bray at renoortho
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Aug 26, 2007, 1:58 PM
Post #2 of 2
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RE: [ORT-L] Proximal humerus fracture + dislocation
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This is an anterior fracture/dislocation with shaft extension-no chance for
closed reduction-probably contraindicated, especially since the injury is
now 19 days old. We do these supine on a radiolucent table with an arm board
extension-you now have an unobstructed radiographic view of the entire upper
extremity both AP and lateral with excellent axillary views of the
glenohumeral joint to assess your reduction and screw placement. This is the
perfect indication for a locking plate via the traditional deltopectoral
approach. Use the biceps tendon to stay anatomically oriented during the
approach and be sure to check the rotation post plate application. In
general, we have not performed any soft tissue stabilization procedures
during the fixation, may stay away from external rotation past neutral
during rehab and early motion protocol. This one should do fine.
Bray, Althausen, O'mara- Reno
-----Original Message-----
From: ORT-L-owner@www2.aaos.org [mailto:ORT-L-owner@www2.aaos.org] On Behalf
Of Alexander Chelnokov
Sent: Saturday, August 25, 2007 11:43 PM
To: ORT-L@www2.aaos.org
Subject: [ORT-L] Proximal humerus fracture + dislocation
Dear colleagues,
A male 44 y.o. admitted to our unit. Injured at Aug. 6 - fall from 3 m.
Images attached. Five years ago was operated somewhere else for
recurrent dislocation of thƠ same shoulder, no data what was done.
What would be optimal treatment option? Any chance of closed
reduction? What should be done to address the current and past
dislocations? THX.
--
Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia
---
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