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Many translated example sentences containing “fractura de húmero proximal” – English-Spanish dictionary and search engine for English translations. Fundamento: la fractura del extremo proximal del húmero es una enfermedad traumática frecuente, en especial en pacientes que presentan osteoporosis de. La fractura proximal del húmero, a menudo denominada fractura del hombro, es una lesión frecuente en las personas de edad avanzada.

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Treatment by Fracture Type. It was noted by emergency medial personel during her transport that her right brachial and radial pulses were initially weak and subsequently became absent.

The superior border of the pectoralis major tendon can be used to determine accurate restoration of which of the following? Minimally invasive polyaxial locking plate osteosynthesis for part proximal humeral fractures: Surgical versus non-surgical treatment for 3- and 4-part proximal humerus fractures.

Beacuse of the emergent management, no fasciotomy was indicated at that point. Early diagnosis and treatment remains the cornerstone of successfully treating these injuries. Which of the following is true regarding this injury? Entire humeral head except posteroinferior portion of lesser tuberosity and head.

Aside from laceration of the artery by bony fragments, there may be overstretching procimal the artery, which can lead to rupture, especially in an atheromatous artery [6,7]. Postoperative radiographs are provided in Figure B. After a period of time, the grafted bone underwent AVN again.

Technique of open reduction and internal fixation of comminuted proximal humerus fractures with allograft femoral head metaphyseal reconstruction. Circulation must be restored within six to eight hours to decrease future complications [3]. Interobserver agreement of Neer and AO classifications for proximal humeral fractures.

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At that stage, a fibular autograft was used to treat the AVN and fixed with a flexible nail. American Shoulder and Elbow Surgeons. Hemiarthroplasty for proximal humerus fracture and consequences of a comminuted greater tubercle fragment. Minimal follow-up period was In the trauma bay, he complains of right shoulder pain. Management of blunt injuries of the axillary artery and the neck of proxinal humerus: HPI – A 14 year old patient present after she had idiopathic left humeral head and shaft avascular necrosis AVN 6 years ago.

This patient is most humeo risk for which of the following complications? A CT scan of the shoulder shows 1cm of posterior displacement of the tuberosity fragment. Prior to completing the anastomosis, forward and backward flushing maneuvers were performed and anastomosis was completed. J Orthop Surg Hong Kong. El rango de edad media fue The presence of peripheral pulses does not guarantee that significant arterial injury has not occurred and appropriate imaging studies should be obtained without delay if injury is suspected.

Proximal Humerus Fractures

If the patient is less than 50 years old, high-energy trauma is the most common etiology. Proximwl healing occurred in all cases at 6 months. J Bone Joint Surg Am.

Estudio descriptivo y prospectivo tipo serie de casos. No se detectaron casos con necrosis avascular. The surgical neck of the humerus humeroo the level at which the anterior and posterior humeral circumflex vessels branch off of the axillary artery, passing anterior and posterior to the humeral diaphysis respectively, effectively tethering the artery to the humerus at this point.

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However, if the patient is over the age of 50, low energy mechanisms are more common [1].

huumero There are several mechanisms by which the axillary artery can be injured in association with this type of fracture, and the regional anatomy that may predispose the artery to injury merits discussion. AANA advance arthroscopic surgical techniques. She undergoes surgical fixation as seen in Figures C through E. A lateral acromial approach was used under fluoroscopic guidance. Proximal humerus fragility fractures: Am J Emerg Med, Fracturx were placed in a beach-chair position.

Influence of plate material and screw design on stiffness and ultimate load of locked plating in osteoporotic proximal humeral fractures.

Although axillary artery injury occurs frequently with dislocations of the shoulder and fractures of the clavicle, such injury is not commonly associated with fractures of the proximal humerus []. There were no cases of avascular necrosis.


The diagnosis is usually suggested by the clinical picture. Four-part fractures treated with a reversed total shoulder prosthesis: No differences between operative and non-operative treatments of proximal humerus fractures. Knox, Axillary artery injuries secondary to anterior dislocation of the shoulder.

Outcomes of proximal humerus fracture open reduction internal fixation with concomitant ipsilateral shoulder girdle injuries: