-
Conservative Treatment of Proximal Humeral Fracture
-
Hwansub Hyun, Jonghyun Ahn, Sang Jin Shin
-
J Korean Fract Soc 2018;31(1):29-35. Published online January 31, 2018
-
DOI: https://doi.org/10.12671/jkfs.2018.31.1.29
-
-
 Abstract
 PDF
- A proximal humeral fracture is an osteoporotic fracture that often occurs in elderly women. Approximately 80% of all proximal humeral fractures are non-displaced fractures, which can be treated with conservative treatment to achieve stable union. The treatment plan for fractures involving displaced and comminuted fractures is controversial. Malunion, avascular necrosis of the humeral head, and shoulder stiffness due to conservative treatment can occur but the functional deterioration is low and the patient satisfaction is high. The indications for the conservative management of proximal humeral fractures include a non-displaced fracture and a 2-part fracture, low-functional demanded 3-part fracture, and operative-limited 4-part fracture. Recently, the surgical indications have expanded as technological advances in surgical fixation methods and functional needs of elderly patients are increasing. Current treatment policy decisions tend to be determined by the personal preference and expert opinion rather than by evidence-based decision-making.
-
Citations
Citations to this article as recorded by  - The Effect of Postoperative Korean Traditional Medicine for the of Proximal Humeral Fracture: A Case Report
Hyun Il Go, Hangyul Choi, Jieun Hong, Nam geun Cho
Journal of Acupuncture Research.2019; 36(1): 50. CrossRef
-
85
View
-
3
Download
-
1
Crossref
-
The Fractures of Humerus Shaft and Medial Epicondyle by Arm Wrestling
-
Yeo Hun Yoon, Jong Kyung Ha, Kyung Eob Choi, Kwan Hee Lee, Sang Jin Shin
-
J Korean Fract Soc 2006;19(4):437-442. Published online October 31, 2006
-
DOI: https://doi.org/10.12671/jkfs.2006.19.4.437
-
-
Abstract
- PURPOSE
To evaluate the mechanism of the humeral fractures induced by arm wrestling and the clinical results of its treatment.
MATERIALS AND METHOD
We reviewed 7 humeral fractures induced by arm wrestling; 3 humeral shaft fractures, 4 humeral medial epicondyle fractures. The mechanism of the fractures and the clinical results were assessed by history and radiographs.
RESULTS
Shaft fractures were produced by twist and axial compression force. Humeral medial epicondyle fractures were the avulsion fractures by excessive contraction of flexor muscles and developed in young age. We operated 6 of them and in all cases, we could obtain fracture healings without complication.
CONCLUSION
The humeral fractures induced by arm wrestling have the differences in the ages and mechanisms as to the locations of the fractures and if the proper treatment is performed, the clinical results are satisfactory.
-
Citations
Citations to this article as recorded by - Fractures of the humeral shaft caused by arm wrestling: a systematic review
Kiyohisa Ogawa, Atsushi Yoshida, Noboru Matsumura, Wataru Inokuchi
JSES Reviews, Reports, and Techniques.2022; 2(4): 505. CrossRef - Olecranon Fracture Sustained during Arm Wrestling in Middle-Aged Male
Chang-Yk Lee, Hyuk-Min Kwon, Han-Bit Kim
Journal of the Korean Orthopaedic Association.2022; 57(6): 520. CrossRef - Fracture-Separation of the Medial Humeral Epicondyle Caused by Arm Wrestling: A Systematic Review
Kiyohisa Ogawa, Atsushi Yoshida, Noboru Matsumura, Wataru Inokuchi
Orthopaedic Journal of Sports Medicine.2022;[Epub] CrossRef - Humerus Shaft Fractures Occurring in Fly Fishing Boat Riding: Injury Scene Analysis
Hongri Li, Wan Sun Choi, Bong-gun Lee, Jae-hoo Lee, Younguk Park, Doohyung Lee
The Korean Journal of Sports Medicine.2019; 37(4): 134. CrossRef - Humeral Shaft Fracture Sustained during Arm Wrestling in Young Males
Seung Rim Yi, Jieun Kwon, Ye Hyun Lee, Bo Kyu Yang, Young Joon Ahn, Se Hyuk Im, Joon Hee Cho, Sang Hoon Park
The Korean Journal of Sports Medicine.2017; 35(3): 149. CrossRef - Humerus Shaft Fractures in Leisure Sport 'Flyfish Riding' - 4 Cases Report -
Bong Gun Lee, Ki Chul Park, Youn Ho Choi, Woo Sung Jung, Kyu Tae Hwang
Journal of the Korean Fracture Society.2012; 25(4): 327. CrossRef
-
134
View
-
0
Download
-
6
Crossref
-
Clinical and Functional Result after Internal Fixation of Severely Displaced Floating Shoulder
-
Sang Hun Ko, Chang Hyuk Choe, Sung Do Cho, Jae Sung Seo, Jong Oh Kim, Jaedu Yu, Sang Jin Shin, In Ho Jeon, Kwang Hwan Jung, Jong Keun Woo, Ji Young Jeong, Gwon Jae No
-
J Korean Fract Soc 2006;19(1):46-50. Published online January 31, 2006
-
DOI: https://doi.org/10.12671/jkfs.2006.19.1.46
-
-
Abstract
- PURPOSE
To evaluate the follow-up result of 11 cases that were operated with internal fixation of scapular neck and internal fixation of clavicle or acromioclavicular dislocation for severely displaced floating shoulder which was high energy injury and unstable.
MATERIALS AND METHODS
We examined the scapular neck fracture with clavicle fracture or acromioclavicular joint dislocation by multidisciplinary research from August 1997 to July 2004. The scapular neck fractures were operated in the case of translational displacement of more than 25 mm and angular displacement of more than 45 degrees with 3.5 mm reconstruction plate fixation and internal fixation for clavicle fracture or acromioclavicular joint perpormed simultaneously. And we evaluated 11 cases that can be followed up for more than 9 months.
RESULTS
We achieved bony union in all cases. In ASES functional score, we got average 89.2 (75~95) points. In Rowe functional score, we got average 89.1 (75~100) points. In complication, there was external rotation weakness in 1 case.
CONCLUSION
In severely displaced floating shoulder due to high energy injury, we got good clinical and functional result after internal fixation for scapular neck and clavicle or acromioclavicular joint.
-
Complications after Surgical Treatment in Fracture of The Neck of Humerus
-
Ho Jung Kang, Sang Jin Shin, Dae Eui Lim, Eung Shick Kang
-
J Korean Soc Fract 2001;14(1):91-98. Published online January 31, 2001
-
DOI: https://doi.org/10.12671/jksf.2001.14.1.91
-
-
Abstract
PDF
- PURPOSE
The causes and risk factors of complications following operative treatment of fracuture of neck of humerus were analysis.
MATERIALS & METHODS: From 1995 to 1998, 32 cases of fracture of neck of humerus on which operative treatment have been taken were reviewed. The average age was 48.3 years. There were 13 cases of two part fracture, 11 cases of three part fracture and 8 cases of four part fracture, with 4 cases associated with comminution. Closed reduction and pinning was performed in 11 cases. An external fixator was applied in 1 case. Other 18 cases underwent open reduction using various fixation method including 4 K-wires, 2 cannulated screws, 5 plates, 1 Ender nail and 6 tension band wirings combined with screws each. 2 cases were underwent hemiarthroplasty.
RESULTS
Thirteen patients (41%) had postoperative complications. There were 3 nonunion, 2 pin site infection, 2 inferior subluxation of humeral head, 3 impingement syndrome, 1 hardware failure, 1 avascular necrosis of humeral head and 1 glenoid rim erosion. The incidence of postoperative complication was high in ages older than 40 years and the four part and comminuted fractures. The insufficient fixation due to osteoporosis, incomplete reduction, surgical technique and use of inappropriate implant were considered as related causative factures.
CONCLUSION
The patient's age, the quality of bone, severity of fracture and methods of fixation are all important contributing factors for postoperative complications.
-
Operative Treatment of the Capitellar Fracture of the Humerus
-
Ho Jung Kang, Sang Jin Shin, Hyoung Sik Kim, Eung Shick Kang
-
J Korean Soc Fract 2000;13(3):584-590. Published online July 31, 2000
-
DOI: https://doi.org/10.12671/jksf.2000.13.3.584
-
-
Abstract
PDF
- PURPOSE
The capitellar fractures of the humerus are rare. Furthermore, the treatment of the fracture has been controversial. This study presents the experience in the operative treatment of capitellar fractures of the humerus.
MATERIALS AND METHODS
Eleven patients with an average age of 41.0 years (range, 15-76 years) were included in this study. The average length of follow-up was 13.6 months (range, 12-17 months). Type I fracture was noticed in ten patients and type III in one patient. Herbert screws, Kirschner wires, cancellous screw and miniscrew were used for internal fixation. The postoperative immobilization period averaged 6.7 days (range, 3-10 days).
RESULTS
Flexion of the elbow averaged 135 degrees (range, 100-150 degrees), with an average flexion contracture of 17 degrees (range, 5-45 degrees). Supination averaged 83 degrees (range, 20-90 degrees) and pronation averaged 87 degrees (range, 80-90 degrees). Seven patients had an excellent functional results, two good and two fair according to Broberg and Morrey elbow-rating scale. The complications included loosening of Kirschner's wires in two patients, osteochondral loose body in one, nonunion and heterotopic ossification in one and severe limitation of motion in one.
CONCLUSION
The early motion of the elbow joint after anatomical reduction and internal fixation for the displaced capitellar fracture is an effective treatment in restoring normal elbow function.
-
Operative Treatment of Radial Head Fracture of Mason type III
-
Ho Jung Kang, Moon Soo Park, Sang Jin Shin, Eung Shick Kang, Byeong Mun Park
-
J Korean Soc Fract 1999;12(3):732-740. Published online July 31, 1999
-
DOI: https://doi.org/10.12671/jksf.1999.12.3.732
-
-
Abstract
PDF
- The treatment of choice for Mason type III radial head fracture was total excision. But, open reduction and internal fixation of fractures of the radial head has become a commonplace as the result of both improvements in the techniques and implants for the fixation of small articular fragments as well as increasing recognition of the important role that the radial head plays in the stability of the forearm and elbow, particularly in the face of acute combined osseous and ligamentous injury. To date, reports of radial head fixation have made little mention on Mason type III fracture.
From January 1993 to September 1997, 10 patients with fracture of radial head(Mason type III) were treated at Yong-dong Severance Hospital, Yonsei University College of Medicine. There were 6 males and 4 females with average age of 30 years(range 16 to 47). All of the fractures were comminuted and Mason type III. Seven fractures were the results of falling down and two slipping down and one pedestrian injury. Six fractures(60%) were evaluated as good or excellent by Bruces criteria. The heterotopic ossification was complicated in two cases. The nonunion of radial head fracture occured in two cases. The radial nerve palsy occured in one case. The partial ankylosis of elbow developed in three cases. Kirschners wires migrated in four cases. Open reduction and internal fixation increased the range of motion and decreased the subjective pain and did not cause any proximal migration of radius, impingement of ulnar carpal and radiocapitellar joint and could be a good treatment modality. The further evaluation should be directed to camparison between the open reduction and internal fixation and prosthetic replacement after total excision of radial head.
|
E-submission
KFS
