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Welcome to the Pubget Medical Subject Headings (MESH) browser. Click on a topic or subtopic below to explore related papers. In the gold box is the most recent paper about the current MESH term, and below are 20 related papers.
Shoulder Fractures (0):
Recent article
Shoulder Fractures
Journal of Trauma (69)6 2010
Abstract
Monoaxial and polyaxial screw insertion are used in angular stable plating of displaced proximal humeral fractures. Aim of the study was to compare both fixation techniques by radiographic evaluation.
Prospective randomized treatment with monoaxial or polyaxial screw insertion in angular stable anat...
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PMID: 20234324
PDF is available here.
PDF is available here.
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Journal of Trauma (69)5 2010
Abstract
Comminuted proximal humerus fracture fixation is controversial. Locked plate complications have been addressed by anatomic reduction or medial cortical support. The relative mechanical contributions of varus malalignment and lack of medial cortical support are presently assessed.
Forty synthetic hum...
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PMID: 20118814
PDF is available here.
PDF is available here.
Abstract
Abstract
Orthopedics (33)9 2010
Abstract
Treatment of unstable, displaced, and comminuted fractures of the proximal humerus remains challenging, and optimal treatment continues to be controversial. Fifty-six patients with displaced 3- and 4-part fractures of the proximal humerus had open reduction and internal fixation using the proximal h...
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PMID: 20839704
PDF is available here.
PDF is available here.
Abstract
Although proximal humeral fractures are common diagnosis in emergency, cases of axillary artery injuries are rare. Authors present a patient, who underwent high energy trauma during a traffic accident like a pedestrian. Comminuted proximal humeral fracture was complicated with an occlusion of the th...
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PMID: 21121160
PDF is available here.
PDF is available here.
Clinical Biomechanics (25)7 2010
Abstract
Loss of locking plate fixation has been reported in proximal humeral fractures, particularly in older patients with poor bone density. In such fractures, the medial support between the humeral head and shaft is occasionally missing, resulting in varus collapse of the construct. A biomechanical study...
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PMID: 20483189
PDF is available here.
PDF is available here.
Abstract
The benefit of hemiarthroplasty for proximal humerus fractures in patients with Parkinson's disease was marginal with three shoulders in seven patients having moderate to severe persistent pain and limited function postoperatively. LEVEL OF EVIDENCE: Level IV, therapeutic study. See Guidelines for A...
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PMID: 20387015
PDF is available here.
PDF is available here.
Abstract
Zhonghua Yixue Zazhi (90)21 2010
Abstract
To study the outcome in the arthroscopic treatment of acute greater tuberosity fractures.
Twelve cases with acute great tuberosity fractures received reduction with arthroscopic treatment from August 2006 to December 2007. There were 7 males and 5 females. Eight cases were on left side and 4 on righ...
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PMID: 20973223
PDF is available here.
PDF is available here.
Abstract
Out of the 73 patients (64.4% females, mean age of 65), 11 patients needed a second surgery and 18 were lost for follow-up after 6 months. Mean final constant score was 62.3 points. The incidence of secondary displacement was 8.2%. Nonunion rate was 5.5%, affecting the constant score (P = .018). 16....
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PMID: 19995683
PDF is available here.
PDF is available here.
Abstract
Abstract
Results according to the ASES scoring system at a minimum of 2 years were excellent in 13, good in 4, fair in 1, and poor in 3. One patient was lost to follow-up. All fractures healed. Anatomic alignment was obtained in 72%. Two patients developed avascular necrosis of the humeral head. There were n...
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PMID: 19963400
PDF is available here.
PDF is available here.
Abstract
Chirurgie de la Main (29)2 2010
Abstract
We have reviewed 38 patients aged 64.2 on average with a mean follow of 18 months. The functional scores used were the Constant and Murley's score as well as the DASH self-administered quality of life questionnaire. Radiological criteria have been analyzed, namely the cephalic angle noted alphaF and...
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PMID: 20207182
PDF is available here.
PDF is available here.
Chirurgie de la Main (29)2 2010
Abstract
The authors report a case of shoulder bilateral posterior fracture dislocation in a 42-year-old man with osteogenesis imperfecta history. The importance of the communition, the large size of articular surface involved and the poor quality of the bone indicate a bilateral total shoulder arthroplasty....
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PMID: 20117954
PDF is available here.
PDF is available here.
Orthopedics (33)4 2010
Abstract
Abstract
This survey quantifies treatment preferences for a wide range of strategies used to manage displaced proximal humerus fractures. The results of this survey suggest that, despite consulting orthopaedic trauma and shoulder experts, a wide range of treatments appear acceptable for displaced fractures i...
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PMID: 20335760
PDF is available here.
PDF is available here.
Abstract
Intramedullary nailing for proximal humeral fractures associated with shaft extension or segmental involvement appears to offer a reliable treatment option....
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PMID: 20335751
PDF is available here.
PDF is available here.
Abstract
All the fractures united clinically and radiologically. The mean healing time was 10.5 weeks (8 to 21 weeks). The mean Constant score was 81.6 points (49 to 92 points). A total of 20 patients had excellent or satisfactory result, with only one scored as poor. CONCLUSION: The technique of extra artic...
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PMID: 20486387
PDF is available here.
PDF is available here.
Abstract
Abstract
The mean period of follow-up was 16 months (ranged, 8 to 25 months). All the patients obtained bone union in an average of 3 months (2.5 to 3.5 months). There were no complications such as deep infection, nonunion or failure of fixation. The Constant-Murley score of the injured side was mean (86.50...
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PMID: 20415071
PDF is available here.
PDF is available here.
Khirurgiia ()1 2010
Abstract
93 elderly patients with proximal metaepiphyseal fractures of humerus underwent the transosseous osteosynthesis with the use of device, constructed by A.I. Gorodnichenko. 1 year follow-up results were obtained in 44 patients. Good and satisfactory results were registered in 33 and 11 patients, respe...
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PMID: 20336045
PDF is available here.
PDF is available here.
Abstract
We report a case of successful operative management of symptomatic ipsilateral nonunions of a type I coracoid base fracture and a lateral one-third clavicular fracture, which developed following nonoperative treatment of this exceedingly rare injury pattern. Following open distal clavicle excision a...
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PMID: 20345361
PDF is available here.
PDF is available here.
Abstract
We evaluated two different techiques of tuberosity fixation after anatomic reattachment on humeri: (A) intertuberosity suture stabilization around the prothesis, and their suture to the humeri and (B) direct intertuberosity suture and their suture to the humeri Postoperartive Constant score averaged...
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PMID: 20681196
PDF is available here.
PDF is available here.
Abstract
Abstract
Proximal humerus fractures are common, especially among patients older than 60 years who have osteoporosis. Several techniques have been used within the past several decades to treat displaced proximal humerus fractures. Many different implants have been investigated and tested, all with inadequate...
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PMID: 20415404
PDF is available here.
PDF is available here.
Abstract
Despite the application of modern locking plate technology, complications remain common after fixation of proximal humeral fractures in elderly patients. Varus deformity and intra-articular hardware are most often responsible; fortunately, both of these complications can be avoided. Recent advances...
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PMID: 20415405
PDF is available here.
PDF is available here.
Abstract
An anatomic or near-anatomic reduction was obtained in 29 patients (90.6%). In two patients, the fractures were fixed in a varus position, and in one patient, the greater tubercle was displaced proximally. All fractures united in a mean of three months (range 2 to 5 months). The mean Constant score...
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PMID: 20676010
PDF is available here.
PDF is available here.
Abstract
Complications were seen in 10 patients (9.7%; mean age 67 years). The PHILOS plate was used in nine patients and S3 plate was used in one patient. Five patients (4.9%) had varus inclination with a mean inclination angle of 112.6 degrees (range 105 degrees to 118 degrees), four patients (3.9%) develo...
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PMID: 20676009
PDF is available here.
PDF is available here.
Abstract
Zhongguo Xiufu Chongjian Waike Zazhi/Chinese Journal of Reparative and Reconstructive Surgery (23)12 2009
Abstract
All the incision healed by first intention. All patients reached anatomical or almost anatomical reduction without complications such as postoperative infection, neurovascular injury, and nonunion of bone. Seventy patients were followed up for 9-20 months (average 11.5 months). The healing time of t...
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PMID: 20073306
PDF is available here.
PDF is available here.
Abstract
The nonfractured adolescent shoulder has an articular surface diameter of 41.3 mm, articular surface thickness of 17.4 mm and neck shaft angle of 36 degrees. Although adolescents and adults have relatively similar shoulder skeletal anatomy, they suffer different types of fractures. In our study, 14...
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PMID: 20011155
PDF is available here.
PDF is available here.
Abstract
The wound of all the cases was primary healing. All patients were followed-up for over 12 months, the sings and symptoms of all the patients were improved very well. There was significant difference between, before and after operation on Constant's scoring. While there was not significant difference...
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PMID: 20084937
PDF is available here.
PDF is available here.
Abstract
The results were evaluated by Constant-Murley test and Liverpool elbow scoring system. The mean value was 92/9.1 points. In 75% of patients we have reached good and excellent results. Complications were observed in 5 patients (20%). All patients have been healed. CONCLUSION: In spite of the limited...
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PMID: 20052945
PDF is available here.
PDF is available here.
Abstract
Sao Paulo Medical Journal (127)5 2009
Abstract
PMGCT seems to behave less aggressively than secondary malignancy in GCT, and it may simulate its more common benign counterpart clinically and radiographically. However, it requires a more aggressive type of treatment....
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PMID: 20169281
PDF is available here.
PDF is available here.
Abstract
There were 21 fractures of the proximal part of the humerus and 7 fractures that also involved the shaft; 15 of the fractures were two-part fractures (surgical neck), 5 were three-part fractures, and 1 was a four-part fracture. All fractures healed in a mean period of 2.7 months. There was one delay...
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PMID: 19066921
PDF is available here.
PDF is available here.
Abstract
The risk for reoperation is independent of the CI even though the CI may be a predictor for proximal humerus fracture. Younger patients should be aware that surgical treatment of proximal humerus fractures might be a two-stage surgery. Regular follow-up visits for older patients during the first pos...
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PMID: 19440726
PDF is available here.
PDF is available here.
Abstract
At a mean follow-up 96.73 weeks (53-150), clinical results using the Flynn criteria were excellent in 21 (91.3%), good in 1(4.35%), fair in 1 (4.35%) patient. CONCLUSION: These results suggest that the "joystick" reduction method is a reliable alternative when closed reduction itself is not successf...
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PMID: 19057919
PDF is available here.
PDF is available here.
Abstract
A 59-year-old woman underwent plate fixation of her 2-part anatomic neck proximal humerus fracture through an open anterolateral approach. The fixation subsequently failed, and the operation resulted in a dense axillary nerve palsy. Six weeks after her initial procedure, she was returned to the oper...
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PMID: 19704279
PDF is available here.
PDF is available here.
Abstract
Since nine of these patients were deceased and two had moved, 30 cases were available at review, with a mean follow-up of 6.5 years (range, 1-14). The radiographs showed two thick radiolucent lines on the glenoid component with one aseptic loosening of the base plate at 12 years. Based on the Nér...
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PMID: 19615957
PDF is available here.
PDF is available here.
Abstract
Abstract
This paper analyses 80 cases of displaced proximal humerus fractures, with two or three fragments, treated by PHN nailing. The hold of the spiral blade was effective, and is particularly recommended for fractures with two fragments according to Neer's classification. The results, analysed with Const...
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PMID: 19711001
PDF is available here.
PDF is available here.
Abstract
Interfragmentary motion was similar between the groups with and without fiber-cerclages, in both fracture gaps and in any of the cases of load. Cerclages did not impair the capacity of the rotator cuff to strain. INTERPRETATION; Provided that unstable 3-part fractures are reduced and stabilized anat...
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PMID: 19562564
PDF is available here.
PDF is available here.
Abstract
We conducted a systematic review of studies published in the last 10 years. The MOOSE guidelines were followed and we focused on functional outcome and its relation to age, gender and tuberosity healing after hemiarthroplasty. Sixteen studies met the inclusion criteria. We found a correlation betwee...
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PMID: 19774809
PDF is available here.
PDF is available here.
Abstract
23 patients were followed up for 26 to 84 (mean, 42) months. Two patients had loosening of the glenoid component (at 6 months and 5 years) and underwent revision surgery. There were no instances of infection, instability, or acromial fracture. Only active elevation improved significantly after surge...
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PMID: 19721141
PDF is available here.
PDF is available here.
Abstract
Major osteoporotic fractures incidence was 773 and 2,078 per 100,000 men and women aged 50 and older. Corresponding remaining lifetime probabilities at age 50 were 20.2% and 51.3%. Hospitalisation for clinical spine, distal radius, and proximal humerus fractures reached 25%, 30% and 50%, respectivel...
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PMID: 18974918
PDF is available here.
PDF is available here.
Der Chirurg (80)7 2009
Abstract
Shoulder dislocations are a frequent event and the severity is often underestimated. A thorough clinical investigation and adapted imaging diagnostics are able to detect age-dependent injury patterns. A biphasic conservative treatment keeping the arm in a neutral to mild external rotation for 3 week...
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PMID: 19590914
PDF is available here.
PDF is available here.
Journal of Trauma (66)6 2009
Abstract
Abstract
Abstract
The migration of various internal fixation devices, especially Kirshner (K) wires, is well established. The wires usually follow a retrograde path, protruding near the entry point. When they migrate in the other direction, serious problems may occur. Migration of K-wires to the lung, heart, spleen,...
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PMID: 19562556
PDF is available here.
PDF is available here.
Abstract
We aimed at quantifying observer agreement on the classification of displaced four-part fractures according to the Neer system. Published and unpublished data from five observer studies were reviewed. Observers agreed less on displaced four-part fractures than on the overall Neer classification. Mea...
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PMID: 18536918
PDF is available here.
PDF is available here.
Abstract
Patients were followed up for 12 to 18 (mean, 15) months. All fractures healed satisfactorily, except in one patient with a valgus 4-part fracture who had malunion. No wound infections, vascular injuries, avascular necrosis, or loss of fixation ensued. Two patients with axillary nerve palsy recovere...
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PMID: 19398785
PDF is available here.
PDF is available here.
Abstract
Patients were followed up for 6 to 24 (mean, 13) months. All the fractures united except in a 76- year-old woman with a 3-part fracture in whom there was fracture collapse and screw penetration of the humeral head at 6 weeks. She subsequently developed non-union and avascular necrosis. The mean Cons...
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PMID: 19398786
PDF is available here.
PDF is available here.
La Chirurgia degli Organi di Movimento (93 Suppl 1) 2009
Abstract
Posterior dislocation of the shoulder is an unusual injury that most often occurs secondary to a high-energy trauma. Unfortunately the diagnosis is commonly missed, thus making its treatment a challenge. Neglected posterior dislocation is mainly characterised by an impression fracture on the anterio...
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PMID: 19711163
PDF is available here.
PDF is available here.
La Chirurgia degli Organi di Movimento (93 Suppl 1) 2009
Abstract
We treated six proximal epiphyseal fractures and seven bifocal fractures of the epiphysis and shaft and eleven diaphyseal fractures. The mean follow-up was 23 months (range 12 to 34 months). Twenty patients were available for follow-up. All but two fractures progressed to healing. The Mean Constant...
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PMID: 19711164
PDF is available here.
PDF is available here.
La Chirurgia degli Organi di Movimento (93 Suppl 1) 2009
Abstract
We analysed whether the choice of the first treatment (hemiarthroplasty vs. reduction and fixation) can influence the outcome of revision surgery. Our data demonstrate that results are not significantly dependent on the choice of the first implant, even though there is a tendency for patients with p...
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PMID: 19711168
PDF is available here.
PDF is available here.
La Chirurgia degli Organi di Movimento (93 Suppl 1) 2009
Abstract
The management of proximal humeral fractures is still controversial and no single treatment has been unanimously accepted. This paper focuses on displaced two-part fractures to describe the minimally invasive fixation device known as Helix Wire and to propose precise indications for its use, partly...
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PMID: 19711165
PDF is available here.
PDF is available here.
Abstract
Radiographic union was achieved in 17 of 18 patients (94%). The average follow-up was 26.5 months (range 12-49 months). The average time from surgery to radiographic union was 5.4 months (range 2.5-8.8 months). There was 1 failure of fixation, and 2 patients developed transient neurologic sequelae....
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PMID: 19516089
PDF is available here.
PDF is available here.