DIAGNOSTICS AND TREATMENT OF PROXIMAL HUMERUS FRACTURES
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Avazashvili , N., Chikvatia, L., & Sakhvadze, S. (2021). DIAGNOSTICS AND TREATMENT OF PROXIMAL HUMERUS FRACTURES. Collection of Scientific Works of Tbilisi State Medical University, 53, 5–7. Retrieved from https://journals.4science.ge/index.php/CSW/article/view/403

Abstract

Fractures of the proximal humerus occur mainly in middle- and older-age patients and cause significant functional deficits. To treat these types of injuries, many methods have been developed, both conservative and operative, although a single treatment algorithm has not been developed yet. In this article, there are given results of the treatment of 27 patients, who were treated at the First University Clinic with various types of fractures of the proximal humerus. Based on the obtained results, indications for both - conservative and operative treatment are presented. Analyzes of short and long term results are also presented. The need for a differentiated approach to treat such patients, in each individual case is justified by taking into consideration the type of the fracture, quality of bone tissue, general condition and activity of the patient. An attempt is done to develop an algorithm for the treatment of these types of fractures.

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References

Russo R, Vernaglia Lombardi L, Giudice G, Ciccarelli M, Cautiero F. Surgical treatment of sequelae of fractures of the proximal third of the humerus. The role of osteotomies. Chir Organi Mov. 2005 Apr-Jun; 90(2):159-69.

Palvanen M., Kannus P., Niemi S., Parkkari J. Update in the epidemiology of proximal humeral fractures. Clin. Orthop. Relat. Res. 2006; 442:87-92. PMID: 16394745.

Song JQ, Deng XF, Wang YM, Wang XB, Li X, Yu B. Operative vs. nonoperative treatment for comminuted proximal humeral fractures in elderly patients: a current meta-analysis. Acta Orthop Traumatol Turc. 2015;49(4):345-53. doi: 10.3944/AOTT.2015.14.0451. PMID: 26312459.

Court-Brown C.M., Garg A., McQueen M.M. The epidemiology of proximal humeral fractures. Acta Orthop. Scand. 2001; 72(4): 365-371.doi: 10.1080/000164701753542023.

Lind T., Kroner K., Jensen J. The epidemiology of fractures of the proximal humerus. Arch. Orthop. Trauma Surg. 1989; 108(5): 285-287.PMID: 2789504.

Ломтатидзе Е.Ш., Ломтатидзе B.E., Поцелуйко C.B. и др. Анализ функциональных результатов внутреннего остеосинтеза при переломах проксимального отделаплечевойкости. Вестник травматологии и ортопедии им. Н. Н. Приорова. 2003; (3): 62—66.

Казаев С.Я., Ситник А.А. Лечение переломов проксимального отделаплечевой кости. Медицинский журнал. 2005; 13(3): 63-66.

Handoll H.H., Brorson S. Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst. Rev. 2015; (11): CD000434. doi: 10.1002/14651858.CD000434.pub4.

Tingart M.J., Apreleva M., von Stechow D., et al. The cortical thickness of the proximal humerus diaphysis predicts bone mineral density of the proximal humerus. J. Bone Joint Surg. Br. 2003; 85(4): 611-617. PMID:12793573.

Bell J.E., Leung B.C., Spratt K.F. et al. Trends and variation in incidence, surgical treatment, and repeat surgery of proximal humeral fractures in the elderly. J. Bone Joint Surg. Am. 2011; 93(2): 121-131. doi: 10.2106/JBJS.I.01505.

Burkhart K.J., Dietz S.O., Bastian L., et al. The treatment of proximal humeral fracture in adults. Dtsch. Arztebl. Int. 2013; 110 (35-36):591-597. doi: 10.3238/arztebl.2013.0591.

Rommens PM, Heyvaert G. Die konservative Behandlung subkapitaler Humerusfrakturen. Eine vergleichende Studie zwischen dem klassischen Desault-Verband und der neuen Gilchrist-Bandage [Conservative treatment of subcapital humerus fractures. A comparative study of the classical Desault bandage and the new Gilchrist bandage]. Unfallchirurgie. 1993 Apr; 19(2):114-8. German. doi: 10.1007/BF02588091. PMID: 8493730.

Robinson N.M., Khan L.A., Akhtar M.A. Treatment of anterior fracture-dislocations of the proximal humerus by open reduction and internal fixation // J. Bone Joint Surg. (Br). 2006. - Vol. 88-B, 1 4. - P. 502-508.

Сухин Ю.В., Павличко Ю.Ю. Нарушение кровоснабжения проксимального отдела плечевой кости при различном характере его повреждения // Травма. -2008. -Т. 9, № 3. -С. 257-259.

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