Proximal humeral fractures in elderly patients
Journal Title: Postępy Nauk Medycznych - Year 2013, Vol 26, Issue 6
Abstract
Proximal humeral fractures (PHFs) constitute about 5% of all fractures and its’ frequency increase with age. There is no one applicable classification of these fractures. The evaluation of the type of the fracture and the degree of displacement of the bone segments is crucial in therapeutical decision making. There are no unambiguous indications for operative treatment and the biggest controversies stir up 3- and 4-part fractures. The Neer’s classification is the mostly common used one. The majority of PHFs are type intra-articular and so anatomical reduction is required. Common complication of considered trauma is humeral head ischemia. Failure in reducing the greater tuberosity of humerus leads to poor outcomes with no good salvage options. It is essential to observe the principles of stable osteosynthesis. Anatomical and stable fixation of the fracture must ensure the possibility of immediate passive rehabilitation of the shoulder. Lack of adequate postoperative rehabilitation may result in posttraumatic “frozen shoulder”. Surgical management of these fractures in younger patient is challenging because in that group there is lesser tolerance of dislocation. Fractures of the chirurgical neck of the humerus are considered to be extra-articular fractures and are mostly treated conservatively. Considering 3- and 4-part fractures sometimes the only reasonable way of proceeding is humeral hemiarthroplasty. Nevertheless it is vital to emphasise that nowadays there is no clear algorithms of treatment proximal humeral fractures.
Authors and Affiliations
Bartłomiej Kordasiewicz, Konrad Małachowski, Andrzej Podgórski, Piotr Zakrzewski, Stanisław Pomianowski
Keywords
Related Articles
- EP ID EP54730
- DOI -
- Views 147
- Downloads 0
Uterine artery embolisation for the treatment of symptomatic uterine fibroids
Introduction. Uterine fibroids are the most common benign uterine tumours which can be treated with conservative, surgery or minimally invasive methods. Selection of patients for embolisation seems to be essential.Aim. A...
Analizy molekularne DNA i RNA w wykrywaniu dziedzicznych predyspozycji do nowotworów
Pojawienie się w użyciu wielofunkcyjnych robotów laboratoryjnych umożliwiło wykorzystanie ich do izolacji DNA i RNA, normalizacji stężeń rozcieńczania badanych próbek, przygotowania reakcji PCR itp. Równoczesny rozwój op...
Vitamin D and respiratory tract
Vitamin D plays an important role in the modulation of innate immune system function and the body’s response to microorganisms. It takes an active part in the production of natural antibiotics which are als...
Laparoscopic Heller miotomy with Dor fundoplication in the management of achalasia – long-term outcome
Background. Achalasia is a rare primary motility disorder of the esophagus of unknown etiology. Loss of esophageal peristalsis and inability of the lower esophageal sphincter to relax leads to clinical hallmark – dysphag...
Aktualne metody terapeutyczne u dzieci z kardiomiopatią przerostową – doświadczenia własne
Wstęp. Przebieg kliniczny kardiomiopatii przerostowej (HCM) u dzieci jest bardzo różnorodny. U niektórych dzieci, przerost mięśnia sercowego powoduje postępującą niewydolność serca i występowanie zagrażających życiu zabu...