Abstract：
BACKGROUND/HYPOTHESIS:Open reduction and internal fixation (ORIF) using locked plating has demonstrated promise in the treatment of displaced proximal humerus fractures. The purpose of this article is to describe the surgical technique and to report early clinical results with this technique. METHODS:Important surgical principles to follow include adequate use of locking screws in the humeral head, bone graft or bone graft substitutes when needed, rotator cuff sutures to assist with reduction and augment fixation, and sufficient use of intraoperative fluoroscopic imaging. A review was performed to evaluate early outcomes of ORIF with proximal humerus locking plates. All cases were fixed with the described surgical technique. Postoperative assessment included radiographic imaging, PENN/ASES Shoulder Scores, range-of-motion (ROM), and complications. RESULTS:Fifty-two patients (54 shoulders) had minimum 6-month follow-up (13-month mean follow-up). Mean age was 65.5 years. Postoperatively, mean active forward elevation was 130.1 degrees, and mean active external rotation was 27.7 degrees. Mean post-op PENN shoulder score was 68.9 and mean post-op ASES score was 70.8. There were 11 (20.4%) complications in 10 (18.5%) shoulders after treatment with a proximal humerus locking plate. Three complications were classified as minor (5.6%), 8 as major (14.8%). Two shoulders (3.7%) required reoperation to address the complications. CONCLUSION:The use of locking plates in the treatment of displaced proximal humerus fractures is becoming more widespread. With precise knowledge of and experience with the surgical technique, locked plating can be performed safely with good results. However, surgeons should be aware that complications can arise.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
Ricchetti ET,Warrender WJ,Abboud JAdoi
10.1016/j.jse.2010.01.001subject
Has Abstractpub_date
2010-03-01 00:00:00pages
66-75issue
2 Suppleissn
1058-2746issn
1532-6500pii
S1058-2746(10)00002-9journal_volume
19pub_type
杂志文章abstract：:Sixteen patients underwent detailed arthroscopic evaluation; all had moderate to severe, primarily unexplained shoulder pain provoked by anterior elevation and internal rotation, and all were nonresponsive to subacromial injection of local anesthetic. None of the patients had any symptoms or signs of instability. Part...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2000.109322
更新日期：2000-11-01 00:00:00
abstract：BACKGROUND:Complications after anatomic (aTSA) and reverse (rTSA) total shoulder arthroplasty can be devastating to a patient's quality of life and require revisions that are costly to both the patient and the health care system. The purpose of this study is to determine the types, incidence, and timing of complication...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.07.028
更新日期：2020-08-04 00:00:00
abstract：BACKGROUND:Pain is a complex and subjective reality and can be magnified by nonorganic or nonanatomic sources. Multiple studies have demonstrated a correlation between psychological factors and patients' perceptions of musculoskeletal pain and disability. In addition, nonorganic findings as part of the physical examina...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.02.056
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:The identification and precise removal of bony impingement lesions during arthroscopic débridement arthroplasty for elbow osteoarthritis requires a high level of experience and surgical skill. We have developed a new technique to identify the impinging osteophytes on a computer display by simulating elbow mo...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.12.002
更新日期：2021-01-21 00:00:00
abstract：BACKGROUND:Our objective was to study the anatomic and intraoperative coracoid measurements with an aim to closely replicate the Latarjet-Walch technique and find the similarities and dissimilarities in our population. METHODS:In the cadaveric study, 20 shoulders in 10 fresh cadavers were dissected, and the coracoid l...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.09.013
更新日期：2019-04-01 00:00:00
abstract：:Animal models designed to investigate the biologic aspects of rotator cuff pathology are being used and being developed in the rat, rabbit, dog, and other mammals. The current models have provided valuable information regarding the etiology, pathogenesis, and healing potential of the tendon, as well as effective surgi...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.05.002
更新日期：2007-09-01 00:00:00
abstract：BACKGROUND:The Simple Shoulder Test (SST) is a brief, inexpensive, and widely used patient-reported outcome tool, but it has not been rigorously evaluated for patients having shoulder arthroplasty. The goal of this study was to rigorously evaluate the validity of the SST for outcome assessment in shoulder arthroplasty ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.03.029
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:A hyperosmolar irrigation solution has been reported to be safe and have potential benefits for use during shoulder arthroscopy in an animal model study. In this study, the clinical effects of a hyperosmolar solution were compared with a standard isotonic solution when used for shoulder arthroscopy. METHODS...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jse.2017.02.021
更新日期：2017-05-01 00:00:00
abstract：:Outcome after surgical treatment for nonunion and malunion of midshaft displaced clavicle fractures has generally been described as favorable and equal to results of acute repair. This assumption has been based on subjective criteria, however, and no direct comparison is available in the literature. This study used ob...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.01.001
更新日期：2007-09-01 00:00:00
abstract：:Ruptures of the subscapularis tendon, isolated or combined, are rare, and the treatment modalities are controversial. Of 1345 patients who underwent rotator cuff repair in a 7-year period, 73 had either an isolated rupture of the subscapularis or a subscapularis rupture combined with rupture of the supraspinatus. All ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2005.07.013
更新日期：2006-11-01 00:00:00
abstract：HYPOTHESIS:The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire has been validated as an effective upper extremity specific outcome measure. Normative scores have not been established for young athletes. This study was conducted to establish normative DASH scores for intercollegiate athletes. We hypothe...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2009.11.006
更新日期：2010-04-01 00:00:00
abstract：HYPOTHESIS:Traumatic injuries to the ulnar nerve at the elbow are a frequent problem as it is vulnerable to stretching and compression with motion of the upper limb. The aim of the present study was to explore the course of the ulnar nerve at the elbow and forearm and to determine possible anatomical structures that ma...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2009.03.004
更新日期：2009-07-01 00:00:00
abstract：BACKGROUND:Mobile technology offers the prospect of delivering high-value care with increased patient access and reduced costs. Advances in mobile health (mHealth) and telemedicine have been inhibited by the lack of interconnectivity between devices and software and inability to process consumer sensor data. The object...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.01.013
更新日期：2018-07-01 00:00:00
abstract：:The purpose of this study is to determine if bipolar radiofrequency energy (bRFE) can enhance delayed surgical repair of acute supraspinatus tendon tears. Bilateral supraspinatus tendon tears were created in 42 Sprague-Dawley rats and repaired at 6 weeks either with or without bRFE augmentation. There were 8 control (...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2006.11.008
更新日期：2007-09-01 00:00:00
abstract：BACKGROUND:This study evaluated the functional outcomes of bipolar pedicled pectoralis major (PM) transfer to restore elbow flexion. METHODS:We retrospectively reviewed 29 transfers in 28 patients with a mean age of 31.2 years (range, 5-65 years). The loss of elbow flexion was due to brachial plexus palsy in 24 patien...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.06.027
更新日期：2018-11-01 00:00:00
abstract：:Practice is the repetition of an action to improve its quality. The value of the practice effect is recognized in sports, music, and surgery. The number of times a surgical procedure is performed may have a bearing on how well it is done. We investigated the relative frequency with which hip, knee, and shoulder replac...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2003.23
更新日期：2003-03-01 00:00:00
abstract：:Fifty patients who underwent reoperation for failure of previous repair of rotator cuff rupture were evaluated 24 to 84 months after final repair (mean 30 months). Forty-eight of these patients had undergone all previous attempts at repair elsewhere. Most patients had had one or two earlier attempts, but four patients...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/S1058-2746(09)80054-2
更新日期：1992-11-01 00:00:00
abstract：BACKGROUND:The current trend in the treatment of acromioclavicular dislocations is to reconstruct the coracoclavicular ligaments by using transosseous tunnels in the coracoid process or in the clavicle, yet there is no definition as to the location of these. To study the anatomic relationship between the coracoid proce...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.03.033
更新日期：2017-10-01 00:00:00
abstract：:Disability caused by nonunited or malunited fracture of the midshaft clavicle is a rare condition that is expressed by local pain or neurovascular impairment. This condition is usually treated by reduction of the fracture and stable fixation with augmentation by autogenous bone graft. We evaluated the functional outco...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2006.12.002
更新日期：2007-09-01 00:00:00
abstract：:The purpose of this study was to add critical information to the data already available on anthropometry of the proximal humerus. Two hundred macerated humeri were examined. Measurements were taken either directly on the bones or on standardized radiographic projections. The methodology was validated and showed a mean...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2002.124429
更新日期：2002-07-01 00:00:00
abstract：BACKGROUND:Total excision of the clavicle is rarely performed. No previous study has documented long-term outcomes with objective measurements of strength, motion, and patient-centered outcomes. We present the long-term consequences of total claviculectomy on shoulder girdle function, global upper extremity function, a...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2013.05.011
更新日期：2014-02-01 00:00:00
abstract：BACKGROUND:Decreased acromiohumeral distance (AHD) is commonly detected in patients with massive rotator cuff tears (mRCT). Most studies evaluating fixed humeral elevation have used pre- or postoperative standardized radiography and not stress radiography. This study aimed to evaluate the predictive role of preoperativ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.10.029
更新日期：2020-11-30 00:00:00
abstract：BACKGROUND:The advocacy for operative fixation of midshaft clavicle fractures has prompted a reemergence of interest in clavicle anatomy. Three-dimensional (3D) anatomical studies provide more information than 2-dimensional studies, but are currently rare. MATERIAL AND METHODS:Twenty-five skeletonized clavicles were d...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.01.019
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:The objective of the study was to compare the acromiohumeral distance (AHD) between patients diagnosed with hypermobility type of the Ehlers-Danlos syndrome (hEDS) or hypermobility spectrum disorder (HSD) and healthy controls by evaluating the relative amount the tendon occupies in the subacromial area. Furth...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2019.08.003
更新日期：2020-03-01 00:00:00
abstract：:Interscalene block (ISB) of the brachial plexus is frequently used for patients undergoing ambulatory shoulder surgery. We previously reported that the incidence of postoperative complaints (neurapraxia) after an ISB was low (3% at 2 weeks), but objective neurologic assessment was not included in the study. The presen...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2006.02.001
更新日期：2006-11-01 00:00:00
abstract：:A cost analysis of four common shoulder procedures was performed to better advise patients and payers of the expected costs and to provide a foundation for future cost/benefit analysis. Four groups of 50 patients each were evaluated. Group 1 underwent primary, open rotator cuff repair. Group 2 underwent open, anterior...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/S1058-2746(09)80073-6
更新日期：1994-09-01 00:00:00
abstract：BACKGROUND:The Coonrad-Morrey total elbow arthroplasty is a linked implant. This study investigated the hypotheses that reliable results can be obtained in rheumatoid patients and in traumatic conditions and that the survival rate is similar to or better than what has been published for nonlinked implants. METHODS:Sur...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2013.07.042
更新日期：2013-11-01 00:00:00
abstract：:The purpose of this study was to assess the efficacy of pulsed radiofrequency (PRF) applied to the suprascapular nerve for pain relief in medically unfit patients with painful cuff tear arthropathy. Twelve patients with chronic shoulder pain due to cuff tear arthropathy were recruited. The mean age was 68 years (range...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.10.007
更新日期：2008-05-01 00:00:00
abstract：:Articular-surface partial-thickness rotator cuff tears play a significant role in shoulder pathology, but the role of the articular-surface tissue is poorly understood. This investigation assessed the effect of an articular-surface partial-thickness rotator cuff tear on intratendinous strain fields. A magnetic resonan...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2002.126767
更新日期：2002-11-01 00:00:00
abstract：:The incorrect determination of the flexion-extension axis of the elbow may result in poor clinical outcomes for patients undergoing ligament repairs, joint arthroplasties, and procedures requiring articulated external fixators. The variability in the selection of the flexion-extension axis based on a visual approximat...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2005.09.011
更新日期：2006-07-01 00:00:00
