Proximal humeral fractures account for 4–5 % of all fractures, with the higher incidence in women The AO/ASIF system and the Neer's foursegment classification are used to record the fracture anatomy The Neer's classification is more appropriate to provide an anatomic basis for guiding treatment regimensThe superior aspect of the articular surface is 8 mm above the greater tuberosity Average retroversion values are 18–33°Materials and methods This is a singlecentre retrospective study identifying all proximal humeral fractures presenting between February 16 and February 17 as a result of trauma that subsequently proceeded to CT Two specialty orthopaedic trainees analysed the plain radiographs as well as CT images over two rounds, spaced two weeks apart The Neer 16grade, abbreviated
Proximal Humerus Fracture Classifications Shoulderdoc
Proximal humerus fracture ao classification
Proximal humerus fracture ao classification-And group IV, 4part There are 16 different potential types of fractureDespite the expense of proximal humerus fractures, there is no clear evidence of the optimal and beneficial treatment After the introduction of locking plates in Finland in 02, the incidence of plate fixation doubled between 02 and 09 Based on our survey, uniform lack of confidence regarding the best treatment was notable, and the need for more nonoperative treatments over
Epidemiology And Patho Anatomical Pattern Of 2 011 Humeral Fractures Data From The Swedish Fracture Register Bmc Musculoskeletal Disorders Full Text
Proximal humeral fractures show considerable morbidity rates Classification systems can be used to guide treatment and to select the best possible conservative or surgical management strategy Unfortunately, classifications of proximal humeralHumeral shaft fractures are common fractures of the diaphysis of the humerus, which may be associated with radial nerve injury Diagnosis is made with orthogonal radiographs of the humerus Treatment can be nonoperative or operative depending on location of fracture, fracture morphology, and association with other ipsilateral injuriesThe Neer system 19 groups each fracture by the number of fracture segments and describes the fractured anatomic segment as a part The groups are group I, nondisplaced;
Oberarmfrakturen werden aufgrund ihrer Lokalisation in proximal, diaphysär und distal eingeteilt Während distale Frakturen eher bei jungen Patienten und Kindern vorkommen, sind proximale Humerusfrakturen klassische Frakturen des Alters und geltenFractures of the proximal humerus are typical osteoporotic fractures of the elderly with an increasing incidence Computed tomography (CT) with 3D reconstruction plays a more and more decisive role in the diagnostics because of an improved understanding of fractures in 3D images The resulting correct fracture classification has significance for the decision of theProximal humerus fractures are the seventh most common fracture in frequency and correspond to approximately 80% of all humeral fractures (1) The incidence of fractures at this site may vary from 63 to 73% per 100,000 personyears, being more predominant among the elderly population This type of fracture often occurs in approximately 75% of the population over 60 years old, and
Each fracture type is further subgrouped according to displacement, valgus or varus angulation of the humeral head, comminution and the presence and direction of5 AO/OTA Fracture and Dislocation Classification Longbone Fractures 6 7 p a >Proximal humerus fractures are the third most common fracture type in individuals older than 65 years, after distal radius and proximal femur fractures In 1970, Charles Neer described his foursegment classification system
Proximal Humerus Fracture Core Em
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The Neer classification of proximal humeral fractures is probably the most frequently used system along with the AO classification of proximal humeral fractures The terminology and factors which influence the classification are essential for the utility of radiological reports of proximal humeral fracturesClassification of specific fractures 1 Humerus 12 11E Proximal epiphyseal fractures 12 11M Proximal metaphyseal fractures 12 12D Diaphyseal fractures 12 13M Distal metaphyseal fractures 13 13E Distal epiphyseal fractures 14 2 Radius/ulna 15 21E Proximal epiphyseal fractures 15 21M Proximal metaphyseal fractures 16 22D Diaphyseal fractures 17AO classification of proximal humeral fractures type A extraarticular unifocal (either tuberosity / surgical neck of the humerus ) A1 extraarticular unifocal A1 extraarticular unifocal fracture extraarticular unifocal fracture with
Inter Observer Reliability Of Alternative Diagnostic Methods For Proximal Humerus Fractures A Comparison Between Attending Surgeons And Orthopedic Residents In Training Patient Safety In Surgery Full Text
Ao Ota Classification Of Distal Humeral Fractures Wikidoc
The AO coding of fractures is an alpha numeric system, which describes the location of the fracture with first two numbers, followed by a letter and two numbers, which describe the morphological characteristic of the fracture Location The first number describes the bone (see the next image), for example 1 Humerus 2 Radius/ Ulna 3 FemurA proximal humerus fracture is a break of the upper part of the bone of the arm Symptoms include pain, swelling The AO/OTA classification system is another commonly used system that groups fractures depending on whether the fracture is unifocal or bifocal, and whether or not the fracture goes through the articular surface Treatment There are both nonsurgical and surgicalProximal Humerus Fracture Classifications Proximal Humerus Fracture AO Classification Proximal Humerus Fracture Habermeyer Classification Proximal Humerus Fracture Neer's Classification Sequelae of surgery of proximal humerus fractures Boileau classification Predictors of humeral head ischaemia Hertel
Proximal Humeral Fracture Dislocation Ao Classification Radiology Case Radiopaedia Org
Management Of Proximal Humerus Fractures In Adults
Displaced proximal humeral fractures I Classification and evaluation J Bone Joint Surg Am 1970 Sep;52(6)1077–10 Majed A, Macleod I, Bull AM, et al Proximal humeral fracture classification systems revisited J Shoulder Elbow Surg 11 Oct;(7)1125–1132The κ coefficient values for the interobserver reliability (four independent senior observers, experts in proximal humeral fracture management) of this study were 033 for Neer, 011 for AO, and 044 for CodmanHertel classification systemNeer Classification of Humeral Head Fractures Classification Description Notes 1 part Surgical neck, anatomic neck, lesser tuberosity or greater tuberosity Any fracture pattern with less than 1 cm displacement 2 part Surgical neck, anatomic neck, lesser tuberosity or
Orif Plate Fixation For 4 Part Slight Displacement Valgus Malalignment
Muller Ao Classification Of Fractures Wikipedia
Anatomy and Classification of Proximal Humerus Fractures Fig 11 The average humeral neck angle is 130°Headsplit fractures account for less than 5% of proximal humerus fractures and occur when the humeral head cleaves as it impacts against the narrow "anvil" of the glenoid into two or more large fragments, generally associated with fractures of the tuberosities or surgical neck The articular surface is fragmented into disconnected pieces, frequently these fractures often veryProximal humerus Clinical and radiographic assessment Open fractures, Infection, Compartment syndrome3 References, Classification2
Proximal Humerus Fracture Core Em
Total Elbow Arthroplasty For Distal Humeral Fractures Musculoskeletal Key
