The fracture of the proximal humerus is the second most common injury to the upper extremity. In severe fractures, surgery may be necessary which can be in the form of a locking plate holding the bones in place. This study examines the effect of including a bonegraft alongside the locking plate. ScanIP and +ScanCAD (Simpleware Ltd) were used to segment the proximal humerus from a CT scan, and t...

Secure fixation of displaced proximal fractures of the humerus is a challenging problem. A total of 32 patients with acutely displaced three- or four-part proximal fractures of the humerus were treated by open reduction and internal fixation using the proximal humeral internal locking system (PHILOS) plate. There were 23 women and nine men with a mean age of 59.9 years (18 to 87). Data were col...

Background: The aim of this study was to assess differences in fracture morphology and displacement betweenisolated greater tuberosity (GT) fractures (i.e. fractures of the greater tuberosity without other fractures of the proximalhumerus) with and without shoulder dislocation utilizing quantitative 3-dimensional CT imaging.Methods: Thirty-four CT-scans of isolated greater tuberosity fractures ...

The case presented here describes a 26 year old female, with no significant past medical history, experiencing, over a period of two months, pains located at the level of the proximal part of the right humerus radiating to the shoulder. She was afebrile and without any further deterioration. Clinical examination showed swelling of the external face of the left arm, painful to palpation, without...

Aim: To evaluate the safety, usefulness, and practical outcome of the locked proximal humerus plate (LPHP) to treat proximal humerus fractures. Setting: Patel hospital Karachi, Indus Hospital Karachi and Civil Hospital Karachi. Methods: Over a 08 month period, 64 consecutive patients were treated with a LPHP for an unstable or displaced proximal humerus fracture. Demographic data, trauma mechan...

This study evaluated forearm compartment pressures in 29 children with supracondylar humerus fractures. Pressures were measured before and after reduction in the dorsal, superficial volar, and deep volar compartments at the proximal 1/6th and proximal 1/3rd forearm. Pressures in the deep volar compartment were significantly elevated compared with pressures in other compartments. There were also...

OBJECTIVE To present the case of an 18-year-old collegiate decathlete with a Salter-Harris type I epiphyseal plate fracture of the proximal humerus. BACKGROUND A collegiate decathlete was playing flag football and fell on an outstretched arm. He was taken to the emergency room and diagnosed with a type I epiphyseal plate fracture. DIFFERENTIAL DIAGNOSIS AC sprain, dislocation or subluxation...

We retrospectively studied 14 patients with proximal and diaphyseal tumours and disappearing bone (Gorham's) disease of the humerus treated with wide resection and reconstruction using an allograft-resurfacing composite (ARC). There were ten women and four men, with a mean age of 35 years (8 to 69). At a mean follow-up of 25 months (10 to 89), two patients had a fracture of the allograft. In on...