Humeral Fracture
Anatomic TSA still relevant as use of RSA increases
Several reports highlight an increasing incidence of shoulder arthroplasty in the United States during the past decade, which may be due to expanded use and indications, as well as to an uptick in expertise with reverse shoulder arthroplasty.
Trauma surgeons may be more aggressive with rehabilitation vs shoulder surgeons
Compared with shoulder surgeons, results showed trauma surgeons had a more aggressive approach to rehabilitation with regard to time to weight-bearing status and passive range of motion after operative repair of proximal humerus fractures.
VIDEO: Surgery may not always be indicated for proximal humerus fractures
WAIKOLOA, Hawaii — In this video from Orthopedics Today Hawaii, Daniel Scott Horowitz, MD, spoke about nonoperative treatment of proximal humerus fractures in older patients.
Speaker: Plating is the ‘gold standard’ for operative fixation of humeral shaft fractures
WAIKOLOA, Hawaii — Plating osteosynthesis of humeral shaft fractures improves function and range of motion, reduces shoulder and elbow morbidity, and has a high union rate with low complications, according to a presenter.
Uncemented, cemented stems yielded similar results in RSA for proximal humeral fracture
Anterior translation may have a negative impact on proximal humerus fracture union
Presented results showed substantial anterior translation of the humeral shaft of at least 80% was associated with failure of nonoperative care, symptomatic malunion and secondary surgery in patients with proximal humerus fractures.
ORIF yielded better outcomes than nonoperative treatment for humeral diaphyseal fractures
Compared with nonoperative treatment, open reduction and internal fixation with a plate and screw construct yielded improved function at 6 weeks and 4 months in patients with humeral diaphyseal fractures, presented results showed.
Young woman with right arm pain after being struck by a vehicle at a racetrack
Delayed reverse total shoulder arthroplasty for humerus fractures linked with poor results
SAN DIEGO — Delaying reverse total shoulder arthroplasty for treatment of proximal humeral fractures could result in additional surgery and potentially poor outcomes, according to a presenter.
Start medially, lock and ream humeral nails in treatment of humeral shaft fractures
WAILEA, Hawaii — When using humeral nails to treat humeral shaft fractures, surgeons should have a medialized starting point, lock the nail proximally and distally and remember to ream, according to a presenter.