OBJECTIVES This study aims to investigate the efficacy of screw length measurement through drilling technique on the reduction of intraarticular screw penetration and fluoroscopy time in osteosynthesis of proximal humerus fractures. PATIENTS AND METHODS Between January 2008 and June 2012, 98 patients (34 males, 64 females; mean age 64.4 years; range 35 to 81 years) who underwent osteosynthesi...

BACKGROUND Spontaneous fracture of the humeral shaft in throwers is a rare but well-known phenomenon. Although it has been hypothesized that the biomechanics of the throw cause such fractures, it is not clear how or when the fractures occur in the pitching motion. METHODS The torque acting about the long axis of the humerus was calculated in 25 professional baseball pitchers throwing in game ...

PURPOSE To report the outcome after minimally invasive plate osteosynthesis (MIPO) through the deltoid-splitting approach for proximal humeral fractures. METHODS 10 men and 30 women aged 37 to 88 years underwent MIPO through the deltoid-splitting approach using the Proximal Humerus Internal Locking System or the Locking Proximal Humerus Plate for 2-part (n=18), 3-part (n=20), and 4-part (n=2)...

BACKGROUND Fixation failure is a relatively common sequela of surgical management of proximal humerus fractures (PHF). The purpose of this study is to understand the current state of the literature with regard to the biomechanical testing of proximal humerus fracture implants. METHODS A scoping review of the proximal humerus fracture literature was performed, and studies testing the mechanica...

INTRODUCTION In contrast to adults, traumatic glenohumeral dislocation is a rarely observed condition among children. In some cases, success in durable reduction with conservative methods, and achieving lasting treatment, may not be possible. CASE PRESENTATION In this study, the case of a 7-year-old Turkish girl with a Salter-Harris type II fracture and glenohumeral dislocation of the proxima...

background humerus supracondyllar fracture is one of the most common elbow injuries. choice of treatment depends on grading of the displacement. closed reduction and pinning is the preferred method of treatment. open reduction is indicated when we encounter neurovascular injury after closed reduction. one of the most important factors in the outcome of surgery is an appropriate approach that wo...

Management of proximal humerus fractures with hemiarthroplasty has been shown to yield unpredictable and inconsistent outcomes. Risk factors for clinical failure following hemiarthroplasty include postoperative tuberosity failure, advanced age, female sex, osteoporosis, and inability or unwillingness to participate in the extensive rehabilitation required. In this difficult-to-manage injury, re...

Three intraosseous devices have been approved by the Food and Drug Administration for use in adult trauma patients when intravenous access cannot be obtained. Sites of insertion are the sternum (FAST1), proximal tibia and humerus (Big Injection Gun), and proximal and distal tibia and humerus (EZ-IO). Insertion generally requires less than 1 minute, and flow rates up to 125 mL/min can be achieve...

We investigated whether training doctors to classify proximal fractures of the humerus according to the Neer system could improve interobserver agreement. Fourteen doctors were randomised to two training sessions, or to no training, and asked to categorise 42 unselected pairs of plain radiographs of fractures of the proximal humerus according to the Neer system. The mean kappa difference betwee...