Humeral Neck Fractures in Association with Traumatic Shoulder Dislocation
Journal Title: Journal of Orthopedics & Bone Disorders - Year 2017, Vol 1, Issue 8
Abstract
Purpose: To evaluate the clinical and radiological outcomes of the open surgical management of concomitant neck humeral fractures and anterior glenohumeral dislocation with greater tuberosity fractures. Materials and methods: Twenty eight anterior shoulder dislocations with greater tuberosity fracture in 28 patients were reviewed retrospectively. Out of them, 9 patients were found to have associated humeral neck fractures (OTA/AO 11-B3). Management of these patients consisted of open reduction and prophylactic fixation of the surgical neck fractures with proximal humeral plate. Results: Radiographic analysis included fracture reduction, stability of the fixation construct, and achievement of bony union and assessment of the femoral head avascular necrosis occurrence. Clinical outcomes were assessed by the shoulder range of motion, the presence of persistent shoulder pain and the occurrence of any post-operative complication that would necessitate intervention or deviation from the ordinary follow up. After a mean follow up of 19 months post-operative; all the patients achieved bony union of the fracture with good clinical outcomes. None of the cases developed humeral head avascular necrosis. Satisfactory clinical results have been obtained in all of the nine cases. Conclusions: Early recognition of associated humeral neck fractures in patients with anterior shoulder dislocation and greater tuberosity fracture can minimize the incidence of iatrogenic fracture displacement. ORIF may offer a reasonable treatment option for such cases with lower incidence of complications.
Authors and Affiliations
Sherif MA, Ahmed NM and Ramy AD*
Keywords
Related Articles
- EP ID EP753383
- DOI -
- Views 11
- Downloads 1
ISSN: 2577-297X Research Article Upper Limb Non-Traumatic Affections in a Rural Tertiary Health Care Center
Introduction: Non-traumatic upper limb disorders are not uncommon. These may range from non-specific myalgia & fibro-fasciitis to specific disorders of joints and bones of the upper limb bones. Frequent key board use is...
Prevalence of Calcaneal Fractures in Our Hospital in Central Europe
Objective: To analyse the epidemiology of patients suffering calcaneal fractures. Methods: This is a retrospective study of patients with calcaneal fractures hospitalized in the teaching department of Orthopaedics and Tr...
Treatment of Ankylosis in Children Associated with Osteogenic Distraction: Literature Review and Case Report
Introduction: Temporomandibular joint ankylosis is defined as a bone or fibrous adhesion of the anatomical joint and its components in the glenoid fossa, and it is accompanied by limited mouth opening, causing difficulti...
Clinical Efficacy of Platelet-Rich Plasma on Allograft Transplantation after Core Decompression for Osteonecrosis of the Femoral Head
Purpose: This study explored the outcomes and clinical use of autologous, platelet-rich plasma (PRP) infusion after allograft bone transplantation for osteonecrosis of the femoral head (ONFH) by comparing the time to bon...
Non Union of Fracture of the Neck of Femur in Young Adult
Non union is the most common complication of fracture neck of femur. Fracture of the neck of the femur has multiple factors leading to difficulties in union. Both biological and mechanical parameters contribute to the...