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: Nashakar Jugar
Country: Papua New Guinea
Language: English (Spanish)
Genre: Finance
Published (Last): 13 July 2012
Pages: 98
PDF File Size: 19.37 Mb
ePub File Size: 7.23 Mb
ISBN: 912-7-27598-934-7
Downloads: 72377
Price: Free* [*Free Regsitration Required]
Uploader: Jujin

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

Proximal Humerus Fractures – Trauma – Orthobullets

Discussion Injury to the axillary artery as a consequence of fracture of the neck of the humerus is an infrequent complication []. This artery was dissected in a retrograde fashion up to the region of injury; no pulse was palpated distally to the injury Figure 3.

Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? Hemiarthroplasty for proximal humerus fracture and consequences of a comminuted greater tubercle fragment. Prior to completing the anastomosis, forward and backward flushing maneuvers were performed and anastomosis was completed.

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

No ulnar or radial arteries were visualized in the distal forearm Figure 2. Proximal humerus fragility fractures: I classification and evaluation. Minim Invasive Ther Allied Technol. P, Byrd Jr, T. There are several mechanisms by which the axillary artery can be injured in association with this type of fracture, and the regional hunero that may predispose the artery to injury merits discussion.


HPI – She admitted yesterday night to emergency department with sudden pain and disability of right shoulder after ffractura epileptic seizure. After the age of 50, women have a much higher incidence of these fractures than men, due to a higher incidence of osteoporosis. Rockwood and Green’s Fractures in Adults.

Surgical treatment is pursued with open reduction internal fixation with a lateral locking plate. The avascular necrosis rate was low and early rehabilitation was possible in patients with poor bone quality. After a period of time, the grafted bone underwent AVN again. Please login to add comment. Late appearance of arterial injury caused by fracture of the neck of the humerus. Arch Orthop Trauma Surg.

Clinical outcomes and prognostic factors depending on implant design in the treatment of proximal humeral fractures: No se detectaron casos con necrosis avascular. Four-part fractures treated with a reversed total shoulder prosthesis: Case Report A 69 year old female, fell at home from standing height, injuring her proximak shoulder.

Dague, Complete disruption of axillary artery caused by severe atherosclerosis and trivial nonpenetrating trauma. Prosthetic height was referenced off of the pectoralis major insertion.

Proximal Humerus Fractures

At the time of her fall, she described loss of sensation and motor function of her right hand. The superior border of the pectoralis major tendon can be used to determine accurate restoration of which of the following? Proximsl had decreased sensation in the median ulnar and radial nerve distribution. Operative vs non-operative management of displaced proximal humeral fractures in the elderly: Surgical versus non-surgical treatment for 3- and 4-part proximal humerus fractures.


Under general anesthesia, exploration of the axillary artery was performed through an infraclavicular ffractura, with division of the pectoralis major and minor muscles. Roy, Axillary artery injuries after proximal fracture of the humerus. The amount of impaction and loss of reduction in osteoporotic proximal humeral fractures after surgical fixation.

There were no cases fracthra avascular necrosis. Although axillary artery injury occurs frequently with dislocations of the shoulder and fractures of the clavicle, such injury is not commonly associated with fractures of the proximal humerus []. Interobserver agreement of Neer and AO classifications for proximal humeral fractures. Full passive range of motion was achieved without impingement upon the vascular repair. Upon arrival at our institution, the right upper extremity had a palpable deformity and ecchymosis was present over the anterior aspect of her shoulder.

Un ensayo muestra potencial de las We present a patient with an fracura artery injury associated with a comminuted fracture of the proximal humerus.

Fractures of the greater tuberosity of the humerus: Nevertheless, certain emergent cases may necessitate intervention without the benefit of preoperative mapping. American Shoulder and Elbow Surgeons.

Author: admin