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At least 217 records · Page 12Linked to original sources
PubMed1982

[Effect of dia- and percondylar humeral fractures on the growth of the carpal bones in children].

Using surface measurements obtained from anterior-posterior X-rays, the carpal bones on the side of the previous supracondylar fracture were compared with those on the uninjured side. A disparity in growth was found between the two sides. Most often, an increased growth of the scaphoid was seen on the side of the fracture. Analysis of the data obtained from the measurements of all carpal bones did not lead to any definite conclusions. Of the seven carpal bones studied, a greater length (1 to 3 mm.) was found 86 times and a greater width (1 to 4 mm.) 53 times. Decreased length (1 to 4 mm.) was found 63 times and decreased width (1 to 3 mm.) 70 times. A comparison of surface indices indicated an increased growth in 9 to 11 year old children and in 13 to 16 year old children on the side of the broken arm. In patients between 13 and 16 years of age, increased growth (1 to 4 mm.) of the hamate was seen in 10, of the trapezium in 7 and of the trapezoid in 7 patients. Decreased growth was seen most often between 11 and 13 years of age and 13 to 16 years of age. These data indicate a discontinuous and uneven growth in the injured arm that is manifested years after healing of the supracondylar humeral fracture. This study indicates that after healing of the fracture, a temporary growth stimulus is present in some patients. This growth spurt is not limited to the broken bone but is also present far from the fracture in the carpus.

Adolescent↗
PubMed2003

[Humeral head fractures].

Humeral head fractures generally may be treated in a non-operative concept with early physiotherapy when fragment dislocation is minor. Dislocated 2-part fractures (head and shaft fragment) may be treated with closed reduction. If the fracture persists unstable, K-wire, cerclage, intramedullary nailing or plate osteosynthesis are the eligible methods. Particularly isolated K-wire osteosynthesis is associated with a high risk of implant or fragment dislocation. Dislocated 3- or 4-part fractures need additional reduction and fixation of the tubercles. In osteoporotic fractures, intraosseous fixation may lead to complications. Especially cerclage and/or isolated screws (eventually additional K-wires) osteosynthesis allows good reduction for functional treatment in the older patient. Sufficient results in long-term outcome are achieved by minimal invasive techniques even in partial avascular head necrosis. In 4-part fractures prosthetic replacement should be considered. Especially when old patients have severe destruction or luxation of the humeral calotte prosthetic treatment may be indicated. Early functional physiotherapy is important after all types of osteosynthesis or prosthesis.

Adult↗
PubMed1999

Spiral bundle nailing for subcapital humeral fractures: preliminary report of the method of Henning.

This is a preliminary report of 31 patients treated with Henning's spiral bundle nails for subcapital humeral fractures. Complications included motion restriction at the elbow joint (n = 4), elbow pain caused by pin migration (n = 2), misalignment attributable to incorrect reduction (n = 4), and redislocation attributable to improper technique (n = 1), humeral head perforation (n = 3), caudal subluxation of the humeral head (n = 3), and local infections at the insertion site (n = 1). Immobilization was 3 weeks on average. By using the scoring scheme of Constant and Murley, 11 patients showed a moderate result, whereas 19 patients had an excellent outcome.

Adult↗
PubMed2004

The impacted varus (A2.2) proximal humeral fracture: prediction of outcome and results of nonoperative treatment in 99 patients.

UNLABELLED: BACKGROUND AND PATIENTS: The outcome of the impacted varus proximal humeral fracture has not been described. We present the results of a prospective analysis of 99 such fractures. RESULTS: This fracture was relatively common in the elderly population and non-operative treatment sometimes resulted in increased varus angulation. Decreased shoulder function was associated with increasing age but not with increasing varus angulation. After nonoperative management the outcome was good, regardless of the degree of varus, 1 year after fracture. Age was the main predictor of outcome. Physiotherapy did not improve outcome.

Adolescent↗
PubMedDate not supplied

Arthroscopically treated proximal humeral fracture malunion.

Articles describing the treatment of proximal humerus malunion are limited. Although in most of the cases, shoulder arthroplasty is the treatment of choice, when the articular surface of the humeral head is intact, other techniques can be considered and successfully used as well. Using arthroscopic techniques for proximal humerus malunion treatment is rarely reported in the literature. We could find only a few cases in which arthroscopic subacromial decompression was used to treat greater tuberosity malunion. Arthroscopic debridement and capsulotomy are also considered in the treatment of proximal humeral malunion cases with shoulder joint stiffness. This case report describes the completely arthroscopic treatment of a 4-part proximal humeral fracture malunion associated with pain and restricted range of motion. The main deformity in our case was medially displaced malunited lesser tuberosity that was blocking the internal rotation of the humerus. Isolated displaced lesser tuberosity fractures are rare injuries. Open techniques are usually the treatment of choice. We did not find any reports of arthroscopic treatment of lesser tuberosity malunion as a separate entity or as a component of a proximal humerus malunion. The early result in our case strongly encourages using arthroscopic techniques for lesser tuberosity malunion treatment as well as expanding the indications for shoulder arthroscopy in proximal humerus malunion cases.

Adult↗
PubMed1989

Malignant paraganglioma of the organ of Zuckerkandl. Initially diagnosed as renal cell carcinoma by biopsy of a right humeral fracture lesion.

Malignant paraganglioma of the organ of Zuckerkandl (malignant POZ) in a 38-year-old woman is reported. Ten months before her death, the patient suffered from right shoulder pain. By biopsy of a pathological right humeral fracture, a histological diagnosis of metastatic renal cell carcinoma was initially made. However, autopsy revealed a left retroperitoneal tumor, which was diagnosed as malignant POZ. Upon immunohistochemical examination, tumor cells showed definite positivity for neuronspecific enolase (NSE) and chromogranins, and neurosecretory granules were found electron microscopically. The skeletal system is the most common site for distant metastases of malignant POZ. We were unable to find any previous reports of malignant POZ which were first manifested as humeral metastases, as in the present case. As paraganglioma might be histologically confused with a large variety of neoplasms (e.g. renal cell carcinoma), differential diagnosis of this condition is discussed.

Adult↗
PubMed1998

Report of eight cases of humeral fracture following the throwing of hand grenades.

A series of eight cases is presented in which similar fractures of the shaft of the humerus occurred during the throwing of hand grenades. Transient paresis of the radial nerve accompanied the fracture in one patient. In seven patients, the fracture healed without complication. In the remaining case, non-union developed, and surgical treatment was instituted. The mechanism of the fracture is discussed with reference to the literature.

Adult↗
PubMed1987

[Indications for various treatment procedures in the therapy of supracondylar humeral fractures in childhood].

In the time from 1972 through 1985 173 children with supracondylar fractures of the humerus were treated according to the fracture type with two upper arm plaster splints, nail extension from von Ekesparre and in special cases with open reduction and fixation with Kirschner wires-osteosynthese. As primary complications due to accidents we discovered 4% lesions of the arm nerves and in 1.5% disturbance of the blood circulation, of which 0.5% were due to vessel lesions. All nerve lesions could be treated conservatively, however, one child had to be operated because of ischemia of the lower arm and hand. Through reconstruction of the Arteria brachialis the disturbance of the blood circulation could be remedied. Two children with varus- und torsions deformity had to undergo a correcting osteotomy. From the methods used by us for the treating of dislocated fracture of supracondylar humerus in childhood, the nail extension from von Ekesparre found priority. An open reduction was then indicated when the fracture could neither through the conservative treatment nor the nail extension be held in a good reduction position. Further indications for surgery were if circulation remains disturbed or if paralysis persists.

Bone Wires↗
PubMed1987

[Comparison of Blount's sling and Kirschner wire fixation in the treatment of a dislocated supracondylar humeral fracture in childhood].

From 1979 to 1982 we were treating 63 cases of displaced supracondylar fractures of the humerus. Patients underwent either closed reduction and fixation by collar and cuff immobilization (32 cases), or fixation by means of Kirschner wires following closed or (more often) open reduction (31 cases). Follow-up controls after an average time of three years clearly showed the more favourable results of the conservative method.

Adolescent↗
PubMed1981

[Supracondylar humeral fractures in infants and small children].

The question of separation of the epiphyses in infants and small children of the type Salter-Harris affecting the distal humerus is discussed. The indications for open reduction of the distal humerus epiphyseal separation is rarely indicated and should only be utilised when there is associated injury to the nerves of vessels or a total disruption of the chondyle. Provided that accurate re-position and fixation can be performed, the prognosis of this injury is satisfactory.

Child, Preschool↗
PubMed1998

Assessment and management of three-and four-part proximal humeral fractures.

Three-and four-part comminuted fractures of the proximal humerus are difficult and technically demanding to treat. The various treatment methods reported in the literature are reviewed. It is recommended that three-part fractures be treated with open reduction and internal fixation. Four-part fractures in the younger, active patient also can be treated successfully with open reduction and internal fixation. However, in the elderly and in the patient with osteoporosis, a hemiarthroplasty is the treatment of choice. There is a need for universal agreement on a scoring system for measuring outcome in these fractures to allow a meaningful comparison between reported treatment methods.

Age Factors↗