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At least 829 records · Page 46Linked to original sources
PubMed1991

Brachial-plexus injury after clavicular fracture: case report and literature review.

Brachial plexus injury is a rare complication of the fractured clavicle. The authors describe the second reported case of brachial plexus injury due to secondary fracture displacement. This case emphasizes the following points: the neurologic status of the arm after a fracture of the clavicle must be documented; fractures of the middle one-third of the clavicle are prone to displacement; patients should be advised to report immediately any new symptoms in the arm; when fracture displacement is the cause of brachial-plexus compression then a trial of conservative therapy is indicated; the prognosis for neurologic recovery after this injury is good.

Brachial Plexus↗
PubMed1990

[Centro-medullary nailing in fractures of the upper end of the humerus in children and adolescents].

The authors report a series of 55 fractures of the upper extremity of the humerus in children and adolescents surgically treated by elastic intramedullary nailing. The place of this surgical technique is evaluated in the general treatment of these fractures, which have the prognostic always favorable. The results, with a 1 year follow-up, are all excellent or good on the functional and anatomical plan. The cases of mal union have been rare and the correction is obtained with growth. This way be explained by the capacity of remodeling of the upper humerus. The treatment of fractures of the upper extremity of the humerus is first orthopaedic in children and adolescents, but the osteosynthesis by elastic intramedullary nailing can represent a surgical method of choice in the fractures which are displaced, unstable or which need a thoraco-branchial plaster.

Adolescent↗
PubMed1989

[Minimal osteosynthesis of fractures of the head of the humerus. Indications, technic, results].

Between 1983 and 1987 minimal osteosynthesis for proximal humeral fractures was performed in 30 patients, 23 women and 7 men, with an average age of 58.5 years. According to the Neer classification there were 10 two-part, 9 three-part and 11 four-part fractures. Internal fixation was achieved with Kirschner wire (n = 9), cancellous screws (n = 4) or tension band (n = 17). The technique of internal fixation with Kirschner wire and lateral tension band is described. Follow-up examination was possible in 26 patients after 14 months. The functional results were excellent in 6 cases, good in 4, satisfactory in 14, and poor in 2 cases. According to Neer's protocol the overall results were excellent in 5 cases, satisfactory in 7 cases, unsatisfactory in 7 cases and poor in 7 cases. The treatment of displaced proximal humeral fractures, especially in elderly patients, is still an unsolved problem. As functional results were satisfactory or even better in three-quarters of the four-part fractures treated, we conclude that internal fixation using Kirschner wire and tension band can be recommended.

Adolescent↗
PubMed1988

Comminuted fractures of the proximal humerus.

Difficulty in fully defining the injury, patient characteristics, osteoporosis, technically difficult surgery, the need for carefully supervised physiotherapy, and the realization that a poor initial result is very difficult to reconstruct make the comminuted fracture of the proximal humerus a problem fracture. The literature on this fracture is also incomplete and confusing. The solutions are many and complex: use adequate roentgenograms to understand the traumatic lesion, be careful to avoid denying older patients effective surgical treatment, use a safe and simple surgical approach, know the options for internal fixation, recognize the values of prosthetic replacement, avoid technical pitfalls, and thoughtfully supervise the postoperative patient care.

Fracture Fixation, Internal↗
PubMed1987

[Compound fractures of the proximal humerus].

This paper stresses the importance of considering reconstructive measures when dealing with complex fractures, including fracture dislocations of the proximal humerus. Mainly, we try to use "biological" techniques with minimal exploration and internal fixation for stabilization. Indications for internal fixation are compared with prosthetic replacement and primary fusion.

Bone Plates↗