- Explains key concepts relating to humeral fractures
- Presents treatment indications in detail
- Describes all commonly used fixation techniques
- Discusses complications and their treatment
- Includes numerous high-quality illustrations
The treatment of humeral fractures is a complex issue and the source of considerable controversy. In the case of fractures of the proximal humerus, early range of motion is the main aim of treatment. If a fracture modifies the anatomy or function of the glenohumeral and scapulothoracic joints, the surgeon must adhere meticulously to treatment principles in order to ensure a satisfactory outcome. Humeral shaft fractures are frequent, accounting for 1% to 3% of all fractures in adults; while excellent functional results have been reported with nonoperative management, open reduction and internal fixation is preferred in specific clinical settings. In contrast, intra-articular fractures of the distal humerus are frequently complex and full functional recovery is difficult to achieve.
This volume clearly explains the concepts that are central to an understanding of humeral fractures from the proximal to the distal tip. Indications for different forms of treatment, including nonsurgical, are presented in detail, and all of the commonly used fixation techniques are described with the help of high-quality illustrations. Further important aspects such as complications, rehabilitation, and treatment of sequelae are also fully considered. This book will be an invaluable and comprehensive aid for all surgeons who treat humeral fractures.
Table of Contents1. Proximal humerus.- Main anatomy.- Understanding the Fracture.- Non surgical treatment.-Operating theatre setup.- Closed reduction principles.- Surgical Approaches.- Internal fixation principles.- Percutaneous fixation: when and how.- Loking plate fixation.- Intramedullary nail.- Anatomical prosthesys or Hemiarthroplasty.- Reverse total shoulder arthroplasty.- Belove -neck fracture.- Nonunions.- The tuberosities.- Malunions of the tuberosity.- Neurological problems.- Fracture dislocations.- Treatment of the sequaele.- Rehabilitation.-
2. The diafisys.- Main anatomy.- Surgical approaches.- Non surgical treatment.- Radial palsy and humerus fractures.- Internal Fixation: plate or IM Nail.-External fixation.- Treatment of the sequaele.-
3. Distal Humerus.- Main anatomy.- Surgical approaches.- Fracture identikit.- Internal fixation principles.- Prosthesis.- External fixation when and how.- Malunion and nonunion.- Stiffness how to manage it.- Terrible triad.
