humeral fractures

Summary

Summary: Fractures of the HUMERUS.

Top Publications

  1. Kocher M, Kasser J, Waters P, Bae D, Snyder B, Hresko M, et al. Lateral entry compared with medial and lateral entry pin fixation for completely displaced supracondylar humeral fractures in children. A randomized clinical trial. J Bone Joint Surg Am. 2007;89:706-12 pubmed
  2. Brorson S, Eckardt H, Audige L, Rolauffs B, Bahrs C. Translation between the Neer- and the AO/OTA-classification for proximal humeral fractures: do we need to be bilingual to interpret the scientific literature?. BMC Res Notes. 2013;6:69 pubmed publisher
    The reporting and interpretation of data from clinical trials of proximal humeral fractures are hampered by the use of two partly incommensurable fracture classification systems: the Neer classification and the AO/OTA classification...
  3. Han Q, Wang Y, Liu F. Comparison of complications and results of early versus delayed surgery for Gartland type III supracondylar humeral fractures in pediatric patients. Orthop Surg. 2011;3:242-6 pubmed publisher
    To investigate the effect of timing of surgery on clinical results and perioperative complications in pediatric patients with Gartland III type supracondylar humeral fractures without neurovascular compromise.
  4. Mahan S, Osborn E, Bae D, Waters P, Kasser J, Kocher M, et al. Changing practice patterns: the impact of a randomized clinical trial on surgeons preference for treatment of type 3 supracondylar humerus fractures. J Pediatr Orthop. 2012;32:340-5 pubmed publisher
    ..But have surgeons actually changed their practice as a result of these recent data? The purpose of this study was to compare pin configuration, loss of reduction and rate of nerve injuries before and after the RCT...
  5. Edmonds E, Roocroft J, Mubarak S. Treatment of displaced pediatric supracondylar humerus fracture patterns requiring medial fixation: a reliable and safer cross-pinning technique. J Pediatr Orthop. 2012;32:346-51 pubmed publisher
    ..As medial fixation may be necessary for certain fracture patterns, this study was conducted to evaluate the risk of ulnar neuropathy using a technique here described and developed to minimize injury to this structure...
  6. Gottschalk H, Sagoo D, Glaser D, Doan J, Edmonds E, Schlechter J. Biomechanical analysis of pin placement for pediatric supracondylar humerus fractures: does starting point, pin size, and number matter?. J Pediatr Orthop. 2012;32:445-51 pubmed publisher
    ..An analysis of varying pin size, number, and lateral starting points has not been performed previously...
  7. Swanson C, Chang K, Schleyer E, Pizzutillo P, Herman M. Postoperative pain control after supracondylar humerus fracture fixation. J Pediatr Orthop. 2012;32:452-5 pubmed publisher
  8. Fletcher N, Schiller J, Garg S, Weller A, Larson A, Kwon M, et al. Increased severity of type III supracondylar humerus fractures in the preteen population. J Pediatr Orthop. 2012;32:567-72 pubmed publisher
    ..We hypothesized that there would be more complications in older children, reflecting a higher-energy injury mechanism...
  9. Wu C, Ma C, Yeh J, Yen C, Yu S, Tu Y. Locked plating for proximal humeral fractures: differences between the deltopectoral and deltoid-splitting approaches. J Trauma. 2011;71:1364-70 pubmed publisher
    Locking proximal humerus plate (LPHP) fixation has recently become available for the treatment of proximal humeral fractures. However, the preliminary results were contradictory...

More Information

Publications62

  1. Konrad G, Audige L, Lambert S, Hertel R, Sudkamp N. Similar outcomes for nail versus plate fixation of three-part proximal humeral fractures. Clin Orthop Relat Res. 2012;470:602-9 pubmed publisher
    There is a lack of consensus regarding optimal surgical management of displaced and unstable three-part proximal humeral fractures.
  2. Mulpuri K, Wilkins K. The treatment of displaced supracondylar humerus fractures: evidence-based guideline. J Pediatr Orthop. 2012;32 Suppl 2:S143-52 pubmed publisher
  3. Spencer H, Dorey F, Zionts L, Dichter D, Wong M, Moazzaz P, et al. Type II supracondylar humerus fractures: can some be treated nonoperatively?. J Pediatr Orthop. 2012;32:675-81 pubmed publisher
    ..However, the clinical difficulty in using this approach lies in determining which type II SCHFs can be managed successfully without a surgical intervention...
  4. Rose D, Smith T, Nielsen D, Hing C. Expandable intramedullary nails for humeral fractures: a systematic review of clinical and radiological outcomes. Eur J Orthop Surg Traumatol. 2013;23:1-11 pubmed publisher
    ..Overall, 7.8% of humeral fractures treated with an expandable nail went on to non-union...
  5. Silva M, Wong T, Bernthal N. Outcomes of reduction more than 7 days after injury in supracondylar humeral fractures in children. J Pediatr Orthop. 2011;31:751-6 pubmed publisher
    ..Although closed reduction and percutaneous pinning are desirable for displaced supracondylar humeral fractures treated acutely, there is little or no available information regarding the surgeon's ability to obtain a ..
  6. Tressler M, Richards J, Sofianos D, Comrie F, Kregor P, Obremskey W. Bone morphogenetic protein-2 compared to autologous iliac crest bone graft in the treatment of long bone nonunion. Orthopedics. 2011;34:e877-84 pubmed publisher
  7. Papasoulis E, Drosos G, Ververidis A, Verettas D. Functional bracing of humeral shaft fractures. A review of clinical studies. Injury. 2010;41:e21-27 pubmed publisher
    ..Nevertheless, in the few studies that subjective parameters such as functional scores, pain and quality of life were assessed results were not so promising...
  8. Jovanovic A, Pirpiris M, Semirli H, Doig S. Fixion nails for humeral fractures. Injury. 2004;35:1140-2 pubmed
    b>Humeral fractures in the setting of multi-trauma are usually managed with internal fixation. We prospectively followed nine patients treated with an expandable nail (Fixion, DiscoTech, Medical Technologies, Herzliya, Israel), until union...
  9. Mighell M, Harkins D, Klein D, Schneider S, Frankle M. Technique for internal fixation of capitellum and lateral trochlea fractures. J Orthop Trauma. 2006;20:699-704 pubmed
    ..When possible, the surgical exposure employed preserves the lateral ulnar collateral ligament (LUCL) and minimizes disruption of the soft tissues posterior to the capitellum...
  10. Omid R, Choi P, Skaggs D. Supracondylar humeral fractures in children. J Bone Joint Surg Am. 2008;90:1121-32 pubmed publisher
    Operative fixation is indicated for most type-II and III supracondylar humeral fractures in order to prevent malunion...
  11. Bhandari M, Devereaux P, McKee M, Schemitsch E. Compression plating versus intramedullary nailing of humeral shaft fractures--a meta-analysis. Acta Orthop. 2006;77:279-84 pubmed
    ..A meta-analysis of existing trials would improve inferences regarding the treatment effect...
  12. Sankar W, Hebela N, Skaggs D, Flynn J. Loss of pin fixation in displaced supracondylar humeral fractures in children: causes and prevention. J Bone Joint Surg Am. 2007;89:713-7 pubmed
    Although the results are generally good following pin fixation of supracondylar humeral fractures in children, occasionally there is postoperative displacement...
  13. Iobst C, Spurdle C, King W, Lopez M. Percutaneous pinning of pediatric supracondylar humerus fractures with the semisterile technique: the Miami experience. J Pediatr Orthop. 2007;27:17-22 pubmed
    ..This indicates that observation overnight in the hospital may not be necessary for every patient...
  14. Defranco M, Lawton J. Radial nerve injuries associated with humeral fractures. J Hand Surg Am. 2006;31:655-63 pubmed
    ..The principles of management and the clinical outcomes of various treatment strategies, defined in the literature, are reviewed in this article...
  15. Lee Y, Lee S, Kim B, Chung M, Baek G, Gong H, et al. Three lateral divergent or parallel pin fixations for the treatment of displaced supracondylar humerus fractures in children. J Pediatr Orthop. 2008;28:417-22 pubmed publisher
    ..To evaluate the efficacy of lateral or parallel pin fixation using 3 smooth Kirschner wires (K-wires) or smooth Steinmann pins for the operative management of displaced supracondylar humeral fracture in a consecutive series of children...
  16. Anglen J, Archdeacon M, Cannada L, Herscovici D. Avoiding complications in the treatment of humeral fractures. J Bone Joint Surg Am. 2008;90:1580-9 pubmed
  17. Sanchez Sotelo J, O DRISCOLL S, Morrey B. Periprosthetic humeral fractures after total elbow arthroplasty: treatment with implant revision and strut allograft augmentation. J Bone Joint Surg Am. 2002;84-A:1642-50 pubmed
    ..The purpose of the present study was to determine the results of implant revision and strut allograft augmentation for the treatment of humeral periprosthetic fractures that occur around a loose humeral component...
  18. Calvo E, de Miguel I, de la Cruz J, López Martín N. Percutaneous fixation of displaced proximal humeral fractures: indications based on the correlation between clinical and radiographic results. J Shoulder Elbow Surg. 2007;16:774-81 pubmed
    We evaluated 74 patients with displaced proximal humeral fractures (mean age, 70.9 years) treated with closed reduction and percutaneous pinning...
  19. An Z, Zeng B, He X, Chen Q, Hu S. Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique. Int Orthop. 2010;34:131-5 pubmed publisher
  20. Jawa A, McCarty P, Doornberg J, Harris M, Ring D. Extra-articular distal-third diaphyseal fractures of the humerus. A comparison of functional bracing and plate fixation. J Bone Joint Surg Am. 2006;88:2343-7 pubmed
    ..There are strong advocates for both operative and nonoperative treatment of distal-third diaphyseal fractures of the humerus, but there are few comparative data. We performed a retrospective comparison of these two treatment methods...
  21. Sanchez Sotelo J, Torchia M, O Driscoll S. Complex distal humeral fractures: internal fixation with a principle-based parallel-plate technique. J Bone Joint Surg Am. 2007;89:961-9 pubmed
    ..The purpose of this study was to determine the outcome of treating these fractures with a principle-based technique that maximizes fixation in the articular fragments and stability at the supracondylar level...
  22. Singisetti K, Ambedkar M. Nailing versus plating in humerus shaft fractures: a prospective comparative study. Int Orthop. 2010;34:571-6 pubmed publisher
    ..Functional scoring criteria were used for postoperative assessment and the average follow-up period was one year. A higher rate of excellent and good results and a tendency for earlier union was seen with the plating group in our series...
  23. Mangwani J, Nadarajah R, Paterson J. Supracondylar humeral fractures in children: ten years' experience in a teaching hospital. J Bone Joint Surg Br. 2006;88:362-5 pubmed
    ..Only 22 (4%) patients had a long-term deformity, nine (3%) from malreduction and three (1%) because of growth arrest, but corrective surgery for functional limitation was required in only three (1%) patients...
  24. Brauer C, Lee B, Bae D, Waters P, Kocher M. A systematic review of medial and lateral entry pinning versus lateral entry pinning for supracondylar fractures of the humerus. J Pediatr Orthop. 2007;27:181-6 pubmed
  25. Ekholm R, Tidermark J, Tornkvist H, Adami J, Ponzer S. Outcome after closed functional treatment of humeral shaft fractures. J Orthop Trauma. 2006;20:591-6 pubmed
    ..The aim of this study was to investigate the outcome after an isolated humeral shaft fracture treated primarily nonoperatively with a fracture brace...
  26. Ekholm R, Adami J, Tidermark J, Hansson K, Tornkvist H, Ponzer S. Fractures of the shaft of the humerus. An epidemiological study of 401 fractures. J Bone Joint Surg Br. 2006;88:1469-73 pubmed
    ..Only 2% of the fractures were open and 8% were pathological. These figures are representative of a population with a low incidence of high-energy and penetrating trauma, which probably reflects the situation in most European countries...
  27. Kent M, Sinopidis C, Brown D, Frostick S. The locking compression plate in periprosthetic humeral fractures A review of two cases. Injury. 2005;36:1241-5 pubmed
  28. Gajdobranski D, Marić D, Tatić M, Durić Nosek D, Mikov A. [Osteosynthesis with Kirschner wires in the treatment of dislocated supracondylar humeral fractures in children]. Med Pregl. 2003;56:355-61 pubmed
    ..Treatment included orthopedic repositioning and percutaneous pin fixation...
  29. Bashyal R, Chu J, Schoenecker P, Dobbs M, Luhmann S, Gordon J. Complications after pinning of supracondylar distal humerus fractures. J Pediatr Orthop. 2009;29:704-8 pubmed publisher
    ..Few data exist regarding the rate of infection and other complications. The purpose of this study is to review a large series of children to evaluate the rate of infection and other complications...
  30. Griffin K, Walsh S, Markar S, Tang T, Boyle J, Hayes P. The pink pulseless hand: a review of the literature regarding management of vascular complications of supracondylar humeral fractures in children. Eur J Vasc Endovasc Surg. 2008;36:697-702 pubmed publisher
    ..A child with a pink pulseless hand post-fracture reduction can be managed expectantly unless additional signs of vascular compromise develop, in which case exploration should be undertaken...
  31. Korner J, Lill H, Müller L, Rommens P, Schneider E, Linke B. The LCP-concept in the operative treatment of distal humerus fractures--biological, biomechanical and surgical aspects. Injury. 2003;34 Suppl 2:B20-30 pubmed
    ..LCPs might be of substantial advantage in patients with diminished bone mineral quality or in the presence of metaphyseal comminution...
  32. Lim K, Yap C, Ong S, Aminuddin -. Plate osteosynthesis of the humerus shaft fracture an its association with radial nerve injury--a retrospective study in Melaka General Hospital. Med J Malaysia. 2001;56 Suppl C:8-12 pubmed
    ..The recovery from post-traumatic wrist drop was 83%. The average duration taken for recovery was 11.8 weeks. The incidence of post-operative wrist drop was high at 17.6% but all recovered during follow-up...
  33. Ring D, Jupiter J, Gulotta L. Articular fractures of the distal part of the humerus. J Bone Joint Surg Am. 2003;85-A:232-8 pubmed
    ..The purpose of this retrospective study was to identify the patterns of distal humeral articular fractures and to analyze the results of open reduction and internal fixation of these injuries...
  34. Kesemenli C, Subasi M, Arslan H, Necmioglu S, Kapukaya A. Treatment of humeral diaphyseal nonunions by interlocked nailing and autologous bone grafting. Acta Orthop Belg. 2002;68:471-5 pubmed
    ..We think that its low rate of infection, low risk of injury to the radial nerve, and low requirement for soft tissue dissection make it a suitable choice in the treatment of nonunions of the humeral diaphysis...
  35. Kumar S, Sperling J, Haidukewych G, Cofield R. Periprosthetic humeral fractures after shoulder arthroplasty. J Bone Joint Surg Am. 2004;86-A:680-9 pubmed
    Currently, there is little information concerning periprosthetic humeral fractures after shoulder arthroplasty...
  36. Loizou C, Simillis C, Hutchinson J. A systematic review of early versus delayed treatment for type III supracondylar humeral fractures in children. Injury. 2009;40:245-8 pubmed publisher
    We performed a systematic review of early versus delayed treatment for type III Gartland supracondylar humeral fractures in children. We identified five non-randomised retrospective studies that fulfilled our criteria...
  37. Ring D, Chin K, Taghinia A, Jupiter J. Nonunion after functional brace treatment of diaphyseal humerus fractures. J Trauma. 2007;62:1157-8 pubmed
    ..To assess which fractures of the humeral diaphysis are prone to nonunion after functional bracing by analyzing patients that present for treatment of nonunion after brace treatment...
  38. Smith J, McFeely E, Bae D, Waters P, Micheli L, Kocher M. Operative fixation of medial humeral epicondyle fracture nonunion in children. J Pediatr Orthop. 2010;30:644-8 pubmed publisher
    ..The purpose of this investigation was to describe the presenting symptoms and evaluate the results of surgical fixation of medial epicondyle nonunions...
  39. Clowes J, Eastell R, Peel N. The discriminative ability of peripheral and axial bone measurements to identify proximal femoral, vertebral, distal forearm and proximal humeral fractures: a case control study. Osteoporos Int. 2005;16:1794-802 pubmed
    ..The ability of different bone measurements to discriminate between fracture cases and controls is device- and site-specific, with additional information obtained by combining measurement sites and technologies...
  40. Toivanen J, Nieminen J, Laine H, Honkonen S, Jarvinen M. Functional treatment of closed humeral shaft fractures. Int Orthop. 2005;29:10-3 pubmed
    ..Logistic regression analysis revealed the only predictive factor in respect to successful brace treatment was fracture location. No significant difference was found in respect to healing between different AO-type fractures...
  41. Pullen C, Manzotti A, Catagni M, Guerreschi F. Treatment of post-traumatic humeral diaphyseal nonunion with bone loss. J Shoulder Elbow Surg. 2003;12:436-41 pubmed
    ..The Ilizarov method, though not a panacea for all humeral nonunions with extensive bone loss, does offer a viable salvage procedure in this unusual and often complex clinical problem...
  42. Cardona J, Riddle E, Kumar S. Displaced fractures of the lateral humeral condyle: criteria for implant removal. J Pediatr Orthop. 2002;22:194-7 pubmed
    ..The implants should not be removed until healing can be demonstrated radiographically. This time averaged 6 or more weeks in most of the patients in this study...
  43. Cole P, Wijdicks C. The operative treatment of diaphyseal humeral shaft fractures. Hand Clin. 2007;23:437-48, vi pubmed
    ..This article emphasizes surgical approaches to humeral fractures, providing a review of the surgical spectrum of treatment inclusive of intramedullary nailing and plating, ..
  44. Sarmiento A, Latta L. [Humeral diaphyseal fractures: functional bracing]. Unfallchirurg. 2007;110:824-32 pubmed
    ..On the other hand, functional bracing of diaphyseal humeral fractures has, maintained the initial indications, contraindications and methodology...
  45. Shao Y, Harwood P, Grotz M, Limb D, Giannoudis P. Radial nerve palsy associated with fractures of the shaft of the humerus: a systematic review. J Bone Joint Surg Br. 2005;87:1647-52 pubmed
    ..A treatment algorithm for the management of radial nerve palsy associated with fracture of the shaft of the humerus is recommended by the authors...
  46. Robinson C, Hill R, Jacobs N, Dall G, Court Brown C. Adult distal humeral metaphyseal fractures: epidemiology and results of treatment. J Orthop Trauma. 2003;17:38-47 pubmed
    ..To examine the epidemiology and results of treatment of fractures of the distal humeral metaphysis...
  47. Ayubi N, Mayr J, Sesia S, Kubiak R. [Treatment of lateral humeral condyle fractures in children]. Oper Orthop Traumatol. 2010;22:81-91 pubmed publisher
    ..Surgical treatment of lateral humeral condyle fractures with reduction and retention in order to prevent lasting malalignment, pseudarthrosis, and joint instability...
  48. Tejwani N, Murthy A, Park J, McLaurin T, Egol K, Kummer F. Fixation of extra-articular distal humerus fractures using one locking plate versus two reconstruction plates: a laboratory study. J Trauma. 2009;66:795-9 pubmed publisher
    To compare the strength and stiffness of standard double-plate fixation with that of a single-locking plate for comminuted extra-articular distal humeral fractures.
  49. O Driscoll S. Optimizing stability in distal humeral fracture fixation. J Shoulder Elbow Surg. 2005;14:186S-194S pubmed
    ..From the biomechanical data in the literature, 3 conclusions can be reached concerning fixation of distal humeral fractures. First, the concept that plates need to be placed perpendicular (90 degrees /90 degrees orientation) is ..
  50. Livani B, Belangero W. Bridging plate osteosynthesis of humeral shaft fractures. Injury. 2004;35:587-95 pubmed
    ..We had no major complications. All patients recovered good function of the limb without significant residual deformity...
  51. Skaggs D, Cluck M, Mostofi A, Flynn J, Kay R. Lateral-entry pin fixation in the management of supracondylar fractures in children. J Bone Joint Surg Am. 2004;86-A:702-7 pubmed
    There has been controversy regarding the optimal pin configuration in the management of supracondylar humeral fractures in children...
  52. Lee S, Mahar A, Miesen D, Newton P. Displaced pediatric supracondylar humerus fractures: biomechanical analysis of percutaneous pinning techniques. J Pediatr Orthop. 2002;22:440-3 pubmed
  53. Blakey C, Biant L, Birch R. Ischaemia and the pink, pulseless hand complicating supracondylar fractures of the humerus in childhood: long-term follow-up. J Bone Joint Surg Br. 2009;91:1487-92 pubmed publisher