Four-part fracture dislocation of the proximal humerus: an arthroscopic approach
The 4-part fracture dislocation of the proximal humerus remains an unsolved problem in young patients. The majority of 4-part fracture dislocations are best managed by humeral head replacement, although open reduction and internal fixation in young patients with good bone quality may be considered....
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| Veröffentlicht in: | Arthroscopy 2003-07, Vol.19 (6), p.662-666 |
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| container_title | Arthroscopy |
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| creator | Dawson, Frank A. |
| description | The 4-part fracture dislocation of the proximal humerus remains an unsolved problem in young patients. The majority of 4-part fracture dislocations are best managed by humeral head replacement, although open reduction and internal fixation in young patients with good bone quality may be considered. Better results are obtained associated with limited exposure, careful soft tissue dissection, and stable fixation. We present an unpublished technique of reduction with arthroscopic assistance and percutaneous stabilization, which preserves the soft tissue around the fragments, avoiding the deltopectoral approach. |
| doi_str_mv | 10.1016/S0749-8063(03)00342-6 |
| format | Article |
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The majority of 4-part fracture dislocations are best managed by humeral head replacement, although open reduction and internal fixation in young patients with good bone quality may be considered. Better results are obtained associated with limited exposure, careful soft tissue dissection, and stable fixation. We present an unpublished technique of reduction with arthroscopic assistance and percutaneous stabilization, which preserves the soft tissue around the fragments, avoiding the deltopectoral approach.</description><identifier>ISSN: 0749-8063</identifier><identifier>EISSN: 1526-3231</identifier><identifier>DOI: 10.1016/S0749-8063(03)00342-6</identifier><identifier>PMID: 12861204</identifier><identifier>CODEN: ARTHE3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Adult ; Arthroscopic assistance reduction ; Arthroscopy ; Arthroscopy - methods ; Biological and medical sciences ; Bone Nails ; Bone Screws ; Bone Wires ; External Fixators ; Four-part Neer fracture dislocation ; Fracture Fixation - instrumentation ; Fracture Fixation - methods ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Proximal humerus fracture ; Recovery of Function ; Shoulder ; Shoulder Dislocation - etiology ; Shoulder Dislocation - surgery ; Shoulder Fractures - complications ; Shoulder Fractures - surgery ; Technique of reduction ; Traumas. 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The majority of 4-part fracture dislocations are best managed by humeral head replacement, although open reduction and internal fixation in young patients with good bone quality may be considered. Better results are obtained associated with limited exposure, careful soft tissue dissection, and stable fixation. We present an unpublished technique of reduction with arthroscopic assistance and percutaneous stabilization, which preserves the soft tissue around the fragments, avoiding the deltopectoral approach.</description><subject>Adult</subject><subject>Arthroscopic assistance reduction</subject><subject>Arthroscopy</subject><subject>Arthroscopy - methods</subject><subject>Biological and medical sciences</subject><subject>Bone Nails</subject><subject>Bone Screws</subject><subject>Bone Wires</subject><subject>External Fixators</subject><subject>Four-part Neer fracture dislocation</subject><subject>Fracture Fixation - instrumentation</subject><subject>Fracture Fixation - methods</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Proximal humerus fracture</subject><subject>Recovery of Function</subject><subject>Shoulder</subject><subject>Shoulder Dislocation - etiology</subject><subject>Shoulder Dislocation - surgery</subject><subject>Shoulder Fractures - complications</subject><subject>Shoulder Fractures - surgery</subject><subject>Technique of reduction</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Tropical medicine</subject><issn>0749-8063</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMlKxTAUhoMoeh0eQclG0UU1U9PGjYg4wQUFdR3S9JQb6W1q0oq-vbkDuhQOnM33n-FD6JCSc0qovHghhVBZSSQ_JfyMEC5YJjfQhOZMZpxxuokmv8gO2o3xnSSKl3wb7VBWSsqImKDnOz-GrDdhwE0wdhgD4NrF1lszON9h3-BhBrgP_svNTYtn4xzCGC-x6XAKzYKP1vfOYtMnxtjZPtpqTBvhYN330Nvd7evNQzZ9un-8uZ5mlis6ZKIhVVWYCmShypIpyarGcJMrJq2idd4IxUFUVvFcssLyUjQyF0qJEoDUSvA9dLKam9Z-jBAHPXfRQtuaDvwYdcFFKfkSzFegTbfGAI3uQ3olfGtK9EKlXqrUC0-apFqo1DLljtYLxmoO9V9q7S4Bx2vARGvapK-zLv5xQhU5Z3nirlYcJB2fDoKO1kFnoXYB7KBr7_455QeY5ZAv</recordid><startdate>20030701</startdate><enddate>20030701</enddate><creator>Dawson, Frank A.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030701</creationdate><title>Four-part fracture dislocation of the proximal humerus: an arthroscopic approach</title><author>Dawson, Frank A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-4f0bb7abe679882962bfa3a5926c91d5f493e4bc935627c384f6549948ee0d943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Arthroscopic assistance reduction</topic><topic>Arthroscopy</topic><topic>Arthroscopy - methods</topic><topic>Biological and medical sciences</topic><topic>Bone Nails</topic><topic>Bone Screws</topic><topic>Bone Wires</topic><topic>External Fixators</topic><topic>Four-part Neer fracture dislocation</topic><topic>Fracture Fixation - instrumentation</topic><topic>Fracture Fixation - methods</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Proximal humerus fracture</topic><topic>Recovery of Function</topic><topic>Shoulder</topic><topic>Shoulder Dislocation - etiology</topic><topic>Shoulder Dislocation - surgery</topic><topic>Shoulder Fractures - complications</topic><topic>Shoulder Fractures - surgery</topic><topic>Technique of reduction</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dawson, Frank A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dawson, Frank A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Four-part fracture dislocation of the proximal humerus: an arthroscopic approach</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2003-07-01</date><risdate>2003</risdate><volume>19</volume><issue>6</issue><spage>662</spage><epage>666</epage><pages>662-666</pages><issn>0749-8063</issn><eissn>1526-3231</eissn><coden>ARTHE3</coden><abstract>The 4-part fracture dislocation of the proximal humerus remains an unsolved problem in young patients. The majority of 4-part fracture dislocations are best managed by humeral head replacement, although open reduction and internal fixation in young patients with good bone quality may be considered. Better results are obtained associated with limited exposure, careful soft tissue dissection, and stable fixation. We present an unpublished technique of reduction with arthroscopic assistance and percutaneous stabilization, which preserves the soft tissue around the fragments, avoiding the deltopectoral approach.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>12861204</pmid><doi>10.1016/S0749-8063(03)00342-6</doi><tpages>5</tpages></addata></record> |
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| ispartof | Arthroscopy, 2003-07, Vol.19 (6), p.662-666 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Arthroscopic assistance reduction Arthroscopy Arthroscopy - methods Biological and medical sciences Bone Nails Bone Screws Bone Wires External Fixators Four-part Neer fracture dislocation Fracture Fixation - instrumentation Fracture Fixation - methods Humans Injuries of the limb. Injuries of the spine Male Medical sciences Proximal humerus fracture Recovery of Function Shoulder Shoulder Dislocation - etiology Shoulder Dislocation - surgery Shoulder Fractures - complications Shoulder Fractures - surgery Technique of reduction Traumas. Diseases due to physical agents Tropical medicine |
| title | Four-part fracture dislocation of the proximal humerus: an arthroscopic approach |
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