The results of 39 humeral shaft fractures (37 patients) treated with antegrade locked nailing using a Russell-Taylor nail were reviewed. There were 30 acute fractures, 6 fractures malaligned in a hanging cast or brace, and 3 pathological fractures. Patient age ranged from 26 to 80 years (average, 59.7 years) and average follow-up was 25.7 months (range, 6-48 months). Fracture union was achieved...

We report a case of a stress fracture of the scapular spine which developed as a late complication of a reverse shoulder arthroplasty. After initially doing well after surgery, our patient developed pain and decreased shoulder function. A nondisplaced scapular spine fracture was noted on radiographs. Because reverse shoulder arthroplasty is a relatively new procedure in this country, radiologis...

A proximal humerus fracture typically occurs when an elderly woman falls directly onto her shoulder or on her outstretched arm. Local pain in the shoulder and immobility of the upper arm raise a suspicion of a significant injury. Other bone and tendon injuries in the shoulder region as well as dislocation of the shoulder should be considered on differential diagnosis. Diagnosis is achieved by p...

background: the aim of this study was to determine the treatment outcome of humeral shaft fractures with a locked rigid intramedullary nail in patients indicated for surgical treatment. methods: in this descriptive-cross sectional study, all patients were followed up for one, six, and 18 months post operatively. the short form questionnaire (sf-36) and constant shoulder score were applied. resu...

Shoulder pain is the third most common presentation complain in primary care practice. Age is a factor which plays an important role in predicting injuries. Clavicular fracture is due to traumatic mostly seen in children and adults whereas fractures of the head of the humerus are most commonly seen in the elderly. Shoulder dislocations are more common in teens to the fourth decade. Other condit...

The radiographs of 115 anterior shoulder dislocations (100 patients; 74 males, 26 female were reviewed to assess the radiographic views used in the management of this dislocation. Eighty-eight patients (88%) had only the anteroposterior (AP) view, 10 patients had 2 radiographic views taken and only 2 patients had three radiographic views. Hill-Sachs lesions were found in 18%, and glenoid rim fr...

What are the indications for shoulder replacement surgery? The most common indication for shoulder replacement remains primary glenohumeral osteoarthritis. Other indications include complex proximal humeral fractures, rheumatoid arthritis and other inflammatory arthropathies, humeral head osteonecrosis, instability arthropathy, posttraumatic arthritis, chronic fixed glenohumeral dislocation, ro...

A single antegrade Rush nail was used to treat 37 fractures of the distal humerus extending to the olecranon fossa and up to 6.5 cm proximal to it. In order to stabilise the fracture, the bent tip of the Rush nail was directed into the lateral epicondylar ridge. This gave immediate stability. All the fractures united without residual stiffness of the shoulder or elbow.

Shoulder pain is the third most common presentation complain in primary care practice. Age is a factor which plays an important role in predicting injuries. Clavicular fracture is due to traumatic mostly seen in children and adults whereas fractures of the head of the humerus are most commonly seen in the elderly. Shoulder dislocations are more common in teens to the fourth decade. Other condit...

Electrical injuries sometimes cause grave internal lesions that go unnoticed in an initial exploration. Low-tension electrical energy can produce burns of variable depth by flash or conduction, but we rarely find fractures. This case reports a case of bilateral shoulder fractures secondary to low-voltage injury which were undiagnosed in the emergency approach.