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James V Nepola - One of the best experts on this subject based on the ideXlab platform.
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case report and literature review anterior shoulder dislocation with three part proximal Humerus Fracture and humeral Shaft Fracture
The Iowa orthopaedic journal, 2009Co-Authors: John H Flint, Laura M Carlyle, Cory C Christiansen, James V NepolaAbstract:Dislocation of the shoulder and proximal Humerus Fracture with coexistent humeral Shaft Fracture is a rare injury reported in literature. There have been a total of 20 cases reported in the literature since 19401-13 (see Table 1). These injuries often occur as a result of high velocity trauma and most have been treated, at least partially, with invasive or operative management. We present the case of a woman with an anterior dislocation, three-part proximal Humerus Fracture and concomitant Humerus Shaft Fracture and discuss her non-invasive treatment.
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case report and literature review anterior shoulder dislocation with three part proximal Humerus Fracture and humeral Shaft Fracture
The Iowa orthopaedic journal, 2009Co-Authors: John H Flint, Laura M Carlyle, Cory C Christiansen, James V NepolaAbstract:Dislocation of the shoulder and proximal Humerus Fracture with coexistent humeral Shaft Fracture is a rare injury reported in literature. There have been a total of 20 cases reported in the literature since 19401-13 (see Table 1). These injuries often occur as a result of high velocity trauma and most have been treated, at least partially, with invasive or operative management. We present the case of a woman with an anterior dislocation, three-part proximal Humerus Fracture and concomitant Humerus Shaft Fracture and discuss her non-invasive treatment. TABLE 1 This table reviews the reported proximal Humerus Fracture-dislocations with associated Humerus Fractures, their treatment and outcome.
Tong Joo Lee - One of the best experts on this subject based on the ideXlab platform.
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newly designed minimally invasive plating of a Humerus Shaft Fracture a different introduction of the plate
International Orthopaedics, 2016Co-Authors: Tong Joo Lee, Jaesik YoonAbstract:Open reductions and internal fixations are currently being used the most in surgeries of humeral Shaft Fractures. However, there are some limitations such as invasive techniques and formation of many operation scars. To overcome these limitations, a minimally invasive plate osteosynthesis has been recently introduced. However, this has technical limitations such as deep dissections of the distal portion and narrowness of the fixation space. To address these problems, we designed another introductory technique of a minimally invasive osteosynthesis and we have examined the clinical usefulness of that. The results were retrospectively analyzed with 83 patients who visited INHA hospital due to a humeral Shaft Fractures and who had undergone the above said surgery from the beginning of 2010 to the end of 2012. The patients were divided into two groups: patients treated by the MIPO technique using the newly designed dual approaches (group A) and patients treated by open reduction and plating internal fixation (group B). There was no significant difference in mean duration of injury, the mean Fracture union time, range of motion and MEPI for group A and B. There was no statistical significance between the two groups. However, the occurrence of iatrogenic radial nerve palsy in group B, was significantly higher than in group A. MIPOs using the dual approaches on the adult Humerus Shaft Fracture show an excellent bony union without nerve injury which is clinically useful.
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modified combined approach for distal Humerus Shaft Fracture anterolateral and lateral bimodal approach
Clinics in Orthopedic Surgery, 2013Co-Authors: Tong Joo Lee, Dae Gyu Kwon, Seung Do ChaAbstract:The treatment of Humerus Fracture employs conservative and/or surgical methods and successful results are usually obtained from both. Ward et al.1) stated that surgical treatment should be selected when it is difficult to obtain a reduction or there is intra-articular Fracture, presence of nerve injury (radial nerve), accompanying ipsilateral Fracture of the forearm, multiple injuries, pathologic Fracture, transverse Fracture in active patients, or short oblique Fracture. Long term immobilization to achieve bony union and inadequate fixation also induce various complications such as non-union, mal-union, or joint stiffness. In order to avoid such complications, surgical internal fixation is preferred.2,3) Especially in the treatment of distal Humerus Fracture, internal fixation with a plate and screw is more preferred than any other surgical method due to secure fixation of the distal Fracture fragment. A number of surgical approaches have been introduced, and each has limitations with respect to the location of the Fracture because of the neurovascular characteristics of the Fracture. An anterolateral approach is used easily and safely in most proximal and middle Humerus Fractures, but in the distal Humerus Fracture, it is difficult to obtain sufficient space for fixation. This approach allows only exposure up to the proximal portion of the olecranon fossa of the Humerus which means that the lateral supracondyle of the Humerus can not be exposed for the fixation. In order to expose the lateral supracondyle of the Humerus and achieve sufficient fixation space, we have to choose either the lateral or posterior approach. However, these approaches also increase the risk of nerve irritation and injury because exploration of the radial nerve is inevitable during proximal fragment fixation and the inserted plate is always in contact with the radial nerve, a situation that can lead to nerve injury, irritation, and adhesion. Shao et al. reported that the incidence of radial nerve palsy that accompanies Humerus Fracture is 11.8%, and 12.4% of these injuries are secondary nerve injuries.4) And the incidence of iatrogenic radial nerve injury during plate fixation has been reported to be from 5.1%5) to 17.6%.6) This makes the selection of an approach difficult, and even if a selection is made, nerve exploration is unavoidable when obtaining sufficient fixation space.7-9) The authors suggest a modified combined anterolateral and lateral approach for the surgical treatment of distal Humerus Fracture, and this study evaluates the safety, clinical effectiveness and clinical outcome of this approach.
John H Flint - One of the best experts on this subject based on the ideXlab platform.
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case report and literature review anterior shoulder dislocation with three part proximal Humerus Fracture and humeral Shaft Fracture
The Iowa orthopaedic journal, 2009Co-Authors: John H Flint, Laura M Carlyle, Cory C Christiansen, James V NepolaAbstract:Dislocation of the shoulder and proximal Humerus Fracture with coexistent humeral Shaft Fracture is a rare injury reported in literature. There have been a total of 20 cases reported in the literature since 19401-13 (see Table 1). These injuries often occur as a result of high velocity trauma and most have been treated, at least partially, with invasive or operative management. We present the case of a woman with an anterior dislocation, three-part proximal Humerus Fracture and concomitant Humerus Shaft Fracture and discuss her non-invasive treatment.
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case report and literature review anterior shoulder dislocation with three part proximal Humerus Fracture and humeral Shaft Fracture
The Iowa orthopaedic journal, 2009Co-Authors: John H Flint, Laura M Carlyle, Cory C Christiansen, James V NepolaAbstract:Dislocation of the shoulder and proximal Humerus Fracture with coexistent humeral Shaft Fracture is a rare injury reported in literature. There have been a total of 20 cases reported in the literature since 19401-13 (see Table 1). These injuries often occur as a result of high velocity trauma and most have been treated, at least partially, with invasive or operative management. We present the case of a woman with an anterior dislocation, three-part proximal Humerus Fracture and concomitant Humerus Shaft Fracture and discuss her non-invasive treatment. TABLE 1 This table reviews the reported proximal Humerus Fracture-dislocations with associated Humerus Fractures, their treatment and outcome.
Seung Do Cha - One of the best experts on this subject based on the ideXlab platform.
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modified combined approach for distal Humerus Shaft Fracture anterolateral and lateral bimodal approach
Clinics in Orthopedic Surgery, 2013Co-Authors: Tong Joo Lee, Dae Gyu Kwon, Seung Do ChaAbstract:The treatment of Humerus Fracture employs conservative and/or surgical methods and successful results are usually obtained from both. Ward et al.1) stated that surgical treatment should be selected when it is difficult to obtain a reduction or there is intra-articular Fracture, presence of nerve injury (radial nerve), accompanying ipsilateral Fracture of the forearm, multiple injuries, pathologic Fracture, transverse Fracture in active patients, or short oblique Fracture. Long term immobilization to achieve bony union and inadequate fixation also induce various complications such as non-union, mal-union, or joint stiffness. In order to avoid such complications, surgical internal fixation is preferred.2,3) Especially in the treatment of distal Humerus Fracture, internal fixation with a plate and screw is more preferred than any other surgical method due to secure fixation of the distal Fracture fragment. A number of surgical approaches have been introduced, and each has limitations with respect to the location of the Fracture because of the neurovascular characteristics of the Fracture. An anterolateral approach is used easily and safely in most proximal and middle Humerus Fractures, but in the distal Humerus Fracture, it is difficult to obtain sufficient space for fixation. This approach allows only exposure up to the proximal portion of the olecranon fossa of the Humerus which means that the lateral supracondyle of the Humerus can not be exposed for the fixation. In order to expose the lateral supracondyle of the Humerus and achieve sufficient fixation space, we have to choose either the lateral or posterior approach. However, these approaches also increase the risk of nerve irritation and injury because exploration of the radial nerve is inevitable during proximal fragment fixation and the inserted plate is always in contact with the radial nerve, a situation that can lead to nerve injury, irritation, and adhesion. Shao et al. reported that the incidence of radial nerve palsy that accompanies Humerus Fracture is 11.8%, and 12.4% of these injuries are secondary nerve injuries.4) And the incidence of iatrogenic radial nerve injury during plate fixation has been reported to be from 5.1%5) to 17.6%.6) This makes the selection of an approach difficult, and even if a selection is made, nerve exploration is unavoidable when obtaining sufficient fixation space.7-9) The authors suggest a modified combined anterolateral and lateral approach for the surgical treatment of distal Humerus Fracture, and this study evaluates the safety, clinical effectiveness and clinical outcome of this approach.
Cory C Christiansen - One of the best experts on this subject based on the ideXlab platform.
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case report and literature review anterior shoulder dislocation with three part proximal Humerus Fracture and humeral Shaft Fracture
The Iowa orthopaedic journal, 2009Co-Authors: John H Flint, Laura M Carlyle, Cory C Christiansen, James V NepolaAbstract:Dislocation of the shoulder and proximal Humerus Fracture with coexistent humeral Shaft Fracture is a rare injury reported in literature. There have been a total of 20 cases reported in the literature since 19401-13 (see Table 1). These injuries often occur as a result of high velocity trauma and most have been treated, at least partially, with invasive or operative management. We present the case of a woman with an anterior dislocation, three-part proximal Humerus Fracture and concomitant Humerus Shaft Fracture and discuss her non-invasive treatment.
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case report and literature review anterior shoulder dislocation with three part proximal Humerus Fracture and humeral Shaft Fracture
The Iowa orthopaedic journal, 2009Co-Authors: John H Flint, Laura M Carlyle, Cory C Christiansen, James V NepolaAbstract:Dislocation of the shoulder and proximal Humerus Fracture with coexistent humeral Shaft Fracture is a rare injury reported in literature. There have been a total of 20 cases reported in the literature since 19401-13 (see Table 1). These injuries often occur as a result of high velocity trauma and most have been treated, at least partially, with invasive or operative management. We present the case of a woman with an anterior dislocation, three-part proximal Humerus Fracture and concomitant Humerus Shaft Fracture and discuss her non-invasive treatment. TABLE 1 This table reviews the reported proximal Humerus Fracture-dislocations with associated Humerus Fractures, their treatment and outcome.