Proximal Humerus Fractures

Orthopedic MD Oral Examination:Management of Proximal Humerus Fracture

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Proximal Humerus Fractures: Epidemiology, Etiology, Diagnosis, and Treatment

Learn about proximal humerus fractures, their prevalence, causes, diagnostic methods, and treatment options. Find information on epidemiology, etiology, and more. Introduction: Proximal humerus fractures are a common type of fracture, particularly among older individuals with osteoporotic

Proximal Humerus Fractures: Epidemiology, Etiology, Diagnosis, and Treatment

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Proximal Humeral Fractures

  Summary Proximal humeral fractures are the third most common fractures and affect both young and elderly patients. Neer’s classification system is commonly used in determining fracture patterns but has recently been found to have poor reliability and reproduc-ibility. Protecting

Minimally Invasive Anterolateral Approach to the Proximal Humerus: A Step-by-Step Guide

This article provides a detailed step-by-step guide to the minimally invasive anterolateral approach to the proximal humerus. The approach is used for the insertion of intramedullary nails for the treatment of acute humeral shaft fractures, pathologic humeral shaft fractures, and delayed union and

PEDIATRIC SHOULDER Fractures and Dislocations

PEDIATRIC SHOULDER         PROXIMAL HUMERUS FRACTURES Epidemiology These account for <5% of fractures in children. Incidence ranges from 1.2 to 4.4 per 10,000 per year. They are most common in adolescents owing to increased

PROXIMAL HUMERUS FRACTURES

PROXIMAL HUMERUS FRACTURES             EPIDEMIOLOGY Proximal humerus fractures comprise 4% to 5% of all fractures and represent the most common humerus fracture (45%). The incidence is 300,000 per year (more common

humeral shaft fracture

A 68-year-old, right-hand-dominant female fell onto her left arm while walking her dog. An injury radiograph is shown in Figure 6–8.       Figure 6–8   What is her best treatment option? Closed reduction

proximal humerus fractures

A 57-year-old, right-hand-dominant female fell in her house while walking up the stairs with a laundry basket. She complains of immediate right shoulder pain and decreased range of motion. Her injury radiograph is seen

Shoulder and Elbow cases Hill–Sachs lesion

A 17-year-old, football player with a history of multiple, left shoulder dislocations and an attempted arthroscopic repair presents to your clinic with continued right shoulder pain and instability. He has been unable to return to competition and comes to see you for a second opinion. A CT image is

    CASE                               11

Shoulder and Elbow CASES 1

CASE 1     A 76-year-old, right-hand-dominant man presents to clinic complaining of right shoulder pain. The pain started several months ago, has gotten progressively worse, and is located diffusely over his deltoid region. He has night pain and pain with overhead activity. On

Trauma Orthopedic MCQS online Bank

(OBQ14.208) When treating a proximal tibia fracture, the surgeon decides to (1) use blocking screws in the proximal fragment, and (2) pick the intramedullary nail based on the location of the Herzog curve. Which of the following combinations will best prevent the classic deformity associated with

Shoulder and Elbow Orthopedic MCQS online

(OBQ15.201) A 52-year-old, right hand dominant man comes for evaluation of right shoulder pain that has been intermittently bothering him for three months. The pain is worse with overhead activities. He denies any history of trauma. His range of forward elevation in the plane of the scapula is

Reverse Shoulder Arthroplasty for Proximal Humerus Fractures

DEFINITION Fractures involving the proximal region of the humerus that provide the supporting framework for the glenohumeral articulation are termed proximal humerus fractures. These fractures typically occur along the physeal lines as described by Ernest Codman in 1934, most commonly

Hemiarthroplasty for Proximal Humerus Fractures

DEFINITION Proximal humerus fractures involve isolated or combined injuries to the greater tuberosity, lesser tuberosity, articular segment, and proximal humeral shaft. Overall, proximal humerus fractures account for 4% to 5% of all

Intramedullary Fixation of Proximal Humerus Fractures

DEFINITION Fractures of the proximal humerus can be two, three, or four part according to the Neer classification (FIG 1). Fifty percent to 80% of proximal humerus fractures are nondisplaced or minimally displaced and stable.A short period of immobilization in neutral rotation to avoid

Open Reduction and Internal Fixation of Proximal Humerus Fractures

DEFINITION Proximal humerus fractures may involve the surgical neck, the greater tuberosity, and/or the lesser tuberosity. The Neer classification, which is most commonly used, categorizes fractures based on the number of displaced parts (FIG 1). This classification system involves four

Percutaneous Pinning for Proximal Humerus Fractures

DEFINITION Proximal humerus fractures are defined as those of the proximal portion of the humerus involving the shoulder joint. Fracture lines divide the proximal humerus into parts defined by anatomic structures that arise from early centers of ossification. These

Intramedullary Fixation of Proximal Humerus Fractures

DEFINITION Fractures of the proximal humerus can be two, three, or four part according to the Neer classification (FIG 1). Fifty percent to 80% of proximal humerus fractures are nondisplaced or minimally displaced and stable.A short period of immobilization in neutral rotation to avoid

Arthroscopic Treatment of Anterior Shoulder Instability

  Arthroscopic Treatment of Anterior Shoulder Instability       DEFINITION Glenohumeral stability depends on static and dynamic restraints to ensure stable yet unconstrained range of motion. Laxity is a physiologic term used to describe the passive

APPROACHES TO THE SHOULDER

APPROACHES TO THE SHOULDER    One   The Shoulder       Anterior Approach to the Clavicle Anterior Approach to the Shoulder Joint Applied Surgical Anatomy of the Anterior Approach to the Shoulder

ORTHOPEDIC MCQS ONLINE BANK

(OBQ04.118) What muscles are responsible for the most common deformity after antegrade intramedullary nailing for a subtrochanteric femur fracture?           Hip

Open Reduction and Internal Fixation of Proximal Humerus Fractures

Chapter 19 Open Reduction and Internal Fixation of Proximal Humerus Fractures   Mark T. Dillon Stephen Torres Mohit Gilotra David L. Glaser     DEFINITION Proximal humerus fractures may involve the surgical neck, the greater tuberosity, and/or the lesser

ORTHOPEDIC MCQS ONLINE BANK OITE23

Orthopedics MCQS ONLINE OITE23 1.03 What is the most common complication associated with surgical fixation of a transverse midshaft humeral fracture using antegrade statically locked medullary nail?   Infection Radial nerve palsy Brachial artery injury during

ORTHOPEDIC MCQS ONLINE BANK OITE 21

ORTHOPEDIC MCQS BANK ONLINE OITE 21   For  OITE 21 FIGURES CLICK OITE21FIG 01.1 A 49-year-old man has a persistent Trendelenburg gait after undergoing open reduction and internal fixation of a posterior wall acetabular fracture 6 months ago. The radiographs reveal a normal

ORTHOPEDIC MCQS ONLINE BANK OITE 20

ORTHOPEDIC MCQS ONLINE BANK OITE 20   For OITE 20 FIGURE CLICK  OITE 20 FIGURES  00.1 A 25-year-old man sustains the injury shown in the radiographs in Figures 1A and 1B. Examination reveals that he is neurovascularly intact, and there is a transverse 3-cm open medial

ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1B

ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1B Which of the following rehabilitation exercises is most appropriate immediately following the repair of the injury seen in figure

ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1A

ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1A  ©   A 24-year-old avid volleyball player has noted gradual onset of shoulder fatigue and weakness limiting his game. Radiographs done by his primary care physician were normal and he has failed to improve with 6 weeks of

Pediatric Shoulder Fractures

  Chapter 9   Pediatric Shoulder Fractures   Craig P. Eberson   DEFINITION Commonly seen fractures include proximal humerus fractures (physeal and metaphyseal) and clavicle fractures and dislocations, as well as less commonly seen fractures

Arthroscopic Treatment of Anterior Shoulder Instability

Arthroscopic Treatment of Anterior Shoulder Instability   Chapter 2 Arthroscopic Treatment of Anterior Shoulder Instability   Robert A. Arciero, Augustus D. Mazzocca, and Jeffrey T. Spang   DEFINITION Glenohumeral stability depends on static and

Arthroscopic Treatment of Anterior Shoulder Instability

Arthroscopic Treatment of Anterior Shoulder Instability   Arthroscopic Treatment of Anterior Shoulder Instability DEFINITION Glenohumeral stability depends on static and dynamic restraints to ensure stable yet unconstrained range of motion. Laxity is a physiologic term used to

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2V

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2C week of indomethacin followed by 5 weeks of placebo, and (4) 6 weeks of indomethacin and followed for 1 year. The authors concluded that the use of prophylactic postoperative indomethacin increases the incidence of symptomatic nonunion of the PW as assessed

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA 2B

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA  2B CT angiography and admit the patient for hourly neurovascular checks Interventional radiology consult for formal angiography and stenting Corrent answer: 2 This patient has a posterior knee dislocation with an ischemic limb

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 2A

ORTHOPEDIC MCQS ONLINE OB 20 TRAUMA  2A OrthoCash 2020   A 25 year-old-male presents with the injury seen in Figure A. Which of the following would be a contraindication to closed management with a functional

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1D

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1D   fractures is associated with decreased shoulder strength and increased nonunion rates. Risk factors for non-union in non-operative management of midshaft clavicle fractures include advanced age, female gender, displacement and comminution. Open

ORTHOPEDIC MCQS 20 OB TRAUMA 1C

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1C   Figure A Buttress plating is most appropriate in which of the following clinical

ORTHOPEDIC MCQS 20 OB TRAUMA 1B

ORTHOPEDIC MCQS ONLINE 20 OB TRAUMA 1B     Deep peroneal nerve, sural nerve Deep peroneal nerve, tibial nerve Superficial and deep peroneal nerves Superficial peroneal nerve, tibial nerve There is no true internervous

ORTHOPEDIC MCQS 20OB TRAUMA 1A

ORTHOPEDIC MCQS 20 TRAUMA 1A     What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75%   Correct

ORTHOPEDIC MCQS ONLINE 011 RECONSTRUCTION

ORTHOPEDIC MCQS  011 Reconstruction  Online 2011 Orthopaedic Self-Assessment Examination by Dr.Dhahirortho     1         Question 1Which of the following methods of

ORTHOPEDIC MCQS ONLINE 012 TRAUMA

ORTHOPEDIC MCQS ONLINE  012 TRAUMA   2012 Musculoskeletal Trauma Self-Assessment Examination by

ORTHOPEDIC MCQS ONLINE 015 TRAUMA

ORTHOPEDIC MCQS ONLINE 015 TRAUMA    CLINICAL SITUATION FOR QUESTIONS 1 THROUGH 3   1a 1b   Figures 1a and 1b are the radiographs of a

Orthopedic MCQS online Shoulder and Elbow 017

Orthopedic MCQS online Shoulder and Elbow 017   SHOULDER AND ELBOW SELF- SCORED SELF-ASSESSMENT EXAMINATION AAOS

Orthopedic MCQS Trauma 0018

Orthopedic MCQS online Trauma 0018 AAOS TRAUMA self Assessment 2018     Question 1 of 100 A 32-year-old man has a closed mid-shaft spiral humeral fracture after a fall. After a discussion of his treatment options, he wants to proceed with surgical management. When

ORTHO MCQS Shoulder and Elbow 0192

ORTHO MCQS Shoulder and Elbow 019 Shoulder and Elbow Scored and Recorded Self-Assessment Examination 2019   Question 1 of 100 Figures 1 through 3 are the radiographs of a 55-year-old woman who fell on her outstretched right arm, resulting in acute elbow pain and swelling. On

ORTHO MCQS Shoulder and Elbow 019

ORTHO MCQS Shoulder and Elbow 019 Shoulder and Elbow Scored and Recorded Self-Assessment Examination 2019 Question 1 of 100 Figures 1 through 3 are the radiographs of a 55-year-old woman who fell on her outstretched right arm, resulting in acute elbow pain and swelling. On examination,

ORTHO MCQS 011 FREE BANK 02

ORTHO MCQS 011 FREE BANK 02   Question 101A 60-year-old woman with a long-standing history of diabetes mellitus with documented peripheral neuropathy has a plantar ulcer. The ulcer has been present for 3 months. Her primary care physician has treated her with saline dressing changes with

ORTHO MCQS 011 FREE BANK

ORTHO MCQS 011 FREE BANK 01   Question 1Which of the following methods of treating a vertically oriented (eg, Pauwels III) femoral neck fracture is mechanically optimal? 1- Two parallel fully threaded screws 2- Three parallel partially threaded screws 3- Three parallel fully

ORTHOPEDIC MCQS OB 20 TRAUMA1

  ORTHOPEDIC MCQS OB 20 TRAUMA1 What percentage of patients will complain of knee pain at the time of union of a tibial shaft fracture treated with a reamed intramedullary nail? 1. <10% 2. 10-33% 3. 33-50% 4. 50-75% 5. >75% CORRECT ANSWER: 4 Anterior knee

ORTHOPEDIC MCQS OB 20 BASIC 2

ORTHOPEDIC MCQS OB 20 BASIC 2   Which of the following exhibits osteoinductive and osteoconductive properties when treating the injury shown in Figure A?       Corrent answer: 2         Neutrophils are

ORTHOPEDIC MCQS OB 20 BASIC 1

Which of the following is the most accurate definition of stress shielding?   The decrease in physiologic stress in bone due to a stiffer structure sharing load Electrochemical potential created between two metals in physical contact and immersed in a conductive

ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW3

ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW3 58) A 50-year-old male laborer has persistent pain in the right elbow and has been having difficulty with some activities of daily living over the last year. He has not seen any progress after 3 months of using the extension splint from his ulnar nerve

1ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW

ORTHOPEDIC MCQS OB 20 SHOULDER AND ELBOW 1 1) A 24-year-old avid volleyball player has noted gradual onset of shoulder fatigue and weakness limiting his game. Radiographs done by his primary care physician were normal and he has failed to improve with 6 weeks of physical therapy. Given the MRI

ORTHOPEDIC MCQS BANK WITH ANSWER SHOULDER 02

ORTHOPEDIC MCQS BANK WITH ANSWER SHOULDER 02                 1-Which of the following statements best describes why the ulnar nerve is most prone to neuropathy at the elbow?

ORTHOPEDIC MCQS WITH ANSWER UPPER LIMB 05

ORTHOPEDIC MCQS WITH ANSWER UPPER LIMB 05     1.      A 36-year-old woman has pain and swelling of the anterior arm after undergoing arthroscopic shoulder surgery 8 months ago.  At the time of the procedure, extensive debridement and synovectomy of

Orthopedic MCQS online Shoulder and Elbow

Orthopedic MCQS online Shoulder and Elbow  1- Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision

Shoulder and elbow: Mcqs AND EMQS Answers

Shoulder and elbow: Mcqs AND EMQS Answers   MCQs e.  The posterior rotator cuff. The primary cause of internal impingement is often anterior capsular laxity, which may result in posterior capsular tightness. This results in anterior shift of the axis of rotation of the

Orthopaedic Trauma

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SSEE

Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2 weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior incision without any signs of infection. He

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2021 SHOULDER AND ELBOW MCQS FREE

SHOULDER AND ELBOW MCQS FREE  2021 1- Figures 1 and 2 show the current radiographs of a 25-year-old skier who presents 2  weeks after undergoing open reduction and internal fixation (ORIF) of a right elbow fracture dislocation. On examination, he has a well-healed posterior

افضل دكتور عظامProximal Humeral Fractures, Extra Aarticular 2-Part Subgroup Important Considerations

Extra Articular 2-Part, Greater Tuberosity, Non Displaced This fracture subgroup consists of fractures of the greater tuberosity which are truly not displaced. They heal typically very well under conservative treatment and do not tend to displace during the healing

For Doctors Proximal Humeral Fractures Greater Tuberosity, Nondisplaced

    Nonoperative Extraarticular 2-Part, Greater Tuberosity, Nondisplaced The vast majority of these fractures (undisplaced greater tuberosity) can be managed by nonoperative methods. Fixation in situ may be warranted if a high risk of displacement is

$Proximal Humeral fractures Clinical And Radiographic Assessment Of Patients With Suspected Proximal Humeral Fractures$

Proximal Humeral fractures Clinical And Radiographic Assessment Of Patients With Suspected Proximal Humeral Fractures

Proximal Humeral fractures Clinical And Radiographic Assessment Of Patients With Suspected Proximal Humeral Fractures     Clinical Assessment Any injured patient needs comprehensive and systematic assessment (eg, ATLS approach) to identify

$Proximal humerus fractures$

Proximal humerus fractures

Proximal humerus fractures Summary Proximal humerus fractures are very common injuries, and they are one of the true osteoporotic fractures. Most fractures can be treated effectively without surgery, as the rich blood vessels and wide surfaces give a great tendency to heal. In addition,