1.Treatment of Distal Humeral Fractures.
Yong Cheol YOON ; Jong Keon OH
Journal of the Korean Fracture Society 2012;25(3):223-232
No abstract available.
Humeral Fractures
2.Humeral Supracondylar Fractures in Children: A Novel Technique of Lateral External Fixation and Kirschner Wiring
Kow RY ; Zamri AR ; Ruben JK ; Jamaluddin S ; Mohd-Nazir MT
Malaysian Orthopaedic Journal 2016;10(2):41-46
Introduction: Supracondylar fracture of the humerus is the
most common fracture around the elbow in children. Pinning
with Kirschner wires (K-wires) after open or closed
reduction is generally accepted as the primary treatment
modality. However, it comes with the risk of persistent
instability and if the K-wire is not inserted properly, it may
cause displacement and varus deformity. We present our
two-year experience with a new technique of lateral external
fixation and K-wiring of the humeral supracondylar fracture.
Materials and Methods: A total of seven children with
irreducible Gartland Type III supracondylar humeral fracture
were treated with closed reduction and lateral external
fixation and lateral Kirschner wiring. Patients with ipsilateral
radial or ulnar fracture, open fracture and presence of
neurovascular impairment pre-operatively were excluded.
All the patients were followed up at one, three and six weeks
and three and six months. The final outcomes were assessed
based on Flynn's criteria.
Results: All the patients achieved satisfactory outcomes in
terms of cosmetic and functional aspects. All patients except
one (85.5%) regained excellent and good cosmetic and
functional status. One patient (14.3%) sustained pin site
infection which resolved with oral antibiotic (CheckettsOtterburn
grade 2). There was no neurological deficit
involving the ulnar nerve and radial nerve.
Conclusion: The introduction of lateral external fixation and
lateral percutaneous pinning provide a promising alternative
method for the treatment of humeral supracondylar fracture.
This study demonstrates that it has satisfactory cosmetic and
functional outcomes with no increased risk of complications
compared to percutaneous pinning.
Humeral Fractures
3.Long Term Results of PHILOS Plating and Percutaneous K-Wire Fixation in Proximal Humerus Fractures in The Elderly
Malaysian Orthopaedic Journal 2014;8(1):4-7
This is a report of a study on the long term results of PHILOS plating and percutaneous K-wire fixation in a prospective series of proximal humerus fractures in elderly patients. We reviewed a total of 60 patients with proximal humerus fractures in 30 patients (Group 1), who were treated by open reduction and internal fixation with Proximal Humeral Internal Locking System (PHILOS) plate and 30 patients(Group 2) who were treated with percutaneous K-wire fixation. Functional outcome was assessed using Visual Analogue Scale(VAS) and Constant-Murley Score. Mean Constant-Murley score was 84.6 points (range: 61-100) in Group 1 and - 76.4 points(range:56-100) in Group2 at final follow up. Values varied depending upon the fracture type with worst in 4-part fractures. Mean VAS Score was 2.6(range:0-10) in Group 1 and 3.8(range:0-10) in
Group 2. We obtained satisfactory results in both the groups, with each procedure having its advantages and shortcomings. We found that PHILOS plate fixation provided stable fixation with minimal implant problems and enabled early range-ofmotionexercises to achieve acceptable functional results. Fixation with percutaneous K-wires presented an efficient treatment option with the advantages of minimal invasiveness and soft tissue dissection.
Humeral Fractures
4.Revisiting the Outcome of Displaced Two-Part Fractures of the Humeral Neck in Elderly Patients after Conservative Treatment
Malaysian Orthopaedic Journal 2014;8(1):57-60
The aim of this study was to evaluate our experience with
regard to the outcome of displaced two-part fractures of the
humeral neck in elderly patients that were treated
conservatively.
Between July 2008 and June 2010, 53 consecutive patients
(42 females and 11 males; mean age = 74; range = 60-92)
with an acute, displaced, two-part fracture of the humeral
neck were treated conservatively using a sling and swathe for
two weeks, followed by a standard rehabilitation protocol.
The inclusion criteria were a displacement of the shaft >50%
of its width and/or angulation of the shaft >45 degrees on
standard radiographs. The exclusion criteria were patients
younger than 60 years of age and those with cognitive or
systemic impairment that would preclude the recommended
physiotherapy. Patients were followed-up for one year, and
were assessed at 3, 6, and 12 months using the ConstantMurley
Score (CMS) and the Disabilities of the Arm,
Shoulder, and Hand Questionnaire (DASH). Patients were
divided into two groups, those below 70 years of age and
those above 70-. Two-way repeated measures analysis of
variance (ANOVA) was used to determine if there were
significant differences between the results at 3, 6 and 12
months for both groups, and if the results were significantly
different between the two groups.
Forty-eight out of 53 patients (91%) were able to complete
the follow-up schedule, while five patients died. The mean
CMS improved progressively at three (51.3), six (60.4), and
12 (61.3) months. The mean DASH also improved
progressively at three (38.8), six (34.8), and 12 (32.6)
months. For both groups, the CSS and DASH improved
significantly from three to six months and from three to 12
months. However, the improvements were not significant
from just six to 12 months. Between the two groups, the
results at three, six, and 12 months were not significantly
different from each other. On final follow-up, 42 out of 48
patients (88%) were satisfied with their outcome and
reported that they would choose to undergo the same
treatment if they had to do everything all over again. Conservative management of displaced two-part fractures of
the humeral neck in elderly patients is a safe, efficacious, and
acceptable treatment.
Humeral Fractures
5.Intramedullary Nail on the Humeral Fracture.
Jin Young PARK ; Jung Hwan OH ; Duk Hwan KHO ; Jae Kyoung JUNG
Journal of the Korean Fracture Society 2008;21(3):244-254
No abstract available.
Humeral Fractures
;
Nails
6.Inpatient treatment in closed fracture askew III, IV grade (belong to Marion and Lgrrange) in children's humerus supracondylar fractures by pulling continuously in mobile frame and wrapping bamboo splint
Journal of Practical Medicine 2003;456(7):31-33
135 children aged 7-15, with fracture in the brachial condylus treated by continous stretching using Kirchner needle on Ponliquen frame and Crame lath during 2 weeks, then fixed by 2 bamboo laths. The procedure showed a 100% conservative recovery. Very good result reached in 86.8%, good 7.5% and bad 5.7%. No case needed surgical intervention
Humerus
;
Child
;
Humeral Fractures
7.Functional Recovery of the Shoulder after Correcting Malrotation of the Distal Humerus: A Case Report.
Hyunseong YOO ; Jaehui HAN ; Youngsoo BYUN ; Daegeun JEONG ; Dongju SHIN
Journal of the Korean Fracture Society 2016;29(1):73-78
Although studies on malrotation of the humerus possibly leading to dysfunction of the shoulder have been reported, studies on its causes are inadequate. The authors encountered a patient complaining of malrotation accompanied by dysfunction of the shoulder which occurred during treatment of a distal humeral fracture. The patient recovered the shoulder function by only correcting malrotation of the humerus without direct treatment on the shoulder, and we report it herein with a review of the literature.
Humans
;
Humeral Fractures
;
Humerus*
;
Shoulder*
8.Short Humeral Stems in Shoulder Arthroplasty
Clinics in Shoulder and Elbow 2018;21(2):105-110
Since the introduction of shoulder arthroplasty by Neer in 1974, the design of not only the glenoid component but also the humeral component used in shoulder arthroplasty has continually evolved. Changes to the design of the humeral component include a gradually disappearing proximal fin; diversified surface finishes (such as smooth, grit-blasted, and porous coating); a more contoured stem from the originally straight and cylindrical shape; and the use of press-fit uncemented fixation as opposed to cemented fixation. Despite the evolution of the humeral component for shoulder arthroplasty, however, stem-related complications are not uncommon. Examples of stem-related complications include intraoperative humeral fractures, stem loosening, periprosthetic fractures, and stress shielding. These become much more common in revision arthroplasty, where patients are associated with further complications such as surgical difficulty in extracting the humeral component, proximal metaphyseal bone loss due to stress shielding, intraoperative humeral shaft fractures, and incomplete cement removal. Physicians have made many attempts to reduce these complications by shortening the stem of the humeral component. In this review, we will discuss some of the limitations of long-stem humeral components, the feasibility of replacing them with short-stem humeral components, and the clinical outcomes associated with short-stemmed humeral components in shoulder arthroplasty.
Arthroplasty
;
Humans
;
Humeral Fractures
;
Periprosthetic Fractures
;
Shoulder
9.Normal Glenoid Size of the Korean in 7th and 8th Decades.
Young Lae MOON ; Sang Ho HA ; Kyung Hwan NOH
Journal of the Korean Shoulder and Elbow Society 2008;11(1):37-40
PURPOSE: We wanted to evaluate the normal glenoid size of Koreans in their 7th and 8th decades by conducting Computed tomographic (CT) studies. MATERIALS AND METHODS: The CT images were obtained from the normal scapulae of the patients (mean age: 68.8) who had humeral fracture. A display workstation version 2.0.73.315 was used to measure the scans to determine the maximal superoinferior (SI) and anteroposterior (AP) diameters of the glenoid vault. RESULTS: The average diameters of curvature of the glenoid were 31.2 mm (range: 27 to 34 mm) in the superior-inferior direction and 26.1mm (range: 22 to 31mm) in the anterior-posterior direction. CONCLUSION: This study showed the normal glenoid size of Koreans and it is different from the size that the international literature reported. It should be an important factor for the treatment of fracture or in designing arthroplasty implants.
Arthroplasty
;
Humans
;
Humeral Fractures
;
Scapula
;
Shoulder
10.Clinical and Radiologic Results Comparing the Periarticular Proximal Humerus Locking Plate and Polarus Nail for Displaced Proximal Humerus Fractures.
Young Kyoung MIN ; Seung Jun LEE ; Heui Chul GWAK ; Sang Woo KANG ; Kuen Tak SUH
Clinics in Shoulder and Elbow 2017;20(4):208-216
BACKGROUND: This study compared the clinical and radiological outcomes of the single calcar screw plate and Polarus nail techniques for the treatment of the proximal humerus fractures. METHODS: Seventy-two patients diagnosed with displaced proximal humerus fracture were enrolled for the study. Of these, 50 patients underwent the locking plate surgery with a single calcar screw (plate group), whereas 22 patients underwent the Polarus nail surgery (nail group). The plate group was further divided into plate 1 group (with medial support), and plate 2 group (without medial support). The radiological and functional results of both groups were compared to the nail group. RESULTS: The α angle 1 year after surgery was significantly different between plate 1 and plate 2, and plate 2 and nail groups (p=0.041, p=0.043, respectively). The ratio that does not satisfy the reference value of γ angle was 2.8% in plate 1, 7.1% in plate 2 and 22.7% in nail group (p=0.007); there was a significant difference between plate 1 and nail group, and plate 2 and nail group (p=0.014, p=0.033, respectively). CONCLUSIONS: No significant differences were observed in the clinical results between locking plate and Polarus nail. However, in the plate 2 group and nail group, the rate of failure to maintain reduction during the 1-year period after surgery was statistically and significantly higher than the plate 1 group (level of evidence: level IV, case series, treatment study).
Humans
;
Humeral Fractures
;
Humerus*
;
Reference Values