A systematic review of locking plate fixation of proximal humerus fractures. Sproul RC, Iyengar JJ, Devcic Z, Feeley BT. Locking plate fixation of fractures of the proximal humerus: analysis of complications, revision strategies and outcome. Nonoperative treatment of proximal humerus fractures: a systematic review. Iyengar JJ, Devcic Z, Sproul RC, Feeley BT. Update in the epidemiology of proximal humeral fractures. Palvanen M, Kannus P, Niemi S, Parkkari J. Relationship between bone mineral content and frequency of postmenopausal fractures. Jensen GF, Christiansen C, Boesen J, Hegedüs V, Transbøl I. Proximal humerus fractures in the elderly are we operating on too many? Bull Hosp Jt Dis. Proximal humerus fractures – current treatment options. Konrad GG, Mehlhorn A, Kühle J, Strohm PC, Südkamp NP. Surgical interventions have proven to be technically challenging often yielding high satisfaction rates but with equally high risk for complication. When surgical intervention is offered, it is imperative to discuss the procedure goals which include pain relief and improved function, but rarely can full restoration be achieved. When deciding on management, one must consider several factors, including the patient’s degree of discomfort and dysfunction, comorbidities, psychological status, and overall functional status. Ultimately, surgical options are divided into humeral head-preserving or head-sacrificing techniques and must take into consideration the blood supply, joint congruity, remaining bone stock, health of cartilage, and status of soft tissues, particularly the rotator cuff. For those surgical candidates presenting in a delayed fashion, the challenge then lies in deciding between the numerous surgical interventions that may result in the best outcome while minimizing complications. The difficulty occurs in predicting which patients are at an increased risk for developing a symptomatic malunion and, as such, may benefit from early surgical intervention. Fortunately, this type of malunion is generally well tolerated in the low-demand elderly patient and can be mainly managed non-operatively. (n.d.).Proximal humerus malunions can create a painful, poorly functional shoulder. Humerus fracture (upper arm fracture).Humeral shaft fractures – emergency department.(n.d.).Distal humerus fractures of the elbow.Arm fracture open reduction and internalfixation.You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. This will help you learn exercises and movements you can do to help strengthen your arm muscles and regain your range of motion. Regardless of whether or not you need surgery, your doctor will probably suggest following up with physical therapy. In some cases, doctors can even use an artificial material to create a new piece of bone. If some of the bone has been lost or severely crushed, your surgeon may take a piece of bone from another area of your body or a donor and add it to your humerus. If you have an open fracture, which involves a piece of bone sticking through your skin, surgery will be required to clean up the broken ends and they may use pins and screws and plates to hold the broken ends of your humerus in place. There are two main approaches that your surgeon may use: Occasionally, surgery is required with either plates, screws, rods, or sometimes replacement of your shoulder joint with use of a prosthesis.ĭistal fractures and more severe proximal or mid-shaft fractures usually require surgery. However, you’ll still need to wear a sling, brace, or splint to keep your arm from moving and stabilize your shoulder, if needed. This makes it easier for your humerus to heal on its own. In many cases, proximal and mid-shaft humerus fractures don’t require surgery because the broken ends usually stay close together. This will help them determine what kind of fracture you have and whether you have any other injuries. They may also have you do some movements with your arm. To determine the best treatment, your doctor will start by taking an X-ray of your arm. Treating a humerus fracture depends on several factors, including the type of fracture and whether there are any loose bone fragments.
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