Surgical Neck Fracture

May 22, 2017 by in ORTHOPEDIC Comments Off on Surgical Neck Fracture

Fig. 11.1 Schematic drawing of the proximal humerus, axial view (red line tuberosity fracture, orange circle nail entry point, HH humeral head, GT greater tuberosity, LT lesser tuberosity): an adequate…

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Fracture-Dislocations

May 22, 2017 by in ORTHOPEDIC Comments Off on Fracture-Dislocations

Fig. 15.1 Complex three-part fracture-dislocation with bone loss between the lesser and greater tuberosities. (a) Anteroposterior X-ray showing the anterior dislocation of the head and the fracture of the lesser…

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External Fixation: When and How

May 22, 2017 by in ORTHOPEDIC Comments Off on External Fixation: When and How

Fig. 27.1 “Absolute safe zone” defined as equivalent in length to the patient’s own transepicondylar distance (a), when projected proximally from the lateral epicondyle (b) The elbow axis of rotation…

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Closed Reduction Principles

May 22, 2017 by in ORTHOPEDIC Comments Off on Closed Reduction Principles

Fig. 4.1 A two-part fracture pattern. The fragments are dislocated by the pectoralis major and deltoid muscle (a, anterolateral view), by the supraspinatus and subscapularis tendon (b, anterolateral view), and…

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Surgical Approaches Based on Fracture Patterns

May 22, 2017 by in ORTHOPEDIC Comments Off on Surgical Approaches Based on Fracture Patterns

Fig. 24.1 Indications for surgical approaches based on fracture patterns Fig. 24.2 Indications for posterior approaches based on fracture patterns 24.2 Lateral and Medial Approaches In trauma reconstruction, a medial…

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Malunion of Humeral Tuberosity Fractures

May 22, 2017 by in ORTHOPEDIC Comments Off on Malunion of Humeral Tuberosity Fractures

Fig. 13.1 Schematic drawing: displacement of the greater tuberosity >5 Fig. 13.2 Schematic drawing: arthroscopic fragment removal and rotator cuff reconstruction Displacement >5 mm of a larger fragment is managed…

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The Tuberosities

May 22, 2017 by in ORTHOPEDIC Comments Off on The Tuberosities

Fig. 12.1 (a) Single large fragment of greater tuberosity fracture: X-ray. (b) Arthroscopic treatment with two cannulated screws. (c) Postoperative X-ray Where there are several small or poor-quality fragments, fixation…

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Radial Palsy and Humerus Fractures

May 22, 2017 by in ORTHOPEDIC Comments Off on Radial Palsy and Humerus Fractures

Fig. 19.1 Radial nerve entrapped by external fixation screw. The early exploration, following the secondary nerve palsy, allowed a simple decompression with screw reposition. The radial nerve recovered in 2…

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Nerve Injuries in Proximal Humeral Fractures

May 22, 2017 by in ORTHOPEDIC Comments Off on Nerve Injuries in Proximal Humeral Fractures

Fig. 14.1 Epidemiology of damaged nerves after proximal humeral fractures according to Visser’s description 14.4 Clinical and Instrumental Diagnosis Every dislocation or fracture of the proximal humerus with or without…

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