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.

Author: Musar Kazragrel
Country: Russian Federation
Language: English (Spanish)
Genre: Travel
Published (Last): 6 June 2011
Pages: 341
PDF File Size: 8.67 Mb
ePub File Size: 10.20 Mb
ISBN: 668-5-46835-310-4
Downloads: 50360
Price: Free* [*Free Regsitration Required]
Uploader: Yokus

J Clin Diagn Res. Services on Demand Article. With this mechanism of injury, the artery is stretched across the bony fragment and the adventitia remains intact while the fragile intima tears, leading to thrombosis. Beacuse of the emergent management, no fasciotomy was indicated at that point.

Proximal Humerus Fractures

Four-part fractures treated with a reversed total shoulder prosthesis: X-Rays show no shoulder arthritis or significant osteopenia.

Displaced proximal humeral fracture: Displaced proximal humerus fractures in older patients: Discussion Injury to the axillary artery as a consequence of fracture of the neck of the humerus is an infrequent complication []. The diagnosis is usually suggested by the clinical picture. A longitudinal incision was made in the fascia overlying the right brachial artery. The incision used for axillary artery exploration and repair was extended proximally and distally, a lateral skin flap was developed, and a standard deltopectoral interval was exploited to access the glenohumeral joint.

Would you manage this patient surgically or attempt a course of conservative treatment? Posterior shoulder fracture-dislocation in a 25F C Trauma – Proximal Humerus Fractures HPI – She admitted yesterday night to emergency department with sudden pain and disability of right shoulder after an epileptic seizure.

In the trauma bay, he complains of right shoulder pain. There are several mechanisms by which the axillary artery can be injured in association with this type of fracture, and the regional anatomy that may predispose the artery to injury merits discussion.

  3538C MCI PDF

Displaced proximal humerus fractures: Upper extremity physical exam reveals no neurologic deficits, and an initial radiograph of uumero shoulder is shown in Figure A. P, Byrd Jr, T. Technique of open reduction and internal fixation of priximal proximal humerus fractures with allograft femoral head metaphyseal reconstruction.

The adequacy of diagnosis and treatment for osteoporosis humfro patients with proximal humeral fractures. If the patient is less than 50 years old, high-energy trauma is the most common etiology. Primer xenoinjerto a partir de Biomechanical contribution of tension-reducing rotator cuff sutures in 3-part proximal humerus fractures. Prosthetic height was referenced off of the pectoralis major insertion.

A CT scan of the shoulder shows 1cm of posterior displacement of the tuberosity fragment. Operative vs non-operative management of displaced proximal humeral fractures in the elderly: L6 – years in practice. Please vote below and help us build the gumero advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? Surgical and nonsurgical treatment produced similar outcomes for proximal humeral fractures.

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

This patient is most at risk for which of the following proimal Exploration revealed a palpable axillary artery above the site of fracture. Thus, such delayed thrombosis may lead to ischemia only after hours or days of the initial injury hu,ero. The superior border of the pectoralis major tendon can be used to determine accurate restoration of which of the following?

It was noted by emergency medial personel during her transport that her right brachial and radial pulses were initially weak and subsequently became absent. Predictor of humeral head ischemia after intracapsular fracture of the proximal humerus. A postoperative radiograph is provided in Figure C. Interobserver agreement of Neer and AO classifications for proximal humeral fractures.


Marzo 26 de Late appearance of arterial injury caused by fracture of the neck of the farctura. Please vote below and help us build the most advanced adaptive learning platform in medicine. Am J Emerg Med, The presence of peripheral pulses does not guarantee that significant arterial injury has not occurred and appropriate imaging studies should be obtained without delay if injury is suspected. A radiograph of his shoulder obtained the next day in the emergency room is shown in Figure A.

Upon arrival at our institution, the right upper extremity had a palpable deformity and ecchymosis was present over the anterior aspect of her shoulder. No se detectaron casos con necrosis avascular. Rpoximal – She admitted yesterday night to emergency department with sudden pain and disability of right shoulder after an epileptic seizure. Non-operative treatment of four-part fractures of the proximal end of the humerus: J Shoulder Elbow Surg. The patient was unable to move her right hand fingers.

Orthop Traumatol Surg Res. Estudio descriptivo y prospectivo tipo serie de casos. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

There were no associated neurologic lesions. No brachial, ulnar or radial pulses were palpable or sensed by Doppler.

Proximal humerus fragility fractures: Thank you for rating!

Author: admin