Article
Medicine, General & Internal
Samuel Richard Abbot, Susanna Proudman, Kelly Hall, Nicole Williams
Summary: This study aims to evaluate the outcomes of pediatric PHFs patients at the Women's and Children's Hospital in South Australia, determining each participant's pain and quality-of-life outcomes, as well as clinical variables associated with worse clinical outcomes.
Review
Medicine, General & Internal
Hayden P. Baker, Joseph Gutbrod, Jason A. Strelzow, Nicholas H. Maassen, Lewis Shi
Summary: Proximal humerus fractures, the third most common fracture type in adults, have diverse approaches to classification and treatment, with optimal treatments still under debate. This review summarizes current and historical treatment modalities for proximal humerus fractures, providing updates on advancements and trends in epidemiology, classification, and both operative and nonoperative treatments.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Thermodynamics
Laszlo G. Not, Andras Bata, Zoltan Labas, Hajnalka Szabo, Janos Cifra, Denes Lorinczy
Summary: This study aims to evaluate the degeneration of tendons by detecting thermal parameter changes in LHBT samples using DSC. LHBT tendons were collected and evaluated macroscopically, radiologically, and histologically, and it was found that LHBT samples from patients who underwent reversed shoulder arthroplasty had minimal or mild degeneration. Based on preoperative examination and analysis, the authors suggest that DSC could be an important tool for evaluating tendon injuries.
JOURNAL OF THERMAL ANALYSIS AND CALORIMETRY
(2022)
Article
Orthopedics
Arin E. Kim, Hannah Chi, Ishaan Swarup
Summary: The treatment of proximal humerus fractures depends on the patient's age, fracture displacement, and remodeling capacity, with different treatment options for different individuals. Understanding the anatomy of the proximal humerus is crucial in guiding the proper management of these fractures.
CURRENT REVIEWS IN MUSCULOSKELETAL MEDICINE
(2021)
Article
Medicine, General & Internal
Annika Haettich, Tim Jodokus Harloff, Hatice Sari, Carsten Schlickewei, Christopher Cramer, Andre Strahl, Karl-Heinz Frosch, Konrad Mader, Till Orla Klatte
Summary: This study aimed to investigate the influence of fracture reduction after intramedullary nailing of proximal humeral fractures on the clinical outcome. The results showed that anatomical reduction had a positive effect on postoperative scores, but the differences compared to the malreduction group were not statistically significant.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Jan-Philipp Imiolczyk, Ulrich Brunner, Tankred Imiolczyk, Florian Freislederer, David Endell, Markus Scheibel
Summary: RSA is a suitable treatment option for head-split fractures, with good clinical and radiographic outcomes; high-energy trauma has a significant impact on functional results, while patients with multifragmentation to the humeral head perform the worst.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Orthopedics
Patrick E. Saunders, J. Brock Walker, Evan Lederman, Michael D. McKee
Summary: Treatment options for proximal humeral fractures include nonoperative treatment, open reduction internal fixation, humeral hemiarthroplasty, or reverse shoulder arthroplasty. Reverse shoulder arthroplasty offers a predictable solution for pain relief and functional recovery in challenging fractures among elderly patients.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Orthopedics
Ingrid Bones, Anna Cecilie Karlberg, Maria Liljeholm, Alexander Nilsskog Fraser, Jan Erik Madsen, Tore Fjalestad
Summary: This study investigated whether using blunt pegs instead of pointed screws reduced the risk of secondary penetration into the glenohumeral joint after operatively treated proximal humerus fractures. The results showed that there were no differences in the number of screw or peg penetrations between the two groups, and the occurrence of avascular humeral head necrosis was also equal. However, patients without joint penetrations had better functional outcomes at 1 year.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Orthopedics
Dane J. Brodke, Ajay Gurbani, Christopher Lee
Summary: The surgical treatment of proximal humerus fractures is commonly associated with high complication rates. However, innovations in technique and implant design are improving the success rates and mitigating some failures.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Critical Care Medicine
Kyle J. Klahs, Kelly V. V. Fitzpatrick, James A. Blair, Nata Parnes, Leon J. Nesti, John C. Dunn
Summary: This study found a 37% decrease in operatively treated proximal humerus fractures among ABOS candidates between 2010 and 2020, with a trend towards open reduction internal fixation over arthroplasty. Subspecialty trained surgeons showed variations in the use of arthroplasty, and the Southeast region was less likely to perform arthroplasty compared to other regions.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Orthopedics
Yilmaz Demir, Hanna Sjoberg, Andre Stark, Bjorn Salomonsson
Summary: This study aimed to examine the validity, reliability and responsiveness of WOOS as a PROM for proximal humerus fractures treated with shoulder arthroplasty. The results showed that WOOS had good correlations with other shoulder-specific scores and had excellent test-retest reliability. Based on this study, we recommend the continued use of WOOS in shoulder arthroplasty registries and observational studies.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Orthopedics
Adeshina Adeyemo, Nicholas Bertha, Kevin J. Perry, Gary Updegrove
Summary: Implant selection in operative proximal humerus fractures should be guided by various factors including age, physiologic status, fracture pattern, bone quality, available augments, and surgeon training. Reverse total shoulder arthroplasty is increasingly seen as a reliable procedure for complex proximal humerus fractures in older patients with poor bone quality.
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2021)
Article
Critical Care Medicine
Simon Lambert, Stig Brorson, Alexander Joeris, Holger Durchholz, Fabrizio Moro, Laurent Audige
Summary: This study aimed to develop a standardized protocol for the image-based monitoring of proximal humerus fractures (PHF) and provide a minimum set of definitions for radiographic features, to be used in clinical practice and research.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Review
Orthopedics
Borja Segarra, Marta Molina, Luis Aguilella
Summary: This study analyzed the outcomes and complication rates of fibular allografts as an augmentation technique for proximal humeral fractures and provided recommendations for their appropriate indications. The results showed that fibular allografts improved clinical and radiological outcomes and reduced complications. It may be most suitable for patients with 4-part fractures and medial column disruption, especially in younger adults.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Orthopedics
Hayden B. Schuette, Nathaniel J. Starcher, Craig C. Goubeaux, Daniel T. DeGenova, Jacob J. Triplet, Sanjay Mehta, Benjamin C. Taylor
Summary: This study compared the outcomes of reverse shoulder arthroplasty (RSA) for proximal humerus fractures through deltopectoral (DP) and deltoid split (DS) surgical approaches. The results showed that there were no significant differences in intraoperative and postoperative outcomes, reoperation rates, or complication rates between the two approaches.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)