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A proximal humerus fracture is a break of the upper part of the bone of the arm . [3] Symptoms include pain, swelling, and a decreased ability to move the shoulder . [ 1 ] Complications may include axillary nerve or axillary artery injury.
Proximal fractures are classified into one of four types of fractures based on the displacement of the greater tubercle, the lesser tubercle, the surgical neck, and the anatomical neck, which are the four parts of the proximal humerus, with fracture displacement being defined as at least one centimeter of separation or an angulation greater ...
The native humerus and scapula bones are prepared using precise machining to accommodate their respective implants. At the end of the procedure, the subscapularis muscle is typically repaired, although some surgeons advocate not repairing this muscle due to the excess tension placed on it by the altered mechanics of the reverse shoulder design.
impacted posterior humeral head fracture occurring during anterior shoulder dislocation: Hill Sachs Lesion at Wheeless' Textbook of Orthopaedics online Holstein–Lewis fracture: Arthur Holstein Gwylim Lewis: fracture of the distal third of the humerus resulting in entrapment of the radial nerve: Holstein-Lewis fracture at Orthopedic Weblinks
In patients younger than 12, proximal humerus fractures can be visualized due to the changes at the bone surface. [15] Because bone tumors can appear at this location, X-ray imaging is necessary following a fracture diagnosis. The standard procedure is the shoulder-SAFE algorithm. [15]
The Müller AO Classification of fractures is a system for classifying bone fractures initially published in 1987 [1] by the AO Foundation as a method of categorizing injuries according to therognosis of the patient's anatomical and functional outcome. "AO" is an initialism for the German "Arbeitsgemeinschaft für Osteosynthesefragen", the ...
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 ...
Some fractures, however, cannot be held in a satisfactory position by this method, and require some additional form of fixation. This is the usual situation with all displaced fractures of the first metacarpal and of the proximal phalanges of the hand, and of about two thirds of fractures of the distal end of the radius. Percutaneous pinning is ...
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