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The radial head fracture is usually managed by open reduction internal fixation under general anaesthesia: the area is opened surgically, the surgeon forces the bones back into their correct positions, and then fixes them in place using titanium pins and/ or plates; if the fracture is too comminuted (i.e., the bones have been crushed or fractured into many pieces) a radial head implant can be ...
With good outcome in rotator cuff arthropathy, the indications for performing reverse shoulder arthroplasty has also expanded to all the situations where the rotator cuff function will be compromised such as unreconstructible fractures of proximal humerus, fracture sequelae, revision shoulder arthroplasty, shoulder instability along with ...
This nerve is the most commonly injured nerve in proximal humerus fractures due to its location close to the proximal humerus. [ 12 ] Muscles that attach to the proximal humerus and can cause a deforming force on fracture fragments include the pectoralis major , the deltoid , and the rotator cuff muscles .
Shoulder replacement is a surgical procedure in which all or part of the glenohumeral joint is replaced by a prosthetic implant. Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage. [1] Shoulder replacement surgery is an option for treatment of severe arthritis of the shoulder joint.
An unstable fracture will involve fracture displacement, fractures to adjacent structures and injury to other associated soft tissues. A stable type 1 radial head fracture is typically managed with conservative measures including joint aspiration , immobilization in a sling for a few days and followed by early range of motion exercises.
A fracture in this area is most likely to cause damage to the axillary nerve and posterior circumflex humeral artery. Damage to the axillary nerve affects function of the teres minor and deltoid muscles, resulting in loss of abduction of arm (from 15-90 degrees), weak flexion, extension, and rotation of shoulder as well as loss of sensation of ...
Among proximal fractures, 80% are one-part, 10% are two-part, and the remaining 10% are three- and four-part. [22] The most common location of proximal fractures is at the surgical neck of the humerus. [3] Incidence of proximal fractures increases with age, with about 75% of cases occurring among people over the age of 60. [11] In this age ...
The head of the radius has a cylindrical form, and on its upper surface is a shallow cup or fovea for articulation with the capitulum of the humerus. The circumference of the head is smooth; it is broad medially where it articulates with the radial notch of the ulna , narrow in the rest of its extent, which is embraced by the annular ligament .