Sep 19, 2014 the humerus is a relatively common site of pathological fracture. Your humerus can be broken in many places and the fracture is normally described by its location eg a fractured neck of the humerus. Laboratoire danatomie normale et des explorations morphofonctionnelles. In evaluating humerus injuries, being able to classify the fracture and if necessary, reduce, immobilize, and know when to seek orthopedic consultation is important. The muller ao classification of fractures is a system for classifying bone fractures initially published in 1987 by the ao foundation as a method of categorizing injuries according to therognosis of the patients anatomical and functional outcome.
Boukhatmi leila, maitreassistante en anatomie normale. Associated injuries are common in patients with osteoporosis. This report describes the evaluation, diagnosis and conservative treatment of an 80yearold woman with a nonpathological ipsilateral fracture of the proximal, midshaft and distal humerus. The humerus is your upper arm bone between your shoulder and elbow when your humerus is fractured near or at the ball of your shoulder joint, it is commonly known as a broken shoulder. The treatment goal was the prompt return of the patient to a satisfactory functional status without surgical intervention. A broken shoulder is most commonly a fractured humerus.
The full text of this article is available in pdf format. All supracondylar humerus fractures treated at childrens hospital and health center, san diego chsd over. Surgical treatment of the humeral pallet fractures in adults. Supracondylar humeral fracture radiology reference article. Ipsilateral fractures of the proximal, midshaft and. Media in category fractures of shaft of the human humerus the following 3 files are in this category, out of 3 total.
Nov 07, 2019 proximal humerus fracture accounts for 6% of all fractures and is the third most common osteoporotic fracture, after the distal radius and vertebra. Proximal humerus fractures in children and adolescents. Surgical treatment for a proximal humerus fracture. Pdf fourpart valgus impacted fractures of the proximal.
Elles peuvent etre secondaires a des traumatismes a haute energie avec complications cutanees, plus frequentes chez le sujet jeune, ou des traumatismes a faible energie en raison dune osteoporose, et touchant les sujets ages. Distal humerus fractures of the elbow orthoinfo aaos. Les fractures pathologiques secondaires des tumeurs benignes. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Comparison of the use of the humerus intramedullary nail and. Le chirurgien a pratique une osteosynthese par clou t2 strycker. Les fractures pathologiques secondaires des tumeurs. Ipsilateral fractures of the proximal, midshaft and distal. Comparison of the use of the humerus intramedullary nail. When your humerus is fractured near or at the ball of your shoulder joint, it is commonly known as a broken shoulder.
This page was last edited on 15 january 2020, at 10. However, this improved in all patients following the removal of the nail once the fracture had healed. Supracondylar humeral fracture radiology reference. Open reduction and internal fixation is common in young patients. Frequentes, su tout chez ladulte, leu p onostic peut ete aggave pa. The specific etiology of supracondylar humerus fractures in children is not well known. Fractures of the distal humerus are usually defined as involving the portion of the humerus distal to the. In some cases, the broken proximal humerus must be surgically repaired or replaced. A fracture in this area can be very painful and make elbow motion difficult or impossible.
Supracondylar humeral fractures, often simply referred to as supracondylar fractures, are a classic pediatric injury which require vigilance as imaging findings can be subtle. Eighty percent of proximal humerus fractures are nondisplaced or minimally displaced and, therefore, can be managed nonoperatively. Suspect pathological fracture if any of the following features are present. A humerus fracture is a break of the humerus bone in the upper arm. All structured data from the file and property namespaces is available under the creative commons cc0 license. Appointments no pt for 3 weeks, unless otherwise specified by md rehabilitation goals modalities to control pain and swelling protect fracture site maintain rom in surrounding joints prevent deconditioning. In evaluating humerus injuries, classifying the fracture and, if necessary, reducing and immobilizing the fracture are essential.
Simple supracondylar fractures are typically seen in younger children, and are uncommon in adults. Distal humerus fractures are associated with ipsilateral proximal forearm fractures. Files are available under licenses specified on their description page. Complications may include injury to an artery or nerve, and compartment syndrome. Eighty percent of proximal humerus fractures are nondisplaced or minimally displaced, and. The spiral diaphyseal fracture was reduced with manual traction without.
This study proves that imn can be considered a better surgical option for the management of diaphyseal fractures of the humerus as it offers a short union time and lower incidence of serious complicatins like infection. In an older person who has weaker bones, however, even a minor fall may be enough to cause a fracture. A propos dun cas a case of bilateral proximal metaphyseal fracture of the humerus in a 3 yearold child. If the bone cannot be surgically repaired, the ball of the shoulder may be replaced. Approximately 85% of proximal humerus fractures occur in individuals older than 50 years. Aug 10, 2006 however, this improved in all patients following the removal of the nail once the fracture had healed. Epidemiology of proximal humerus fractures managed in a trauma center. Surgeons may use nails, plates, and screws to secure pieces of bone together. There is a specific type of displaced fourpart fracture of the proximal humerus which consists of valgus impaction of the head fragment. Pdf most proximal humeral fractures are stable injuries of the ageing population, and can be successfully treated nonoperatively. Proximal humerus fractures in children and adolescents em. Jan 17, 2004 this report describes the evaluation, diagnosis and conservative treatment of an 80yearold woman with a nonpathological ipsilateral fracture of the proximal, midshaft and distal humerus.
Displaced 3 or 4part fractures frequently require surgical fixation. Limb swelling predating fracture, or marked post fracture swelling. There may be a decreased ability to move the arm and the person may present holding their elbow. Using either closed reduction or limited open reduction and minimal internal fixation, 74% satisfactory results can be. Complications may include injury to an artery or nerve, and compartment syndrome the cause of a humerus fracture is usually physical trauma such as a fall.
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