PURPOSE To assess results of closed reduction and external fixation for displaced proximal humeral fractures. METHODS 18 men and 2 women aged 18 to 60 (mean, 38) years underwent closed reduction and external fixation using a standard AO fixator for displaced fractures of the proximal humerus. Injury mechanisms were road traffic accident (n=15) and fall from a height (n=5). 15 were 2-part frac...

Shoulder fracture-dislocations are uncommon. Those associated with intrathoracic dislocation are very rare conditions, resulting from high-energy trauma; usually, the affected limb is in an abduction position. In Brazil, there is only one report of a teenager with displacement of the epiphysis into the chest cavity; the present is the first adult patient report of intrathoracic dislocation of t...

The current study is to observe the effect of the locking system strengthened by biomimetic mineralized collagen putty for the treatment of senile proximal humeral osteoporotic fractures. From January 2012 to December 2015, 80 cases of senile patients with osteoporotic proximal humeral fractures were randomly divided into an observation group and a control group, each group with a total of 40 c...

We treated 39 patients with fractures of the humeral shaft by closed retrograde locked intramedullary nailing, using Russell-Taylor humeral nails. The mean healing time of all fractures was 13.7 weeks. After consolidation, shoulder function was excellent in 92.3% and elbow function excellent in 87.2%. Functional end-results were excellent in 84.6% of patients, moderate in 10.3% and bad in 5.1%....

BACKGROUND Conservative treatment of fractures of the lateral humeral condyle in children is associated with many problems as noted previously by several authors. OBJECTIVE To determine the outcome of internal fixation of fractures of the lateral humeral condyle. DESIGN A prospective study. SETTING Department of Orthopaedic Surgery, Asir Central Hospital, Abha, Saudi Arabia, between 1991 ...

Backgroud: The optimal method of humeral shaft fracture fixation remains in debate. With the dramatic success of intramedullary fixation for fractures of the femur and tibia, there was speculation that IM-ILN might be more appropriate for humeral shaft fractures than DCP. There are very few studies comparing intramedullary interlocking nail and dynamic compression plating in fracture shaft of h...

Posterior dislocation of the shoulder is rare, occurring in approximately 2% to 4% of all shoulder dislocations. Through a mechanism similar to that first characterized by Hill and Sachs, these dislocations have the potential to result in impaction fractures of the anterior aspect of the humeral head. These so-called reverse Hill-Sachs or McLaughlin lesions are estimated to occur in 86% of acut...

INTRODUCTION Traumatic anterior dislocation of the shoulder is an emergency and warrants urgent attention. However, it becomes difficult to manage in cases of associated fractures of humerus and other bones surrounding the shoulder joint. There have been reports of traumatic anterior dislocation of the shoulder associated with humeral fractures in the literature but the trilogy of anterior disl...

There is still a controversy in literature regarding the treatment of subcapital fractures of the hip with internal fixation. Different methods have been tested and studies such as in cadavers mainly prejudge the three cannulated screws application. We present a series of 20 patients in which percutaneous fixation with two parallel cannulated screws under specific technical conditions has led t...

Most orthopaedic surgeons base their decision to treat subcapital fractures of the hip on a set of guidelines. Garden1 in 1971 provided a simple system of grades to guide surgeons. The system is based on displacement of the fracture fragments and relies on the survival of live osteocytes in a compromised, if not totally disrupted, vascular bed. The most displaced fracture—Garden type IV—has no ...