The anterolateral approach is a distal continuation of the deltopectoral approach and splits the. Ppt entorse et luxation powerpoint presentation free to. The long bone of the upper arm is known as the humerus. Une fracture extraarticulaire metaphysodiaphysaire du tiers. Humerus fracture upper arm fracture johns hopkins medicine. A second panel 2 is formed as an extension of the first, shaped to wrap under the forearm to form a suspension support for it by attachment to the first panel. A proximal humerus fracture usually occurs close to the shoulder joint and can be located at. The humerus also known as the upper arm bone is a long bone that runs from the shoulder and scapula shoulder blade to the elbow. Peer comments on this answer and responses from the answerer. Miami over the shoulder humerus fracture brace is for treatment of diaphyseal humeral fractures.
The humerus joins with the shoulder blade to form the shoulder joint and the bones of the forearm radius and ulna to form the elbow figure 1. Comminuted and impacted surgical neck fracture of the humerus medical or use it to find and download highquality howto powerpoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also leratt free. A humeral fracture is a condition characterized by a break in the upper arm bone humerus figure 1. Pdf traitement orthopedique dune fracture pathologique du. Proximal humerus fractures in children and adolescents. Closed reduction of a distal radius fracture duration. Epidemiologie classification il sagit dune fracture obstetricale classique cf chapitre fractures obstetricales. A humerus fracture is a break in the large bone of your upper arm. The humeral fracture brace is a protective device worn on the upper arm to aid in healing and alignment of the injured bone. A ct scan was also performed at the outside hospital. Brace features 18thick foam padding and includes one stockinette.
A relatively high incidence of radial nerve injury has been associated with surgical management of humeral shaft fractures. Pediatric population predisposed, especially during ages when the. Victoria bc v8z 0b9 tel 250 940 4444 fax 250 385 9600 page 1 april 2015 v1s. Review article management of humeral shaft fractures. Greater tuberosity fracture fragments migrate superiorlyand posteriorly, following the vector of the superior and posterior rotator cuff. Signs and symptoms a fracture of the proximal humerus causes pain in the shoulder area. Rehabilitation guidelines for proximal humerus fracture nonoperative 2 p a g e phase ii continued precautions dc sling x 3 weeks if cleared by md aarom to 90 degrees forward flexion and 40 degrees er suggested therapeutic exercises arom cervical, elbow, wrist and hand pendelums gripping exercises scapular pnf. Fr2722680a1 restraining vest for the shoulder, the shoulder. Sciwora spinal cord injury without radiological abnormalities. Appelees fractures sous tuberositaires ou du col chirurgical. Transverse fracture of middle third most commonly assoc. Post fracture proximal humerus rehabilitation guidelines r l humerus fracture.
These fractures can also affect both the strength and range of motion of the arm, leading to diminished function of the arm. Multiple options exist for treating displaced fractures, without a clear advantage of any one method for a given fracture type. Adult proximal humerus shoulder fractures an atomy the proximal humerus is the top portion of the humerus upper arm bone. Clavicle fracture treatment louisville clavicle fracture. It is a fracture of the distal humerus just above the elbow joint. Evidencebased information on fractured neck of humerus from hundreds of trustworthy sources for health and social care. Traitement orthopedique dune fracture pathologique du femur sur malformation veineuse. Musculoskeletal s tructures and f unction the s keletal s tructures modern orthopaedics is concerned with the diagnosis and management of disorders of the musculoskeletal system, that is the skeleton and. Non displaced 2 part fracture good alignment does not involve an articular surface. If followup radiographs are done 10 to 14 days after the injury, there may be evidence of new bone formation, which would confirm that a fracture occurred. The elbow complex consists of the distal humerus and proximal ulna and radius forming the humeroulna, humeroradial, and proximal radioulnar joints. Fractures and dislocationsof the shoulder girdle and elbow. Ep0694296a1 supporting vest for the shoulder, the girdle.
Les traitements les praticiens qui traitent ces fractures sont ceux du terrain et en particulier ceux des hopitaux generaux, le plus souvent ce ne sont pas des. Pdf traitement par embrochage centromedullaire ascendant des. A patient s guide to adult proximal humerus shoulder. A direct blow over the shoulder that may occur during a fall on an outstretched arm or a motor vehicle accident may cause the clavicle. Mathes proximal upper humerus arm bone fractures breaks are common injuries. A propos dun cas article pdf available in pan african medical journal 22 september 2015 with 91. Once your fracture has completely healed, you can safely return to sports activities.
The majority of proximal humerus fractures are treated nonoperatively with good functional results. The distal humerus includes the lateral capitellum, the medial trochlea, the posterior olecranon fossa, and anterior coronoid fossa. Sprinkle talcum powder on the upper arm and put on a clean stockinette a special, open top sock. Humerus upper arm bone fractures fractures of the proximal humerus can be caused by a direct blow to the area from a fall, collision, or motor vehicle accident. However, good surgical outcomes can be achieved with proper patient selection. Post fracture proximal humerus rehabilitation guidelines. Volkmanns contracture it results in damage to the brachial artery and anterior interosseous nerve, the resulting ischemia causes volkmanns ischaemic contracture. Clavicle fracture, also called broken collarbone is a very common sports injury seen in people who are involved in contact sports such as football and martial arts as well as impact sports such as motor racing. Urgences en traumatologie et orthopedie pediatrique. Goals include an adequate reduction and stable fixation to initiate early motion and rehabilitation. A patients guide to adult proximal humerus shoulder fractures compliments of. A 58yearold female slipped and fell and sustained a closed rightsided displaced humerus fracture with a medial butterfly fragment. Management of fractures of the humerus in ancient egypt.
The invention consists of an orthopedic vest for supporting and restraining the shoulder, the shoulder girdle and the upper limb of a patient, said vest being formed of four panels integral with and characterized in that the panels consist of. Ppt entorse et luxation powerpoint presentation free. Gilet dimmobilisation scapulohumerale legilet thuasne. A patient s guide to adult proximal humerus shoulder fractures. Lecture notes orthopaedics and fractures t duckworth bsc hons, mbchb hons, frcs eng emeritus professor of orthopaedics university of shef. Fr2722680a1 restraining vest for the shoulder, the. Le traitement orthopedique consiste en limmobilisation du bras coude au corps. The anatomic characteristics of the proximal humerus largely explain the various fracture presentations, complications, and outcomes. The proximal humerus is important because it forms half of the shoulder joint. A third panel extends from the opposite end of the first panel, to. Unicameral bone cyst is the leading cause, as this lesion develops in the proximal humerus in 51% of cases. There are several types of humerus fractures, depending on the location of the break. The support vest includes a first panel 1 covering the front of the patients chest, extending over both shoulders and the upper part of the arm to be supported.
Proximal humerus fractures phf are uncommon but characteristic posttraumatic lesions in children and adolescents. The superior and posterior rotator cuff is responsible for varus malalignment of the proximal humerus. Peterssonclinical importance of comorbidity in patients with a proximal humerus fracture. Fractures in the shoulder commonly involve the clavicle collar bone, proximal humerus top of the upper arm bone, and scapula shoulder blade clavicle collarbone fractures. The lesser tuberosity translates anteriorly and medially along the vector of the subscapularis. Supracondylar fractures of the humerus comprise 17% of all childhood fractures with a peak age incidence of approximately 6 years.