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.

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Preoperative angiography is not only important to make accurate localization of the injury but can also provide important information regarding collateral flow.

Mayo 7 de Proximal humerus fragility fractures: The axillary artery was tethered at the level of the subscapular artery. Entire humeral head except posteroinferior portion of lesser tuberosity and head. Although axillary artery injury occurs frequently with dislocations of the shoulder and fractures of hjmero clavicle, such injury is not commonly associated with fractures of the proximal humerus [].

HPI – A 14 year old patient present after she had idiopathic left humeral head and shaft avascular necrosis AVN 6 years ago. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? Am Acad Orthop Hkmero She had decreased sensation in the median ulnar and radial nerve distribution.

Knox, Axillary artery injuries secondary to anterior dislocation of the shoulder. Screw augmentation reduces motion at the bone-implant interface: Please vote below and help us build the most advanced adaptive learning platform in bumero.


J Orthop Surg Res.

Arthroscopic greater tuberosity fracture repair. No brachial, ulnar or radial pulses were palpable or sensed by Doppler. Which of the following could have best prevented the complication shown in the current radiograph shown in Figure A? Aside from laceration of the artery by bony fragments, there may be overstretching of the artery, which can lead to rupture, especially in an atheromatous artery [6,7].

Proximal Humerus Fractures

She subsequently undergoes surgery to treat the fracture, with immediate postoperative radiographs shown in Figure A. A CT scan of the shoulder shows 1cm of posterior displacement of the tuberosity fragment. However, if the patient is over the age of 50, low energy mechanisms are more common [1]. Accurate application of a precontoured-locking plate for proximal humeral fractures in Asians: Dague, Complete disruption of axillary artery caused by severe atherosclerosis and trivial nonpenetrating trauma.

In particular, the vascular anatomy in the region of the humeral surgical neck can predispose the axillary artery injury.

At that stage, a fibular autograft was used to treat the AVN and fixed with a flexible nail. American Shoulder and Elbow Surgeons.

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

Initial varus displacement of proximal humerus fractures results in similar function but higher complication rates. Circulation must be restored within six to eight hours to decrease future complications [3].


Prompt arteriography is mandatory characterize fully any suspected arterial injury. Postoperative radiographs are provided in Figure B.


Biomechanical effect of the configuration of screw hole style on locking plate fixation in proximal humerus fracture prroximal a simulated gap: Exploration revealed a palpable axillary artery above the site of fracture. The patient was then taken to the operating room emergently. No differences between operative and non-operative treatments of proximal humerus fractures. Thank you for rating! The superior border of the pectoralis major tendon can be used to determine accurate restoration of which of the following?

Six months following surgery, she denies shoulder pain, but she is unable to actively raise her hand above her shoulder. Am Gractura Emerg Med, Biomechanical contribution of tension-reducing rotator cuff sutures in 3-part proximal humerus fractures.

An axillary-brachial bypass graft was performed to reestablish flow on the right arm with a reversed left saphenous vein interposition graft end to end anastomosis Figure 4. Follow-up consisted of X-ray review to check for bone healing and avascular necrosis, and functional assessment fracturz the Constant-Murley scale.

In general, one must keep a high index of suspicion whenever a fracture is near to a major vessel.