Regarding “The rotation of the humeral head does not alter radiographic evaluation of the head-shaft angle”

2016 ◽  
Vol 25 (11) ◽  
pp. e365-e366
Author(s):  
Clemens Hengg ◽  
Simon Euler ◽  
Markus Wambacher ◽  
Michael Blauth ◽  
Franz Kralinger
Keyword(s):  
Humeral Head ◽  
Radiographic Evaluation ◽  
Shaft Angle ◽  
Head Shaft Angle

The rotation of the humeral head does not alter radiographic evaluation of the head-shaft angle

2016 ◽  
Vol 25 (4) ◽  
pp. 543-547 ◽  
Author(s):  
Eduardo A. Malavolta ◽  
Jorge H. Assunção ◽  
Raphaella A. Pagotto ◽  
Rafael L. Avelino ◽  
Mauro E.C. Gracitelli ◽  
...  
Keyword(s):  
Humeral Head ◽  
Radiographic Evaluation ◽  
Shaft Angle ◽  
Head Shaft Angle

The relevance of neutral arm positioning for true ap-view X-ray to provide true projection of the humeral head shaft angle

2015 ◽  
Vol 136 (2) ◽  
pp. 213-221 ◽  
Author(s):  
Clemens Hengg ◽  
Peter Mayrhofer ◽  
Simon Euler ◽  
Markus Wambacher ◽  
Michael Blauth ◽  
...  
Keyword(s):  
Humeral Head ◽  
X Ray ◽  
Shaft Angle ◽  
Head Shaft Angle

scholarly journals Is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head?

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Mohammad Maddah ◽  
Wolf C. Prall ◽  
Lucas Geyer ◽  
Stefan Wirth ◽  
Wolf Mutschler ◽  
...  
Keyword(s):  
Humeral Head ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Spearman Correlation ◽  
Locked Plating ◽  
Secondary Fracture ◽  
Secondary Loss ◽  
Cutting Out ◽  
Shaft Angle ◽  
Head Shaft Angle

The aim of the study was to examine the correlation between the chosen position of screws and the complications observed in patients who underwent locked plating of proximal humeral fractures. We evaluated radiographs of 367 patients treated by locked-plating for proximal humeral fractures. Radiographs were taken at one day, 6 weeks, 3 months and 6 months after surgery, and were analyzed for secondary fracture displacement, loss of fixation, cutting out of screws and necrosis of the humeral head. Secondary loss of fixation occurred in 58 cases (15.8%) and among those cutting out of screws was observed in 25 cases (6.8%). In cases of secondary loss of fixation a mean of 6.7 screws were used to fix the fracture (<em>vs</em> 6.6, P=0.425). There was neither significant correlation between position of screws and the occurrence of postoperative loss of fixation in Spearman correlation nor relationship from backward logistic regression analysis. Loss of fixation following locked plating of proximal humeral fractures does not relate to the number of screws and their positions in the humeral head. In consequence, anatomic fracture reduction and restoration of the humeral head-shaft angle are still important factors and should not be disregarded.

Decision making in the management of malunion and nonunion of intertrochanteric fractures of the hip

2019 ◽  
Vol 30 (6) ◽  
pp. 793-798 ◽  
Author(s):  
Kaushik Bhowmick ◽  
Thomas Matthai ◽  
Perumal Ramaswamy JVC Boopalan ◽  
Thilak S Jepegnanam
Keyword(s):  
Decision Making ◽  
Functional Outcomes ◽  
Intertrochanteric Fracture ◽  
Distal Femur ◽  
Femur Fracture ◽  
Intertrochanteric Fractures ◽  
Non Union ◽  
Shaft Angle ◽  
Head Shaft Angle

Aim: Intertrochanteric fractures account for almost 50% of hip fractures.Nonunion and malunion of these fractures are relatively uncommon. This study reviews the outcome of 31 cases of intertrochanteric fracture failures. An algorithm for the management of these injuries is also proposed. Methods: 19 patients with intertrochanteric malunion and 12 patients with non-union were included in this study. Treatment of these injuries was initiated according to the algorithm proposed in this study. Treatment outcomes were evaluated by assessing union, pre and postoperative shortening and HSA (head-shaft angle). Functional outcomes were assessed by the Parker mobility scale and presence or absence of pain. Results: All the patients with intertrochanteric malunion with follow-up had united. The postoperative shortening in all patients were ⩽2.5 cms. Patients having intertrochanteric nonunion with follow-up, who underwent internal fixation had united with an acceptable Parker mobility scale score, except in 1 patient who sustained an ipsilateral distal femur fracture. The average HSA correction obtained was 21° (range 3–60°). Conclusion: The algorithm proposed in this study helps streamline the treatment according to each case scenario.It helps in planning and managing patients with intertrochanteric fracture failures.

scholarly journals Study of operative management of proximal humerus fracture treated with locking plates

2016 ◽  
Vol 2 (4) ◽  
pp. 318
Author(s):  
Bhavik Y. Dalal ◽  
Dipalkumar V. Rathod ◽  
Raghav Suthar ◽  
Harshal Damor
Keyword(s):  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Operative Management ◽  
Humerus Fracture ◽  
Shaft Angle ◽  
Philos Plate ◽  
Type 3 ◽  
Radiological Union ◽  
Head Shaft Angle ◽  
Shoulder Score

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">This study was undertaken to evaluate the efficacy of Philos plate and to specifically study the clinical outcome of the patient treated with Philos plate for proximal humerus fracture on the radiological head shaft angle basis.</span></p><p class="abstract"><strong>Methods:</strong> 40 cases of proximal humerus fracture fixed by using Philos plate were reviewed.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Average constant shoulder score as Neer type-3 fracture is 83.8% and for type- 4 part fracture is 86%. Average radiological union was seen at 10.2 weeks. There was no major difference in clinical and radiological union. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Good functional outcome with Philos plate irrespective of fracture type was obtained.</span></p>

scholarly journals Is head–shaft angle a valuable continuous risk factor for hip migration in cerebral palsy?

2016 ◽  
Vol 10 (6) ◽  
pp. 651-656 ◽  
Author(s):  
Sanjay Chougule ◽  
John Dabis ◽  
Aviva Petrie ◽  
Karen Daly ◽  
Yael Gelfer
Keyword(s):  
Risk Factor ◽  
Cerebral Palsy ◽  
Shaft Angle ◽  
Hip Migration ◽  
Head Shaft Angle

scholarly journals Lesser Tuberosity Osteotomy Outcomes After Anatomic Shoulder Arthroplasty in Patients With Atraumatic Avascular Necrosis

2018 ◽  
Vol 2 ◽  
pp. 247154921877844
Author(s):  
Stephen P Maier ◽  
Cesar D Lopez ◽  
Zachary J Bloom ◽  
Brian B Shiu ◽  
Djuro Petkovic ◽  
...  
Keyword(s):  
Avascular Necrosis ◽  
Bone Healing ◽  
Lupus Erythematosus ◽  
Shoulder Arthroplasty ◽  
Humeral Head ◽  
External Rotation ◽  
Case Series ◽  
Visual Analogue Scale Pain ◽  
Radiographic Evaluation ◽  
Lesser Tuberosity

Introduction Lesser tuberosity osteotomy (LTO) is an attractive option for subscapularis management during anatomic shoulder arthroplasty due to the biomechanical strength and reliable bone-to-bone healing. Patients with humeral head avascular necrosis (AVN) may have compromised bone healing, and the outcomes of LTO during AVN are unknown. Methods A retrospective consecutive case series of 6 patients with Cruess grade 4 or 5 humeral head AVN who underwent anatomic shoulder arthroplasty with LTO from 2010 to 2016 was performed. Postoperative radiographic evaluation for LTO healing at 6 months was analyzed, and clinical outcomes at latest follow-up, including range of motion (ROM), strength, and pain were studied.> Results Average age was 50.3 years. AVN was secondary to sickle cell in 1 patient, steroid use for systemic lupus erythematosus in 4, and chronic alcoholism in 1. By 6 months after arthroplasty, 100% had radiographically united and healed LTO. Patients averaged 140 ± 21° of active forward elevation and 42 ± 7° of active external rotation. Patients reported an improvement in visual analogue scale pain from 8.3 preoperatively to 3.8 postoperatively. All patients had a normal abdominal compression test. No patients required revision surgery. Conclusion The use of LTO during anatomic shoulder arthroplasty for AVN has an excellent bony healing rate with improvements in pain, ROM, and strength. The diseases that cause humeral head AVN do not negatively influence LTO healing outcomes during anatomic shoulder replacement. Level of Evidence IV Case Series

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