Internal fixation versus nonoperative treatment of displaced 3-part proximal humeral fractures in elderly patients: a randomized controlled trial.

We treated 34 consecutive articular fractures of the proximal humerus in 33 patients with good bone quality by open reduction and internal fixation. Anatomical or nearly anatomical reduction was achieved in 30, at a mean follow-up of 63 months (25 to 131), complete or partial avascular necrosis had occurred in 12 cases (35%). Two patients subsequently underwent arthroplasty and six further patients required additional surgery. The 32 patients who did not require arthroplasty obtained a mean Constant score of 78 points or 89% of an age- and gender-matched normal score (66 points or 76% in the presence and 83 points or 96% in the absence of avascular necrosis (p < 0.0005)); 22 were painfree, and seven had mild pain and three moderate pain. The mean active anterior elevation was 156°. Internal fixation of complex fractures of the proximal humerus restored good shoulder function if avascular necrosis did not develop.

Internal fixation of complex fractures of the proximal humerus

Shoulder arthroplasty for the treatment of the sequelae of fractures of the proximal humerus.

Hemiarthroplasty versus nonoperative treatment of displaced 4-part proximal humeral fractures in elderly patients: a randomized controlled trial

Four-segment classification of proximal humeral fractures: purpose and reliable use.

Reconstruction of the valgus-impacted humeral head fracture.

Arthroskopie der Schulter

Arthroskopie der Schulter : Diagnostik und Therapie

Both the diagnosis and the current therapeutic possibilities of the shoulder joint and the subacromial space are described in explicit detail in this book. The anatomy of the shoulder joint from an arthroscopic viewpoint is also briefly described. The diagnostic part of the book gives a description of the individual structures in the glenohumeral joint as well as the subacromial space with regard to their pathologic changes, and special attention is focused on differentiating between healthy and pathologic structures. The therapeutic part gives a detailed description of the Bankart refixation methods successfully applied by the authors which include a suturing technique, a refixation technique using absorbable tacks and an extra-articular screw fixation technique; furthermore the techniques of subacromial decompression, the removal of calcium deposits and the resection of the lateral end of the clavicle are described in detail. From the discussion about the indications for arthroscopy and/or arthroscopic therapy, the book then goes on to convey information on positioning, draping, necessary instruments and, finally, the performing the arthroscopic intervention itself. Thus, all the details which are required for arthroscopy of the shoulder are given.

Arthroscopy of the Shoulder: Diagnosis and Therapy

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Reconstruction of the valgus-impacted humeral head fracture.

Arthroskopie der Schulter

Arthroskopie der Schulter : Diagnostik und Therapie

Arthroscopy of the Shoulder: Diagnosis and Therapy