001376DOI Listing
March 2019
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Final outcomes of radial nerve palsy associated with humeral shaft fracture and nonunion.

J Orthop Traumatol 2019 Mar 28;20(1):18. Epub 2019 Mar 28.

NYU Hospital for Joint Diseases, 301 East 17th Street, New York, NY, 10003, USA.

Background: Little evidence regarding the extent of recovery of radial nerve lesions with associated humerus trauma exists. The aim of this study is to examine the incidence and resolution of types of radial nerve palsy (RNP) in operative and nonoperative humeral shaft fracture populations.

Materials And Methods: Radial nerve lesions were identified as complete (RNPc), which included motor and sensory loss, and incomplete (RNPi), which included sensory-only lesions. Read More

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http://dx.doi.org/10.1186/s10195-019-0526-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439110PMC

Ultrasound findings in classic metaphyseal lesions: emphasis on the metaphyseal bone collar and zone of provisional calcification.

Pediatr Radiol 2019 Mar 28. Epub 2019 Mar 28.

Department of Radiology and Imaging Sciences, Riley Hospital for Children, Indiana University School of Medicine, 705 Riley Hospital Drive, Room 1053, Indianapolis, IN, 46202, USA.

Background: The classic metaphyseal lesion (CML) is highly specific for non-accidental trauma in infants. While the radiographic findings are well documented, there is little literature on the ultrasound (US) appearance.

Objective: To evaluate US findings in CMLs identified on radiographs. Read More

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http://dx.doi.org/10.1007/s00247-019-04373-wDOI Listing

Is bone loss a physiological cost of reproduction in the Great fruit-eating bat Artibeus lituratus?

PLoS One 2019 28;14(3):e0213781. Epub 2019 Mar 28.

Animal Biology Department, Federal University of Viçosa, Viçosa, Brazil.

During mammalian pregnancy and lactation, the maternal demand for calcium is increased to satisfy fetus and newborn skeletal growth. In addition to the dietary intake, females use the calcium contained in their bones to supply this increased demand, leading to a decrease in maternal bone mineral content. In reproductive insectivorous female bats, bone loss has been described as a physiological cost of reproduction, due to the reported increased risk of bone fracture. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213781PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438481PMC