Proximal humerus fractures are common and have a bimodal age distribution. Fracture-dislocations in younger patients result from highenergy trauma and most surgeons attempt open reduction and internal fixation, if at all possible. Osteoporotic fractures in elderly patients are commonly associated with low-energy trauma such as groundlevel falls and most are minimally displaced, impacted fractur...

results at follow-up, the nonoperatively treated patients had better functional outcomes than the operatively treated patients. nonoperatively treated patients also scored better on pain intensity and satisfaction. there were no significant differences in cesd, pcs, and sf-36 physical- and mental health summary scores between cohorts. conclusions the results of this study suggest that operative...

BACKGROUND Humeral shaft fractures account for 1 to 3% of all fractures in adults and for 20% of all humeral fractures. Non-operative treatment is still the standard treatment of isolated humeral shaft fractures, although this method can present unsatisfactory results. Surgical treatment is reserved for specific conditions. Modern concepts of internal fixation of long bone shaft fractures advoc...

Minimally invasive plate osteosynthesis (MIPO) has been used for humeral shaft fractures, but concerns exist about soft tissue injuries. The purpose of this study was to report the surgical technique and clinical outcomes of MIPO using a helical plate for metadiaphyseal complex humeral shaft fractures. Twelve patients with acute displacement involving proximal and middle third humeral shaft fra...

Proximal humeral fractures have been a topic of discussion in medical literature dating back as far as 3rd century BC. Today, these fractures are the most common type of humeral fractures and account for about 5-6% of all fractures in adults with the incidence rising rapidly with age. In broad terms the management of proximal humeral fractures can be divided into two categories: conservative ve...

Background: The vast majority of displaced pediatric supracondylar humeral fractures can be treated successfully with closed reduction and percutaneous pinning. The need for open reduction is difficult to determine a priori and is typically due to the failure of closed reduction attempts or persistent limb ischemia. The aims of this study were to determine the prevalence of flexion-type supraco...

conclusions due to the shorter :union: time, to some extent less complication rate and comparable functional and clinical results, the authors recommend to use the mipo technique in treating the mid-distal humeral shaft fracture. results the median of :union: time was shorter in the mipo group (4 months versus 5 months). the time of surgery and functional outcomes based on the ucla and meps sco...

Humeral shaft fractures account for approximately 3% of all fractures. Nonsurgical management of humeral shaft fractures with functional bracing gained popularity in the 1970s, and this method is arguably the standard of care for these fractures. Still, surgical management is indicated in certain situations, including polytraumatic injuries, open fractures, vascular injury, ipsilateral articula...

background: the aim of this study was to determine the treatment outcome of humeral shaft fractures with a locked rigid intramedullary nail in patients indicated for surgical treatment. methods: in this descriptive-cross sectional study, all patients were followed up for one, six, and 18 months post operatively. the short form questionnaire (sf-36) and constant shoulder score were applied. resu...