BACKGROUND Humeral shaft fractures are generally managed with the conventional posterior open reduction and internal fixation (ORIF) or minimally invasive plate osteosynthesis (MIPO). This study was aimed at comparing the outcomes of these surgical techniques in terms of the vascular integrity of the mid-distal humeral shaft. METHODS Twelve upper limbs were harvested from 6 fresh cadavers. OR...

BACKGROUND The treatment of unstable displaced proximal humeral fractures, especially in the elderly, remains controversial. The objective of the present prospective, multicenter, observational study was to evaluate the functional outcome and the complication rate after open reduction and internal fixation of proximal humeral fractures with use of a locking proximal humeral plate. METHODS One...

BACKGROUND Patients who suffer anterior shoulder dislocations are at higher risk of developing glenohumeral arthropathy, but little is known about the initial cartilage damage after a primary shoulder dislocation. T1ρ is a magnetic resonance imaging (MRI) technique that allows quantification of cartilage proteoglycan content and can detect physiologic changes in articular cartilage. PURPOSE T...

CONTEXT Researchers have established that superior migration of the humeral head increases after fatigue of the rotator cuff muscles. In these studies, the investigators used imaging techniques to assess migration of the humeral head during statically held shoulder positions. Their results may not represent the amount of superior humeral head migration that occurs during dynamic arm elevation. ...

Introduction Reverse shoulder arthroplasty is an increasingly popular treatment option for cuff tear arthropathy and other degenerative conditions of the glenohumeral joint that have been previously treated with limited success. Concerns about scapular notching have driven design and surgical technique modifications by manufacturers and surgeons in order to improve range of motion (ROM) and sta...

BACKGROUND The epidemiology of fractures of the humeral shaft has received little attention in Nigeria. This study was aimed at investigating the possible risk factors associated with diaphyseal humeral fractures among Nigerians. METHODS The study was carried out retrospectively at the Department of Medical Records, National Orthopaedic Hospital, Igbobi, Lagos State, Nigeria, between 2007 and...

CONTEXT Functional humeral bracing remains the gold standard for treatment of humeral shaft fractures. There is an increasing trend in the literature to perform operative fixation of these fractures. EVIDENCE ACQUISITION The aim of this systematic review was to compare the level one evidence for the outcome of non-operative with operative management of humeral shaft fractures in adults. A com...

BACKGROUND Studies among children experiencing fractures report an increasing trend toward operative management. In the present study, we examined whether the same trend has occurred for humeral shaft fractures in accordance with increasing interest toward intramedullary nailing and other operative treatments. The number, incidence and treatment of all hospitalised 0- to 16-year-old patients wi...

Posterior dislocation of the shoulder is rare, occurring in approximately 2% to 4% of all shoulder dislocations. Through a mechanism similar to that first characterized by Hill and Sachs, these dislocations have the potential to result in impaction fractures of the anterior aspect of the humeral head. These so-called reverse Hill-Sachs or McLaughlin lesions are estimated to occur in 86% of acut...