BACKGROUND It is not uncommon to see the non union of the fractures in the long bones. Among the various reasons for the nonunion of the fractured bones, the nutrient artery plays an important role. OBJECTIVES This study was aimed at analyzing the nutrient foramina in dry adult humerii ,with regards to the number, size and the location of the nutrient foramen with respect to the surfaces and ...

Fixation of proximal humerus fractures with precontoured, fixed angle devices has improved operative management of these difficult injuries, particularly in patients with osteoporosis. However, recent data has revealed that fixation with these constructs is not without complications, particularly screw cut-out and loss of reduction. Multiple strategies have been developed to decrease the number...

The treatment of proximal humerus fractures continues to evolve. While the many of these injuries can be managed nonoperatively, a certain percentage require operative treatment. Open reduction internal fixation can offer excellent outcomes when performed in the appropriate patient and utilizing proper techniques. This article reviews the most up-to-date literature regarding all phases of proxi...

BACKGROUND The ability to correctly classify fractures is of importance for choosing the appropriate treatment and for providing appropriate data for research and quality registers. In the Swedish Fracture Register (SFR) fractures of all types are registered by the attending physician, often a junior doctor. For the majority of fractures, a modified AO/OTA classification is used. This study aim...

The supracondylar process is usually a beak-like osseous prominence located at the anteromedial aspect of the distal portion of the humerus. It is usually asymptomatic but occasionally may compress underlying structures such as the median or ulnar nerve, the brachial artery or its branches. The term septal aperture defines an oval or round shaped bony defect of the septum that separates the ole...

Radial nerve palsy, either axonotmesis or neurapraxia, associated with fractures of the shaft humerus occurred in about 10 percent of the patients with humeral shaft fractures [1,2,3]. Its close relation to the humerus, especially fractures of the middle and the distal thirds of the humerus makes the radial nerve vulnerable to such injuries [4,5,6]. There are many debate about the management of...

Olecranon and coronoid fossae of lower end of humerus separated by thin plate of bony septum (0.5 to 1 mm thickness). Sometimes the bony septum may shows perforated clear foramen is referred as Supratrochlear foramen (STF). STF is always associated with narrow medullary canal, in that case it is not easy to perform intramedullary fixation of the humerus in traumatic injuries and pathologic frac...

Fractures and nonunions of the proximal humerus are increasingly treated by open reduction and internal fixation. The extended deltopectoral approach remains the most widely used for this purpose. However, it provides only limited exposure of the lateral and posterior aspects of the proximal humerus. We have previously described the alternative extended deltoid-splitting approach. In this paper...