shoulder fractures

Summary

Summary: Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities.

Top Publications

  1. doi Proximal humeral fractures: a systematic review of treatment modalities
    Brent Lanting
    Hand and Upper Limb Centre, St Joseph s Health Care London, London, Ontario, Canada
    J Shoulder Elbow Surg 17:42-54. 2008
  2. doi Hemiarthroplasty versus nonoperative treatment of displaced 4-part proximal humeral fractures in elderly patients: a randomized controlled trial
    Per Olerud
    Karolinska Institutet, Department of Clinical Science and Education, Section of Orthopaedics, Stockholm Soder Hospital, Sweden
    J Shoulder Elbow Surg 20:1025-33. 2011
  3. doi Internal fixation versus nonoperative treatment of displaced 3-part proximal humeral fractures in elderly patients: a randomized controlled trial
    Per Olerud
    Karolinska Institutet, Department of Clinical Science and Education, Section of Orthopaedics, Stockholm Soder Hospital, Sweden
    J Shoulder Elbow Surg 20:747-55. 2011
  4. ncbi The epidemiology of proximal humeral fractures
    C M Court-Brown
    Royal Infirmary of Edinburgh NHS Trust, UK
    Acta Orthop Scand 72:365-71. 2001
  5. doi Surgical treatment of three and four-part proximal humeral fractures
    Brian D Solberg
    Cedars Sinai Medical Center, Los Angeles, California, USA
    J Bone Joint Surg Am 91:1689-97. 2009
  6. doi Treatment of proximal humerus fractures with locking plates: a systematic review
    Christos Thanasas
    Clinical Trauma Fellow, Academic Department of Trauma and Orthopaedic Surgery, School of Medicine, University of Leeds, UK
    J Shoulder Elbow Surg 18:837-44. 2009
  7. pmc Trends and variation in incidence, surgical treatment, and repeat surgery of proximal humeral fractures in the elderly
    John Erik Bell
    Department of Orthopaedic Surgery, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA
    J Bone Joint Surg Am 93:121-31. 2011
  8. doi Surgical treatment with an angular stable plate for complex displaced proximal humeral fractures in elderly patients: a randomized controlled trial
    Tore Fjalestad
    Orthopedic Department, Oslo University Hospital Ulleval HF, Oslo, Norway
    J Orthop Trauma 26:98-106. 2012
  9. doi Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate. Results of a prospective, multicenter, observational study
    N Sudkamp
    Department of Orthopaedic and Trauma Surgery, Albert Ludwigs University Freiburg, Hugstetter Strasse 55, 79106 Freiburg, Germany
    J Bone Joint Surg Am 91:1320-8. 2009
  10. ncbi Analysis of efficacy and failure in proximal humerus fractures treated with locking plates
    Juan Agudelo
    Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO 80204, USA
    J Orthop Trauma 21:676-81. 2007

Detail Information

Publications212 found, 100 shown here

  1. doi Proximal humeral fractures: a systematic review of treatment modalities
    Brent Lanting
    Hand and Upper Limb Centre, St Joseph s Health Care London, London, Ontario, Canada
    J Shoulder Elbow Surg 17:42-54. 2008
    ..Further research comparing primary treatment methods in a properly designed and controlled fashion is required, ideally using randomized controlled trials...
  2. doi Hemiarthroplasty versus nonoperative treatment of displaced 4-part proximal humeral fractures in elderly patients: a randomized controlled trial
    Per Olerud
    Karolinska Institutet, Department of Clinical Science and Education, Section of Orthopaedics, Stockholm Soder Hospital, Sweden
    J Shoulder Elbow Surg 20:1025-33. 2011
    ..The aim of the study was to report the 2-year outcome after a displaced 4-part fracture of the proximal humerus in elderly patients randomized to treatment with a hemiarthroplasty (HA) or nonoperative treatment...
  3. doi Internal fixation versus nonoperative treatment of displaced 3-part proximal humeral fractures in elderly patients: a randomized controlled trial
    Per Olerud
    Karolinska Institutet, Department of Clinical Science and Education, Section of Orthopaedics, Stockholm Soder Hospital, Sweden
    J Shoulder Elbow Surg 20:747-55. 2011
    ..The aim of the study was to report the 2-year outcome after a displaced 3-part fracture of the proximal humerus in elderly patients randomized to treatment with a locking plate or nonoperative treatment...
  4. ncbi The epidemiology of proximal humeral fractures
    C M Court-Brown
    Royal Infirmary of Edinburgh NHS Trust, UK
    Acta Orthop Scand 72:365-71. 2001
    ..1, A2.2, A3.2 and A1.2 sub-groups comprise over half of all proximal humeral fractures, while the AO type C fractures occur in only 6%. We suggest that the literature does not adequately reflect the spectrum of proximal humeral fractures...
  5. doi Surgical treatment of three and four-part proximal humeral fractures
    Brian D Solberg
    Cedars Sinai Medical Center, Los Angeles, California, USA
    J Bone Joint Surg Am 91:1689-97. 2009
    ..Fixed-angle locked plates that maintain angular stability under load have been proposed as an alternative to hemiarthroplasty for the treatment of some osteoporotic fracture types...
  6. doi Treatment of proximal humerus fractures with locking plates: a systematic review
    Christos Thanasas
    Clinical Trauma Fellow, Academic Department of Trauma and Orthopaedic Surgery, School of Medicine, University of Leeds, UK
    J Shoulder Elbow Surg 18:837-44. 2009
    ..The purpose of this study was to carry out a systematic review of the literature on the efficacy and early to medium term functional results of locking plates for stabilization of proximal humeral fractures...
  7. pmc Trends and variation in incidence, surgical treatment, and repeat surgery of proximal humeral fractures in the elderly
    John Erik Bell
    Department of Orthopaedic Surgery, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA
    J Bone Joint Surg Am 93:121-31. 2011
    ..This study was performed to characterize the incidence, treatment, and revision surgery of proximal humeral fractures according to geographic region both before (1999 to 2000) and after (2004 to 2005) the introduction of locking plates...
  8. doi Surgical treatment with an angular stable plate for complex displaced proximal humeral fractures in elderly patients: a randomized controlled trial
    Tore Fjalestad
    Orthopedic Department, Oslo University Hospital Ulleval HF, Oslo, Norway
    J Orthop Trauma 26:98-106. 2012
    ..The objective of the study was to evaluate functional outcome, patient self-assessment, and radiographic outcome at 1 year in displaced three- and four-part proximal humeral fractures (OTA group 11-B2 and 11-C2)...
  9. doi Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate. Results of a prospective, multicenter, observational study
    N Sudkamp
    Department of Orthopaedic and Trauma Surgery, Albert Ludwigs University Freiburg, Hugstetter Strasse 55, 79106 Freiburg, Germany
    J Bone Joint Surg Am 91:1320-8. 2009
    ....
  10. ncbi Analysis of efficacy and failure in proximal humerus fractures treated with locking plates
    Juan Agudelo
    Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO 80204, USA
    J Orthop Trauma 21:676-81. 2007
    ..The purpose of this study was to determine the efficacy of proximal humerus locking plates (PHLP) and to clarify predictors of loss of fixation...
  11. ncbi The surgical approach for locking plate osteosynthesis of displaced proximal humeral fractures influences the functional outcome
    Pierre Hepp
    Department of Trauma and Reconstructive Surgery, University of Leipzig, Leipzig, Germany
    J Shoulder Elbow Surg 17:21-8. 2008
    ..Stable osteosynthesis is important, but the outcome of operatively treated proximal humerus fractures is dependent on soft tissue management as well...
  12. doi Rate of proximal humeral fractures in older Finnish women between 1970 and 2007
    Pekka Kannus
    Injury and Osteoporosis Research Center, UKK Institute for Health Promotion Research, Tampere, Finland
    Bone 44:656-9. 2009
    ..Reasons for this are largely unknown, but a cohort effect toward a healthier aging population with improved functional ability and reduced risk of injurious falls cannot be ruled out...
  13. doi Osteosynthesis and hemiarthroplasty of fractures of the proximal humerus: outcomes in a consecutive case series
    Johannes D Bastian
    Department of Orthopaedic Surgery, Lindenhofspital, Berne, Switzerland
    J Shoulder Elbow Surg 18:216-9. 2009
    ....
  14. doi Open reduction and internal fixation of proximal humerus fractures using a proximal humeral locked plate: a prospective multicenter analysis
    Felix Brunner
    Department of Surgery, Cantonal Hospital, Lucerne, Switzerland
    J Orthop Trauma 23:163-72. 2009
    ..The goal of this study is to evaluate the incidence of complications and the functional outcome after open reduction and internal fixation with the proximal humeral locking plate (Philos)...
  15. ncbi Helical plating of the proximal humerus
    Michael J Gardner
    Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA
    Injury 36:1197-200. 2005
    ....
  16. doi Fracture displacement and screw cutout after open reduction and locked plate fixation of proximal humeral fractures [corrected]
    Kevin C Owsley
    University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, NY 14642, USA
    J Bone Joint Surg Am 90:233-40. 2008
    ..In this study, we assessed the radiographic and clinical results of a single surgeon's experience treating proximal humeral fractures with a locked proximal humeral plate...
  17. ncbi Two-part fractures and fracture dislocations
    Charles M Court-Brown
    Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh, Scotland
    Hand Clin 23:397-414, v. 2007
    ..The early results of locked plating may be better, but more studies are required to prove this. This article gives the results of nonoperative treatment of all types of two-part fractures and fracture dislocations...
  18. doi Remaining lifetime and absolute 10-year probabilities of osteoporotic fracture in Swiss men and women
    K Lippuner
    Osteoporosis Policlinic, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
    Osteoporos Int 20:1131-40. 2009
    ..Remaining lifetime probability at age 50 years was 20.2% in men and 51.3% in women and increased with advancing age and decreasing BMD. The study validates the elements required to populate a Swiss-specific FRAX model...
  19. doi A systematic review of locking plate fixation of proximal humerus fractures
    Robert C Sproul
    University of California, San Francisco, Department of Orthopaedic Surgery, Sports Medicine and Shoulder Surgery Service, 1500 Owens Street, San Francisco, CA 94158, USA
    Injury 42:408-13. 2011
    ..The purpose of this study is to evaluate the short to medium term functional results and common complications associated with the fixation of proximal humerus fractures with locking plates...
  20. pmc The clinical benefit of medial support screws in locking plating of proximal humerus fractures: a prospective randomized study
    Lei Zhang
    Department of Orthopaedics, The Third Affiliated Hospital of Wenzhou Medical College, No 108, Wansong Road, Ruian, Wenzhou, Zhejiang Province, China
    Int Orthop 35:1655-61. 2011
    ..The purpose of this study was to evaluate the clinical benefit of medial support screws for locking plating of proximal humerus fractures...
  21. ncbi Surgical landmarks to determine humeral head retrotorsion for hemiarthroplasty in fractures
    A Hempfing
    Department of Orthopaedic Surgery, University of Berne, Switzerland
    J Shoulder Elbow Surg 10:460-3. 2001
    ..For practical purposes in fracture indications, it is adequate to adjust the retrotorsion of the prosthetic component to the distal bicipital groove...
  22. ncbi Impacted valgus fractures (B1.1) of the proximal humerus. The results of non-operative treatment
    C M Court-Brown
    Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Scotland, UK
    J Bone Joint Surg Br 84:504-8. 2002
    ..Mean outcome scores based on these two parameters are presented. A comparison with data from other studies suggests that operative fixation of these fractures is not necessary...
  23. doi Humeral head necrosis rate at mid-term follow-up after open reduction and angular stable plate fixation for proximal humeral fractures
    S Greiner
    Center for Musculoskeletal Surgery, Charite Universitatsmedizin Berlin, Augustenburger Platz 1, D 13353 Berlin, Germany
    Injury 40:186-91. 2009
    ..Longer follow-up series are difficult to find. However, especially regarding the risk of avascular humeral head necrosis longer follow-up series are high of clinical relevance...
  24. doi Mid-term results of internal fixation of proximal humeral fractures with the Philos plate
    Periklis Papadopoulos
    1st Orthopaedic Department of Aristotle University of Thessaloniki, G Papanikolaou General Hospital, 57010 Exohi, Thessaloniki, Greece
    Injury 40:1292-6. 2009
    ..To report our experience from the use of the Philos plate for the treatment of three- and four-part proximal humeral fractures and to investigate factors influencing the final outcome...
  25. ncbi Second-generation concepts for locked plating of proximal humerus fractures
    Michael J Gardner
    Orthopaedic Trauma, Harborview Medical Center, Seattle, WA 98105, USA
    Am J Orthop (Belle Mead NJ) 36:460-5. 2007
    ..This may be achieved either with purposeful inferomedial humeral head screws or endosteal fibula allograft augmentation...
  26. ncbi [Proximal humeral fractures with angle-stable plate osteosynthesis--is everything better now?]
    T M Frangen
    BG Kliniken Bergmannsheil, Chirurgische Klinik und Poliklinik, Universitatsklinik, Bochum
    Zentralbl Chir 132:60-9. 2007
    ..Aim of the study was to evaluate implant associated problems of angle-stable implants in comparison to other established osteosynthetic methods...
  27. doi Analysis of early failure of the locking compression plate in osteoporotic proximal humerus fractures
    Ivan D Micic
    Department of Orthopaedic Surgery and Traumatology, Clinical Center, Faculty of Medicine, Nis, Serbia
    J Orthop Sci 14:596-601. 2009
    ..The purpose of this study was to report early failure of the locking compression plate (LCP) in the treatment of osteoporotic proximal humerus fracture and characterize the mode of failure...
  28. ncbi The use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty for proximal humeral fracture
    Jonathan Levy
    Florida Orthopaedic at the Florida Orthopaedic Institute, Temple Terrace, FL 33637, USA
    J Bone Joint Surg Am 89:292-300. 2007
    ..However, a subset of patients have development of glenoid arthritis and rotator cuff deficiency due to tuberosity failure. To date, there has been no reliable salvage procedure for this problem...
  29. doi Biomechanical analysis of plate osteosynthesis systems for proximal humerus fractures
    James P Lever
    Department of Surgery, University of Toronto, and Martin Orthopaedic Biomechanics Laboratory, St Michael s Hospital, Toronto, Canada
    J Orthop Trauma 22:23-9. 2008
    ..To biomechanically assess five proximal, humeral, fracture-plate-fixation systems...
  30. ncbi Fixation of proximal humerus fractures using the PHILOS plate: early experience
    Athanasios Koukakis
    Orthopaedic Department, Princess Alexandra Hospital, Harlow, UK
    Clin Orthop Relat Res 442:115-20. 2006
    ..Level of Evidence: Therapeutic study, level IV (case series). See the Guidelines for Authors for a complete description of levels of evidence...
  31. ncbi Evaluation of the Neer system of classification of proximal humeral fractures with computerized tomographic scans and plain radiographs
    J Bernstein
    Department of Orthopedic Surgery, University of Pennsylvania School of Medicine, Philadelphia 19104, USA
    J Bone Joint Surg Am 78:1371-5. 1996
    ..Because of this underlying difficulty, optimum patient care might require the development of new imaging modalities and not necessarily new classification systems...
  32. ncbi Training improves agreement among doctors using the Neer system for proximal humeral fractures in a systematic review
    Stig Brorson
    Amager University Hospital, Department of Orthopaedic Surgery, Italiensvej 1, Copenhagen S, Denmark
    J Clin Epidemiol 61:7-16. 2008
    ..To systematically review studies of observer agreement among doctors classifying proximal humeral fractures according to the Neer system...
  33. doi Shoulder hemiarthroplasty for acute fractures of the proximal humerus: a minimum five-year follow-up
    Samuel A Antuna
    Department of Orthopedic Surgery, Hospital Valle del Nalón University of Oviedo, Principado de Asturias, Spain
    J Shoulder Elbow Surg 17:202-9. 2008
    ..In view of these results, current indications, surgical technique, and postoperative treatment may need to be revisited...
  34. doi Locked plating of 3- and 4-part proximal humerus fractures in older patients: the effect of initial fracture pattern on outcome
    Brian D Solberg
    Department of Orthopaedic Surgery, California Hospital Medical Center, Los Angeles, CA, USA
    J Orthop Trauma 23:113-9. 2009
    ....
  35. doi Clinical results for minimally invasive locked plating of proximal humerus fractures
    Götz Röderer
    Department of Orthopaedic Trauma, Hand, Plastic and Reconstructive Surgery, University of Ulm, Ulm, Germany
    J Orthop Trauma 24:400-6. 2010
    ..The system allows secondary locking of screws to the plate with a locking cap and polyaxial (30 degrees radius) screw placement...
  36. ncbi Treatment of proximal humerus fractures
    Heather A Vallier
    Department of Orthopaedic Surgery, MetroHealth Medical Center, Cleveland, Ohio 44109, USA
    J Orthop Trauma 21:469-76. 2007
    ..Prospective study to assess the complications, outcomes, and cost effectiveness of nonoperative management compared to various surgical treatment options is warranted...
  37. ncbi Outcome of proximal humerus fractures treated by PHILOS plate internal fixation. Experience of a district general hospital
    Rizwan Shahid
    Department of Orthopaedic Surgery, Lincoln County Hospital, United Kingdom
    Acta Orthop Belg 74:602-8. 2008
    ..Our study has shown that the PHILOS plate is a reliable implant. A direct correlation was observed between Oxford shoulder and DASH scores...
  38. doi Proximal humeral fracture classification systems revisited
    Addie Majed
    Division of Surgery Oncology Reproductive Medicine and Anaesthetics, Imperial College London, UK
    J Shoulder Elbow Surg 20:1125-32. 2011
    ..We hypothesized that current proximal humeral fracture classification systems, regardless of imaging methods, are not sufficiently reliable to aid clinical management of these injuries...
  39. pmc Updated classification system for proximal humeral fractures
    José M Mora Guix
    Orthopaedic Surgery and Traumatology Department Shoulder Unit, Hospital of Terrassa, and Clinica Sagrada Familia of Barcelona, Barcelona, Spain
    Clin Med Res 7:32-44. 2009
    ..Patient status, fracture characteristics and surgeon circumstances have been important issues in developing this system...
  40. ncbi [Complex proximal humerus fractures--management with a humeral head prosthesis? Clinical and radiological results of a prospective study]
    P Gierer
    Abteilung für Unfall und Wiederherstellungschirurgie, Klinik und Poliklinik für Chirurgie, Universitat, Schillingallee 35, 18055 Rostock
    Orthopade 35:834-40. 2006
    ..The present study was undertaken to evaluate the results of primary hemiarthroplasty in the treatment of proximal humerus fractures with a modular prosthesis (EPOCA, Fa. Argomedical, Gifhorn, Germany)...
  41. doi Relationship of cortical thickness of the proximal humerus and pullout strength of a locked plate and screw construct
    Maegen J Wallace
    Department of Orthopaedic Surgery, St Louis University, St Louis, MO 63110, USA
    J Orthop Trauma 26:222-5. 2012
    ..The purpose of this study is to determine the relationship between proximal humerus cortical thickness and locked plate hardware failure in a cadaveric proximal humerus fracture model...
  42. ncbi Percutaneous insertion of a proximal humeral locking plate: an anatomic study
    Jason Smith
    Department of Orthopedic Surgery, McGill University, Montreal, Quebec, Canada
    Injury 38:206-11. 2007
    ..This can be done safely without entrapment of the axillary beneath the plate. Plate fixation of proximal humerus fractures may now be more desirable with the use of this approach...
  43. ncbi Locked plate fixation and intramedullary nailing for proximal humerus fractures: a biomechanical evaluation
    Martin Henri Hessmann
    Department of Trauma Surgery, Johannes Gutenberg University, Langenbeckstrasse 1, D 55101 Mainz, Germany
    J Trauma 58:1194-201. 2005
    ..Internal fixation of proximal humeral fractures is associated with a considerable secondary malalignment rate. Fixed-angle implants have been suggested to increase the stability of fixation...
  44. ncbi Proximal humeral fractures: what is semi-rigid? Biomechanical properties of semi-rigid implants, a biomechanical cadaver based evaluation
    F Kralinger
    Trauma and Sports, University Hospital Innsbruck, Annichstr 35, 6020 Innsbruck, Austria
    Arch Orthop Trauma Surg 128:205-10. 2008
    ..Little surgical side damage is associated with a minimal invasive approach of these implants. The aim of this study was to evaluate the mechanical properties of three such implants...
  45. ncbi Rehabilitation of two-part fractures of the neck of the humerus (two-year follow-up)
    S A Hodgson
    Sheffield Hallam University, Sheffield, England
    J Shoulder Elbow Surg 16:143-5. 2007
    ..Delayed rehabilitation by 3 weeks of shoulder immobilization produces a slower recovery, which continues for at least 2 years after the time of injury...
  46. doi Reconstruction of humeral length and centering of the prosthetic head in hemiarthroplasty for proximal humeral fractures
    Stefan H Greiner
    Center for Musculoskeletal Surgery, Charite Universitatsmedizin Berlin, Berlin, Germany
    J Shoulder Elbow Surg 17:709-14. 2008
    ..Clinical outcome depended significantly on greater tuberosity healing and centering of the prosthetic head in the glenoid...
  47. doi Anatomic study of the axillary nerve in a Chinese cadaveric population: correlation of the course of the nerve with proximal humeral fixation with intramedullary nail or external skeletal fixation
    Kuang Yi Liu
    Department of Surgery, Tao Yuan Armed Force General Hospital, Tao Yuan, Taiwan, Republic of China
    Arch Orthop Trauma Surg 131:669-74. 2011
    ..Being aware of the axillary nerve's anatomic relationship to the proximal humerus is vital for avoiding complications...
  48. ncbi Internal fixation of proximal humerus fractures with the polarus intramedullary nail
    Miltiadis Georgousis
    General Hospital of Volos, Volos, Greece
    Acta Orthop Belg 76:462-7. 2010
    ..3% of the patients had an excellent or good clinical outcome. The Polarus nail appeared in this study as an effective device to treat proximal humeral fractures, with good overall functional results and a low complication rate...
  49. doi Proximal humerus fractures treated by percutaneous locking plate internal fixation
    D M Rouleau
    Sacré Coeur Hospital of Montréal, 5400, boulevard Gouin Ouest, Montreal, Quebec, Canada
    Orthop Traumatol Surg Res 95:56-62. 2009
    ..There is no consensually accepted recommendation for optimum surgical treatment of unstable fractures of the proximal humerus...
  50. doi Proximal humeral fractures: current concepts in classification, treatment and outcomes
    I R Murray
    Edinburgh Shoulder Clinic, New Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
    J Bone Joint Surg Br 93:1-11. 2011
    ..This article explores current concepts in the classification and clinical aspects of these injuries, reviewing the indications, innovations and outcomes for the most common methods of treatment...
  51. ncbi Multidetector CT in shoulder fractures
    Ville V Haapamaki
    Department of Radiology, Helsinki University Central Hospital, Toolo Trauma Center, Topelinksenkatu 5, PL 266, 00029 Helsinki, Finland
    Emerg Radiol 11:89-94. 2004
    ..This may increase the accuracy of the fracture classification and reveal occult fractures in other parts of the shoulder...
  52. pmc Effect of osteosynthesis, primary hemiarthroplasty, and non-surgical management for displaced four-part fractures of the proximal humerus in elderly: a multi-centre, randomised clinical trial
    Stig Brorson
    Dept of Orthopaedic Surgery, Herlev University Hospital, Herlev, Denmark
    Trials 10:51. 2009
    ..We aim to compare the effect of osteosynthesis with angle-stable plate with non-surgical management, and the effect of primary hemiarthroplasty with both osteosynthesis and non-surgical management...
  53. ncbi Neer Award 2005: The Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty
    Pascal Boileau
    Department of Orthopaedic Surgery and Sports Traumatology, Hopital de l Archet, University of Nice, Nice, France
    J Shoulder Elbow Surg 15:527-40. 2006
    ..Results of the reverse prosthesis depend on the diagnosis and on the remaining cuff muscles, specifically the teres minor. Surgeons should be vigilant with regard to low-grade infection in revision surgery...
  54. ncbi Humeral shaft split fracture around proximal humeral locking plates: a report of two cases
    Jeremy A Hall
    Upper Extremity Reconstruction Service, Division of Orthopaedics, Department of Surgery, St Michael s Hospital and the University of Toronto, Toronto, Canada
    J Orthop Trauma 20:710-4. 2006
    ..Each patient failed early in the postoperative period and was revised to fixation with compression plating techniques, with uneventful union...
  55. ncbi [Results after treatment of instable fractures of the proximal humerus using a fixed-angle plate]
    C Hessler
    Abteilung für Unfall und Wiederherstellungschirurgie, Klinikum der Ernst Moritz Arndt Universität, Sauerbruchstrasse, 17475 Greifswald, Deutschland
    Unfallchirurg 109:867-70, 872-4. 2006
    ..Fixed-angle implants are being increasingly used in surgery of fractures of the proximal humerus. The aim of this retrospective investigation was to evaluate the outcome after fracture reduction utilizing a fixed-angle plate (Königsee)...
  56. doi Early results in the treatment of proximal humeral fractures with a polyaxial locking plate
    Johannes B Erhardt
    Klinik fur Orthopadische Chirurgie, 9007 St Gallen, Switzerland
    Arch Orthop Trauma Surg 129:1367-74. 2009
    ..Warsaw, IN, USA), for the treatment of proximal humeral fractures. The NCB PH combines conventional plating technique with polyaxial screw placement and angular stability...
  57. pmc Is locking nailing of humeral head fractures superior to locking plate fixation?
    G Gradl
    Department of Trauma and Reconstructive Surgery, University of Rostock, Schillingallee 35, D 18055, Rostock, Germany
    Clin Orthop Relat Res 467:2986-93. 2009
    ..We observed no differences between the two groups. Stabilization of displaced proximal humeral fractures with either an angular stable intramedullary or an extramedullary implant seems suitable with both surgical treatment options...
  58. ncbi Conservative treatment vs prosthetic replacement surgery to treat 3- and 4-fragment fractures of the proximal epiphysis of humerus in the elderly patient
    S Urgelli
    Universita degli Studi di Siena
    Chir Organi Mov 90:345-51. 2005
    ..Thus, in order to limit complications, when the patient is elderly, complex fracture of the proximal epiphysis of humerus should be treated conservatively...
  59. ncbi Internal fixation of unstable proximal humerus fractures with an anatomically preshaped interlocking plate: a clinical and radiologic evaluation
    Michael Tobias Hirschmann
    Orthopedic Department, Kantonsspital Bruderholz, Bruderholz, Switzerland
    J Trauma 63:1314-23. 2007
    ..We evaluated the outcome after internal fixation of unstable or displaced proximal humerus fractures with a new fixed-angle implant...
  60. ncbi [Early results of treatment of proximal humerus fractures with the PHILOS locking plate]
    Bulent Kilic
    Baskent Universitesi, Adana Uygulama ve Arastirma Merkezi, Ortopedi ve Travmatoloji Anabilim Dali, Adana
    Acta Orthop Traumatol Turc 42:149-53. 2008
    ..The aim of this study was to evaluate early results of proximal humerus fractures treated with the PHILOS locking plate...
  61. ncbi Proximal humeral fractures in geriatric patients. Is the angle-stable plate osteosynthesis really a breakthrough?
    Thomas Manfred Frangen
    Department of Surgery, BG Kliniken Bergmannsheil, Ruhr University Bochum, Bochum, Germany
    Acta Orthop Belg 73:571-9. 2007
    ..The currently celebrated angle-stabilising plates did not lead to a significant improvement in functional outcome, compared with other established osteosynthesis procedures...
  62. pmc Outcome analysis following removal of locking plate fixation of the proximal humerus
    Chlodwig Kirchhoff
    Department of Orthopedic Sports Surgery, Technische Universitaet Muenchen, Connollystrasse 32, D 80809 Munich, Germany
    BMC Musculoskelet Disord 9:138. 2008
    ..Therefore the aim of this study was to analyze the functional short-term outcome following removal of locking plate fixation of the proximal humerus...
  63. ncbi [The results of internal fixation of proximal humeral fractures with the PHILOS locking plate]
    Mehmet Fatih Korkmaz
    Department of Orthopedics and Traumatology Ortopedi ve Travmatoloji Anabilim Dali, Istanbul Bilim University, Istanbul, Turkey
    Acta Orthop Traumatol Turc 42:97-105. 2008
    ..In this prospective study, we evaluated the results of patients treated with the PHILOS (Proximal Humeral Internal Locking System) locking plate, a new technique recently developed by the AO/ASIF...
  64. pmc Primary hemiarthroplasty versus conservative treatment for comminuted fractures of the proximal humerus in the elderly (ProCon): a multicenter randomized controlled trial
    Dennis den Hartog
    Department of Surgery Traumatology, Erasmus MC, University Medical Center Rotterdam, P, O, Box 2040, 3000 CA Rotterdam, The Netherlands
    BMC Musculoskelet Disord 11:97. 2010
    ..Secondary aims include effects on functional outcome, pain, complications, quality of life, and cost-effectiveness...
  65. ncbi Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus
    P Boileau
    Department of Orthopaedic Surgery, Hôpital de l Archet University of Nice, 151 route de St Antoine de Ginestière, 06202 Nice, France
    J Shoulder Elbow Surg 11:401-12. 2002
    ..Techniques to improve tuberosity osteosynthesis, including modifications to current prosthetic design and instrumentation to allow for a more anatomic reconstruction, should lead to more predictable and satisfactory results...
  66. ncbi Four part fractures of the proximal humerus
    Mohit Bhandari
    Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
    J Orthop Trauma 18:126-7. 2004
    ..Treatment options for these displaced fractures include nonoperative treatment, open reduction and internal fixation, and arthroplasty. Presently, there is a lack of consensus on the optimal management strategy for this complex injury...
  67. ncbi The importance of medial support in locked plating of proximal humerus fractures
    Michael J Gardner
    Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY 10021, USA
    J Orthop Trauma 21:185-91. 2007
    ..The purpose of this study was to determine what factors influence the maintenance of fracture reduction after locked plating of proximal humerus fractures, and particularly the role of medial column support...
  68. ncbi Early results for treatment of three- and four-part fractures of the proximal humerus using the PHILOS plate system
    P Moonot
    South West London Elective Orthopaedic Centre, Dorking Road, Epsom, Surrey, UK
    J Bone Joint Surg Br 89:1206-9. 2007
    ..It provides a stable fixation in young patients with good-quality bone sufficient to permit early mobilisation. Failure of the screws to maintain fixation in the elderly remains a problem...
  69. ncbi Failure of humeral fracture fixation plate in a young patient using the Philos system: case report
    Amit Ramesh Tolat
    Orthopaedic Surgery Department, King s College Hospital, London, England
    J Shoulder Elbow Surg 15:e44-7. 2006
  70. ncbi Early versus late mobilization after hemiarthroplasty for proximal humeral fractures
    Ioannis Agorastides
    Liverpool Upper Limb Unit, Royal Liverpool University Hospital, Liverpool, England
    J Shoulder Elbow Surg 16:S33-8. 2007
    ..Although there was a decreased incidence of tuberosity migration in the group undergoing late mobilization, this was not statistically significant...
  71. ncbi The difficult proximal humerus fracture: tips and techniques to avoid complications and improve results
    John W Sperling
    Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA
    Instr Course Lect 56:45-57. 2007
    ..Therefore, it is important for orthopaedic surgeons to be familiar with techniques to avoid complications and improve results when treating proximal humerus fractures...
  72. ncbi Internal fixation of proximal humerus fractures using the locking proximal humerus plate
    Michael Plecko
    Unfallkrankenhaus Graz der Allgemeinen Unfallversicherungsanstalt, Göstingerstrasse 24, A 8021, GRA, Osterreich
    Oper Orthop Traumatol 17:25-50. 2005
    ..Early mobilization of the shoulder and early active rehabilitation program to ensure a good functional outcome and a good restoration of the activities of daily living...
  73. ncbi Mechanical evaluation of a new minimally invasive device for stabilization of proximal humeral fractures in elderly patients: a cadaver study
    Georg N Duda
    Center for Musculoskeletal Surgery, Charite Universitatsmedizin, Berlin, Germany
    Acta Orthop 78:430-5. 2007
    ..We determined the in vitro characteristics of a new implant developed to target the remaining bone stock, and compared it with an implant in clinical use...
  74. ncbi [Use of angle-stable implants for proximal humeral fractures: prospective study]
    M Krivohlávek
    Traumacentrum Krajské nemocnice Liberec
    Acta Chir Orthop Traumatol Cech 75:212-20. 2008
    ..To evaluate and compare proximal humeral fractures treated either by plate osteosynthesis with angular-stable screws or by intramedullary nailing, and to define the indications optimal for use of either technique...
  75. ncbi Primary hemiarthroplasty in four-part fractures of the proximal humerus: randomized trial of two different implant systems
    Christian Fialka
    Department of Surgery, Medical University of Vienna, Vienna, Austria
    J Shoulder Elbow Surg 17:210-5. 2008
    ..Accurate placement of the tuberosities and healing at the bone-bone interface of the rotator cuff seem to be the most important factors influencing the outcome in prosthetic care of fractures...
  76. ncbi Prognostic factors in prosthetic replacement for acute proximal humerus fractures
    Mehmet Demirhan
    Department of Orthopaedics and Traumatology, Istanbul University, Istanbul School of Medicine, Topkapi, Turkey
    J Orthop Trauma 17:181-8; discussion 188-9. 2003
    ..To investigate the effect of some epidemiological and radiologic factors on the outcome of prosthetic replacement in acute proximal humerus fractures...
  77. ncbi Internal fixation of proximal humeral fractures with a locking compression plate: a retrospective evaluation of 72 patients followed for a minimum of 1 year
    Jan Magnus Björkenheim
    Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, Helsinki, Finland
    Acta Orthop Scand 75:741-5. 2004
    ..INTERPRETATION: The Philos method appears to be safe and can be recommended for the treatment of proximal humeral fractures in patients with poor bone quality...
  78. ncbi The injury mechanisms of osteoporotic upper extremity fractures among older adults: a controlled study of 287 consecutive patients and their 108 controls
    M Palvanen
    Accident and Trauma Research Center, UKK Institute for Health Promotion Research, Tampere, Finland
    Osteoporos Int 11:822-31. 2000
    ..Effective fracture prevention could be achieved by minimizing the obvious risk factors of falling and reducing the fall-induced impact force with injury site protection...
  79. ncbi [Treatment of dislocated 3- and 4-part fractures of the proximal humerus with an angle-stabilizing fixation plate]
    R Hente
    Abteilung fur Unfallchirurgie, Klinikum der Universitat Regensburg
    Unfallchirurg 107:769-82. 2004
    ..Because 40% of the 4-part fractures with fracture dislocation yielded a satisfactory or better result, the plate fixator with angular stability may be an alternative to prosthetic replacement in selected cases...
  80. ncbi Reverse shoulder arthroplasty for the treatment of three- and four-part fractures of the proximal humerus in the elderly: a prospective review of 43 cases with a short-term follow-up
    T Bufquin
    Department of Orthopaedics, INSERM 0335 Research Unit Angers Universith Hospital, 4 rue Larrey, 49033 Angers, Cedex 09, France
    J Bone Joint Surg Br 89:516-20. 2007
    ..However, long-term results are required before reverse shoulder arthroplasty can be recommended as a routine procedure in complex fractures of the upper humerus in the elderly...
  81. ncbi Proximal humerus fracture rehabilitation
    Steve Hodgson
    Sheffield Hallam University, Sheffield, United Kingdom
    Clin Orthop Relat Res 442:131-8. 2006
    ..Level of Evidence: Diagnostic study, level II (systematic review of level II studies). See the Guidelines for Authors for a complete description of levels of evidence...
  82. doi Early management of proximal humeral fractures with hemiarthroplasty: a systematic review
    G Kontakis
    Department of Orthopaedics and Trauma University Hospital of Heraklion, Crete, Greece 71110
    J Bone Joint Surg Br 90:1407-13. 2008
    ..8% and that of proximal migration of the humeral head 6.8%. The mean Constant score was 56.63 (11 to 98). At the final follow-up, no pain or only mild pain was experienced by most patients, but marked limitation of function persisted...
  83. ncbi Predicting recurrence after primary anterior shoulder dislocation
    Franz S Kralinger
    Department of Traumatology, University Hospital of Innsbruck, Innsbruck, Austria
    Am J Sports Med 30:116-20. 2002
    ..Patients in this age group who participate in high-risk sports activities should undergo primary surgical stabilization because of the increased risk of recurrence...
  84. ncbi Does the presence of a full-thickness rotator cuff tear influence outcome after proximal humeral fractures?
    Rajesh Nanda
    James Cook University Hospital, Middlesbrough, United Kingdom
    J Trauma 62:1436-9. 2007
    ..This study prospectively assessed whether the presence of a rotator cuff tear in association with a proximal humeral fracture influences functional prognosis...
  85. ncbi Nonprosthetic management of proximal humeral fractures
    Joseph P Iannotti
    Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland Clinic Lerner School of Medicine, Cleveland, Ohio, USA
    Instr Course Lect 53:403-16. 2004
    ..A discussion of nonsurgical and surgical treatment options and techniques needed to achieve anatomic reduction and stable fixation is important...
  86. ncbi Reverse total shoulder arthroplasty: a review of results according to etiology
    Bryan Wall
    Department of Orthopaedic Surgery, Clinique Sainte Anne Lumière, Lyon, France
    J Bone Joint Surg Am 89:1476-85. 2007
    ..The purpose of the present study was to evaluate the effects of etiology on the results of reverse total shoulder arthroplasty...
  87. ncbi Displaced proximal humeral fractures: part I. Classification and evaluation. 1970
    Charles S Neer
    Clin Orthop Relat Res 442:77-82. 2006
  88. ncbi The Polarus intramedullary nail for proximal humeral fractures: outcome in 28 patients followed for 1 year
    Nico Sosef
    Department of Surgery and Traumatology, Medical Centre Haaglanden, The Hague
    Acta Orthop 78:436-41. 2007
    ..One of the new treatment options for proximal humeral fractures is the minimally invasive intramedullary nail. In this study, we reviewed the early clinical results after 1 year...
  89. doi [Differential indication of anatomic and reversed shoulder prostheses in fracture sequelae]
    U Irlenbusch
    Orthopadische Klinik, Marienstift Arnstadt
    Z Orthop Unfall 146:478-85. 2008
    ..The aim of this study was to investigate if the differentiated use of anatomic and reversed prostheses in dependence of the preoperative anatomic situation is able to optimise the results...
  90. ncbi Surgical anatomy of multipart fractures of the proximal humerus
    Kazuya Tamai
    Department of Orthopaedic Surgery, Dokkyo University School of Medicine, 880 Kita Kobayashi, Mibu, Tochigi 321 0293, Japan
    J Shoulder Elbow Surg 11:421-7. 2002
    ..Thus, in our study population, the current classification systems were inaccurate for realizing the fracture anatomy, particularly humeral head status. They would be accurate if the articular surface orientation was taken into account...
  91. doi Initial post-fracture humeral head ischemia does not predict development of necrosis
    Johannes Dominik Bastian
    Department Clinical Research, Inselspital, Berne, Switzerland Department of Orthopaedic Surgery, Lindenhofspital, Berne, Switzerland
    J Shoulder Elbow Surg 17:2-8. 2008
    ..We conclude that osteosynthesis with preservation of the humeral head is worth considering when adequate reduction and stable conditions for revascularization can be obtained...
  92. ncbi [Treatment of proximal humeral fractures with the PHILOS angular stable plate. Presentation of 225 cases of dislocated fractures]
    M Kettler
    Chirurgische Klinik und Poliklinik Innenstadt, Klinikum der Ludwig Maximilians Universität München, Nussbaumstrasse 20, 80336, Munchen, Germany
    Unfallchirurg 109:1032-40. 2006
    ..It is hoped that advanced locking medullary screws or plates will reduce the risk of secondary dislocation of screws or fracture segments when the bone of the humeral head is osteoporotic...
  93. doi Functional outcome of shoulder hemiarthroplasty for fractures: A multicentre analysis
    Falk Reuther
    Department of Traumatology and Orthopaedics, DRK Hospital Berlin Köpenick, Salvador Allende Strasse 2 8, D 12559 Berlin, Germany
    Injury 41:606-12. 2010
    ..In this multicentre study, data on 102 shoulder hemiarthroplasties for the treatment of fractures were analysed retrospectively with regard to tuberosity healing and functional outcome...
  94. ncbi Two-part surgical neck fractures of the proximal part of the humerus. A biomechanical evaluation of two fixation techniques
    Sara L Edwards
    Department of Orthopaedic Surgery, Northwestern University, 645 North Michigan Avenue, Suite 910, Chicago, IL 60611, USA
    J Bone Joint Surg Am 88:2258-64. 2006
    ..The purpose of this study was to compare the biomechanical stability of a proximal humeral intramedullary nail and a locking plate for the treatment of a comminuted two-part fracture of the surgical neck in a human cadaver model...
  95. ncbi Clinical evaluation of a new custom offset shoulder prosthesis for treatment of complex fractures of the proximal humerus
    Alexander T Mehlhorn
    Department of Orthopaedic and Trauma Surgery, Albert Ludwigs University Freiburg, Germany
    Acta Orthop Belg 72:387-94. 2006
    ..These results emphasise the importance of a careful initial decision to select the most appropriate treatment modality in complex fractures of the proximal humerus...
  96. ncbi [The cloverleaf plate for osteosythesis of humeral head fractures. Definition of the current position]
    R Küchle
    Klinik und Poliklinik fur Unfallchirurgie, Universitätskliniken Mainz, Langenbeckstrasse 1, 55101, Mainz, Germany
    Unfallchirurg 109:1017-24. 2006
    ....
  97. ncbi Severely impacted valgus proximal humeral fractures. Results of operative treatment
    C Michael Robinson
    Orthopaedic Trauma Unit, The Royal Infirmary of Edinburgh, Scotland
    J Bone Joint Surg Am 85:1647-55. 2003
    ..The aim of this study was to review the functional and radiographic results and complications of a new operative technique in a series of twenty-five patients...
  98. pmc Does fixed-angle plate osteosynthesis solve the problems of a fractured proximal humerus? A prospective series of 87 patients
    Peter Helwig
    Department of Orthopaedics and Traumatology, Albert Ludwigs University, Freiburg, Germany
    Acta Orthop 80:92-6. 2009
    ..This prospective case series was designed to evaluate the perioperative and early postoperative complications associated with fixed-angle implants and to record outcome after bone healing...
  99. ncbi Proximal humeral fractures: how stiff should an implant be? A comparative mechanical study with new implants in human specimens
    H Lill
    Department of Trauma and Reconstructive Surgery, University of Leipzig, Liebigstr 20a, 04103 Leipzig, Germany
    Arch Orthop Trauma Surg 123:74-81. 2003
    ..The goal was to optimize implant stiffness for fracture stabilization even in weak bone stock...
  100. ncbi Combined fracture of the greater and lesser tuberosities with intact connection of the humeral head to the shaft
    Dominik C Meyer
    Department of Orthopaedic Surgery and Traumatology, Inselspital, University of Berne, Freiburgstrasse, Berne, Switzerland
    J Trauma 61:206-8. 2006
  101. ncbi [Management of complications after angularly stable locking proximal humerus plate fixation]
    C Voigt
    Klinik fur Unfall und Wiederherstellungschirurgie, Friederikenstift Hannover mit Unfallklinik, Humboldtstrasse 5, 30169 Hannover, Germany
    Chirurg 78:40-6. 2007
    ..In this prospective study, complications observed after angularly stable proximal humerus plate fixation (locking proximal humerus plate) were analysed by deriving specific therapies...