Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Humerus”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,081 records · Page 60Linked to original sources
PubMed1991

[Supracondylar fractures of the humerus in children].

15 of 28 children with supracondylar fracture of the humerus, were treated with overhead olecranon traction and 11 with closed reduction and plaster splint. Two patients were operated on for vascular complications. The clinical results were excellent or good in all patients treated with olecranon traction. For three patients treated with plaster splint the clinical result was unsatisfactory, due to more than 15 degrees loss of carrying angle in the elbow. No patients had pain or functional complaints at follow-up.

Adolescent↗
PubMed1990

[Supracondylar fractures of the humerus in children: treatment by downward nailing].

Surgical treatment of supracondylar fractures of the humerus in children concerns a limited number of these fractures. That is fractures with great displacement and periosteal rupture, which are reported in our experience of 96 cases treated by an original method. It consists of external reduction stabilized by 2 nails introduced in the middle third of the shaft and diverging in the lower humeral epiphysis. We insist on the use of two X-ray amplifliers in the operative technique. Ninety-four fractures were controlled after 3 months, during nail removal and 81 patients had a follow-up more than one year. Morphological and functional results were appreciated as 75 excellent 15 good and 4 bad. Among the complications encountered we noticed that cubitus varus was very rare. Only 6 controls showed an angle of less than 10 degrees. As compared to the other surgical techniques this method is very encouraging and comforts our indications in unstable third degree fractures, unsuitable for Blount's method, and the great majority of forth degree fractures.

Adolescent↗
PubMed1990

Completely displaced supracondylar fracture of the humerus in children. A review of 1708 comparable cases.

The displaced supracondylar fracture of the humerus in children is a very difficult injury to treat. Manipulation and splint immobilization is perhaps the most common method. A review of the literature on 1708 comparable cases revealed that several different treatments were used. The worst results occurred with manipulation and splint immobilization alone. The best results occurred with traction techniques and well-performed Kirschner-pin transfixation, either open or closed. Complications such as Volkmann's ischemic contracture and myositis ossificans are rare. A completely displaced supracondylar fracture in a child should not be treated by manipulation and splint immobilization alone.

Bone Wires↗
PubMed1990

[Historical aspects of the therapy of supracondylar humerus fractures].

Historical review in treatment of supracondylar numerous fractures. The treatment of fracture of the supracondylar humerus is already published in the antiquity. The statistic of medical attendance demonstrates, that the most authors claim the arrangement of the fracture immediately by extension of the forearm in inflexion of 90 grade. The best retention is the immobility of the arm by inflexion of 90 grade. Moreover it is necessary to inspection daily and if required the new reposition. Today the historical aspects instruct, the most frequent treatment is the extension at the right-angled flexed forearm and the retention in the same position.

Europe↗
PubMed1990

[Reconstructive surgery following malunion of fractures of the proximal humerus in adults].

Malunion, avascular necrosis of the head segment and nonunion of the neck are the most frequent complications of displaced fractures of the proximal humerus. Malunion of the tuberosities may be well tolerated or it can require surgical treatment. Cranial displacement of the greater tuberosity appears to be much better tolerated than dorsal displacement. If power and active mobility are maintained but pain persists, the malunion may have led to impingement, which can be relieved by coraco-acromioplasty. If active mobility is reduced, tubercular osteotomy and relocation using tension band wiring techniques may be warranted. Malunion at the neck level may be treated with subcapital, usually flexion-abduction, osteotomies and yield excellent results. A collapsed head segment after avascular necrosis of the head requires either hemiarthroplasty or total joint replacement. As the nonunions are usually fairly distal and almost always extra-articular, they are treated with open reduction and internal fixation using tension band-wiring techniques and autogenous bone grafting. Arthrodesis has essentially lost its role in reconstructive surgery after fracture complications and is only used if severe additional problems are present such as infection, neurological problems, or severe soft tissue defects.

Adult↗
PubMedDate not supplied

The Ilizarov method for the treatment of non-union in the humerus.

The authors report 7 cases of septic and aseptic pseudoarthrosis in the humerus, with or without tissue loss, treated with the Ilizarov apparatus. The method proved to be therapeutically effective, guaranteeing a short amount of time required for consolidation, with bone callus of the periosteal type which was abundant and mechanically effective, immediate functional recovery, and no important complications.

Biomechanical Phenomena↗
PubMedDate not supplied

Assessment of a treatment plan for managing acute vascular complications associated with supracondylar fractures of the humerus in children.

Nine children with ischaemia of the forearm, associated with supracondylar fractures of the humerus, which failed to respond promptly to conservative measures, were managed by exploration of the antecubital fossa together with flexor compartment fasciotomies. The anatomic findings are described, operative procedures discussed, and clinical results reviewed. A plan of management is outlined which incorporates early surgical intervention. Results show that this is a safe and effective method of managing these injuries.

Child↗
PubMed1990

Continuous passive motion after internal fixation of distal humerus fractures.

Two patients with severe intra-articular fractures of the distal humerus were treated with internal fixation and postoperative continuous passive motion (CPM) of the elbow. The CPM machine's range of motion was initially set at 30 degrees to 70 degrees of flexion for one patient and 45 degrees to 90 degrees of flexion for the other. The arc of motion was gradually increased daily without discomfort. There was no occurrence of wound complications, nonunion, loss of reduction, heterotopic ossification, or failure of fixation. At last evaluation, both patients had full pronation and supination. One patient had 0 degrees to 135 degrees of elbow flexion, and the other had 30 degrees to 110 degrees. Both patients had pain-free elbows. CPM was found to be a valuable therapeutic modality in the postoperative management of intra-articular fractures of the elbow.

Adolescent↗
PubMed1990

[Treatment of pseudarthroses of the humerus after gunshot wound].

The report is based on the analysis of the treatment of 32 patients with false joints of the humerus after gunshot injuries. All of them were operated and had supraosseous osteosynthesis with an AO plate (6 cases) and osteosynthesis after Ilizarov (26 cases). When the false joint of the shoulder was associated with the radial nerve paralysis, the tendons were transplanted after Chaklin in 9 cases. The indications for each method of treatment are presented. The causes of the complications after the operations are analysed. In 23 cases (72%) the results of the treatment were good and in 7 cases (22%) satisfactory.

Adolescent↗
PubMed1990

[Proximal bilateral humeral fractures with posterior dislocation of the head of the humerus].

Seizures as the cause of skeletal fractures are well recognized. The commonest is fracture of the humerus. Bilateral fractures are rare and extremely rare in combination with posterior dislocation of the shoulder joint. Two cases of this condition with very unusual etiology are described here. The mechanism of the injury is described and the treatment discussed. Regardless of the method of primary reposition employed, no difference in the subsequent joint function appears to be observed. Nevertheless, recognition of the condition and early reduction are of importance for the result.

Brain Abscess↗
PubMed1990

Management of fractures of the humerus in patients who have an injury of the ipsilateral brachial plexus.

Twenty-one adults who had a fracture of the middle of the humeral shaft and an injury of the ipsilateral brachial plexus were followed for an average of twenty-eight months. Only two of these patients showed evidence of neurological improvement. Of the eleven patients who had an associated traumatic injury to the brain, eight were treated non-operatively and three, operatively. The presence of a fracture of the humerus in a flail extremity has been found to delay rehabilitation markedly and to result in prolonged hospitalization. Eleven fractures were treated non-operatively with a brace or cast, and there were five non-unions, two delayed unions, and two malunions. Of the ten fractures that were treated operatively, three that were treated by compression-plating all united. Two fractures were treated by external fixation; one had a delayed union and one, a malunion. In the remaining five patients, who were treated with an intramedullary rod, there were two non-unions, one delayed union, and one malunion.

Adolescent↗
PubMed1989

Peripheral paresis of upper extremity nerves following supracondylar fracture of the humerus in children.

The authors observed a lesion of the peripheral nerves in 13 of 401 children with supracondylar humerus fractures (3.2%). Most frequently, the radial nerve was injured. All patients with neural lesions healed spontaneously, a surgical revision of the nerve was not necessary. The authors' opinion is that neural lesions accompanying supracondylar fractures can be treated conservatively. Exceptions are clear indications for surgical revision, as persisting ischaemia of the forearm or extensive open fractures. When treating conservatively, it is necessary to make a thorough clinical and EMG investigation to set exactly the diagnosis of the neural lesion immediately after removing the plaster cast (mostly 3 weeks after the injury). This investigation is to be repeated regularly, as the reinervation dynamics of the affected region is to be followed up. At the same time it is advantageous to perform electrostimulation until reinervation potentials appear, vitaminotherapy and intensive active exercise with the involved extremity. If no signs of reinvertion in the affected area appear within 6 months, a surgical revision of the nerve is to be considered.

Ascorbic Acid↗
PubMed1989

[Surgical treatment of invalids with pseudarthrosis of the humerus].

Complex rehabilitation of 132 invalids with unhealed fractures and false joints of the humerus is analysed. Modern methods of surgical treatment were applied: extrafocal distraction-compression osteosynthesis in 45.5% of cases, bone autoplasty in 41.7%, other operations in 2.8% of cases. The differentiated use of the methods of treatment with consideration for the changes developing in the soft tissues and bone structure made it possible to achieve union of the humeral bone fragments and restore the function of the limb and the working capacity of the patients in 96.6% of cases.

Adult↗
PubMed1989

The treatment of fractures of the surgical neck of the humerus by osteosynthesis with Kirschner wires.

Seventy-one patients treated for fracture of the surgical neck of the humerus by osteosynthesis with Kirschner wires inserted percutaneously were followed up. The method is described in detail, and its indications and limitations are discussed. The clinical and radiographic results were extremely positive, with minimal complications and a much reduced work load on the part of the surgical team.

Adolescent↗
PubMed1989

Pediatric update #10. Treatment of displaced supracondylar fractures of the humerus in children by closed reduction and percutaneous pinning.

In a retrospective study of 25 displaced supracondylar fractures of the humerus in children, treatment by closed reduction and percutaneous pin fixation was reviewed. Follow-up averaged 16 months. Loss of elbow motion and carrying angle were graded according to Flynn's criteria. Twenty-two patients' results were rated excellent, two were good, none was fair, and one was poor. There were no complications reported. Comparison of the values of Baumann's angle obtained from intraoperative, postreduction roentgenograms with those of the opposite, normal elbows predicted the final carrying angles within two degrees in 14 of 17 cases and within five degrees in all 17 cases where such comparison was possible. We conclude that this technique is safe and effective and recommend the use of Baumann's angle as a standard to judge the quality of reduction.

Bone Nails↗
PubMed1989

[Fractures of internal epicondyle of the humerus with intra-articular incarceration of bone fragments].

The article analyses 41 fractures of the medral epicondyle of the humerus in children with incarceration of the fragment in the cavity of the elbow joint. The clinical and X-ray signs of this complication are described in detail. Open reduction is the optimal method of treatment. During the operation the ulnar nerve is examined, the cavity of the elbow joint is cleaned, and stable osteosynthesis of the medial epicondyle is performed. Restorative treatment can be started in the early postoperative period if a screw-awl has been applied. The function of the elbow joint is restored completely in 6 to 8 weeks in fresh cases, but in delayed treatment and neglected cases rehabilitation takes 6 months or longer.

Child↗
PubMed1989

[Long-term results of conservatively treated fractures of the upper end of the humerus].

The authors have considered 735 fractures of the proximal humerus in 748 patients, with 22% of fractures in 60-70 years old subjects. According to Neer's classification type 3 (surgical neck's fracture) and type 4 (surgical neck's fracture with greater and/or lesser tuberosity fracture) are the most frequent. The Desault bandage and the shoulder spica cast have been the preferred methods of treatment. The follow-up ranged between 12 and 1 year (on the average 5.8 Years). The authors have noted that the good results reduced in proportion to the increasing of the fragments' number and in the four part displacement fractures the bad results were of 55% in this research.

Adolescent↗