Many translated example sentences containing “fractura de húmero proximal” – English-Spanish dictionary and search engine for English translations. Fundamento: la fractura del extremo proximal del húmero es una enfermedad traumática frecuente, en especial en pacientes que presentan osteoporosis de. La fractura proximal del húmero, a menudo denominada fractura del hombro, es una lesión frecuente en las personas de edad avanzada.

Author: Dukinos Kazrazilkree
Country: Japan
Language: English (Spanish)
Genre: Music
Published (Last): 6 February 2004
Pages: 19
PDF File Size: 12.37 Mb
ePub File Size: 18.93 Mb
ISBN: 511-6-45241-848-1
Downloads: 44918
Price: Free* [*Free Regsitration Required]
Uploader: Nat

Defects were filled with local graft taken from humeral head fragments.

In the trauma bay, he complains of right shoulder pain. Mid-term results of a less-invasive locking proximao fixation method for proximal humeral fractures: Arch Orthop Trauma Surg. She had decreased sensation in the median ulnar and radial nerve humsro.

Circulation must be restored within six to eight hours to decrease future complications [3]. Trauma management in Orthopedics. A CT scan of the shoulder shows 1cm of posterior displacement of the tuberosity fragment. The incision was closed in layers over a drain. Under general anesthesia, exploration of the axillary artery was performed through an infraclavicular approach, with division of the pectoralis major and minor muscles.

Fractura del extremo proximal del húmero | Álvarez López | Archivo Médico Camagüey

How important is this topic for clinical practice? Early recognition of these clinical signs is essential to avoid irreversible ischemic damage. Carbone S, Papalia M. However, if the patient is over the age of 50, low energy mechanisms are more common [1].

Late appearance of arterial injury caused by fracture of the neck of ffactura humerus. When disruption of the intima and subsequent subintimal dissection and thrombosis occurs, secondary occlusion of the damaged artery can result. Services on Demand Article. Restoration of blood flow was confirmed with the appearance of palpable radial and ulnar pulses.


Accurate application of a precontoured-locking plate for proximal humeral fractures in Asians: The surgical neck of the humerus marks the level at which the anterior and posterior humeral circumflex vessels branch off of the axillary artery, passing anterior and posterior to the humeral diaphysis respectively, humrro tethering the artery to the humerus at this point.

Reverse total shoulder arthroplasty for the management of fractures of the proximal humerus: What is the most commonly reported complication of this procedure? Works part-time in a special-needs school.

Early diagnosis humrro treatment remains the cornerstone of successfully treating these injuries. Twenty-two patients, 13 females and 9 males, were operated on between February and August Would you manage this patient surgically or attempt a course of conservative treatment?

Core Tested Community All. No differences between operative and non-operative treatments of proximal humerus fractures.

Operative vs non-operative management of displaced proximal humeral fractures in the elderly: Posterior shoulder fracture-dislocation in a 25F C Trauma – Proximal Humerus Fractures HPI – She admitted yesterday night to emergency department with sudden pain and disability of right shoulder after an epileptic seizure.

Thank you for rating! Follow-up consisted of X-ray review to check for bone healing and avascular necrosis, and functional assessment using the Constant-Murley scale. Reverse for Fracture – Mark A.

Proximal Humerus Fractures – Trauma – Orthobullets

Treatment of proximal humeral fractures using anatomical locking plate: Treatment of the fracture with closed reduction and percutaneous k-wire fixation. Clinical outcomes and prognostic factors depending on implant design in the treatment of proximal humeral fractures: There are several mechanisms by which the axillary artery can be injured in association with this type of fracture, and the regional anatomy that may predispose the artery to injury merits discussion.


If the patient is less than 50 years old, high-energy trauma is the most common etiology. A longitudinal incision was made in the fascia overlying the right brachial artery. Proximal Humerus Fracture Hemiarthroplasty.

Displaced proximal humerus fractures in older patients: Upon arrival at our institution, the right upper extremity had a palpable deformity and ecchymosis was present over the anterior aspect of her shoulder.

She undergoes surgical fixation as seen in Figures C through E. The amount of impaction and loss of reduction in osteoporotic proximal humeral fractures after surgical fixation. In general, one must keep a high index of suspicion whenever a fracture is near to a major vessel.

Proximal Humerus Fractures

In particular, the vascular anatomy in the region of the humeral surgical neck can predispose the axillary artery injury. Please vote below and help us build the most advanced adaptive learning platform in medicine.

HPI – She admitted yesterday night to emergency department with sudden pain and disability of right shoulder after an epileptic seizure. An open reduction and humeral hemiarthroplasty is performed.

Un ensayo muestra potencial de las She initially presented to an outside hospital, and was then transferred to our institution for management of a right proximal humerus fracture-dislocation. Simple radiographic humeri of bone quality is associated with loss of surgical fixation in patients with proximal humeral fractures.

The functional assessment score according to the Constant-Murley scale was