scholarly journals Double crush syndrome due to plating of humeral shaft fracture

2014 ◽  
Vol 48 (2) ◽  
pp. 223 ◽  
Author(s):  
Yi-Gang Huang ◽  
Shi-Min Chang
Keyword(s):  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Crush Syndrome ◽  
Humeral Shaft ◽  
Double Crush ◽  
Double Crush Syndrome

HEALING PATTERN OF INTERLOCKED INTRAMEDULLARY NAILED HUMERAL SHAFT FRACTURE

2016 ◽  
Vol 19 (04) ◽  
pp. 1650018
Author(s):  
Myung-Sang Moon ◽  
Dong-Hyeon Kim ◽  
Min-Geun Yoon ◽  
Sang-Yup Lee
Keyword(s):  
Bone Fractures ◽  
Weight Bearing ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Humeral Shaft ◽  
Long Bone ◽  
Patients Âgés ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Entry Points

Design: Study on the cases of the united interlocked intramedullary (IM) nailed humeral shaft fractures. Objective: To assess the healing pattern of nailed humeral shaft fracture and to compare it with the results of the other previous authors’ nail-treated large bone fractures. Background data: Based on the relevant previous studies related with healing patterns of the interlocked IM nail-managed humeral shaft fractures, the current age-matched study on the participating callus for union was conceived. The comparative study on the healing patterns between the fractures of non-weight-bearing long bone — the humerus — and other large weight-bearing long bones have never been carried out previously. Materials and methods: Eighty-nine cases of the humeral shaft fractures, fixated with antegrade interlocked IM standard Kuentscher nail were subjected to the study. The patients’ ages ranged from the late teens to 9th decade of life. For the antegrade nailing, two entry points were chosen; conventional entry point in the early series, and rotator cuff interval in the late series. Results: External callus was very rarely formed [12 cases (13.4%)]. It was formed at post-fixation 6.5 weeks on average in cases with unreduced displaced fragment, and proximal interlocking. Radiographic union occurred at post-fixation 17.6 weeks on an average by primary osteonal callus. Conclusion: It was concluded that in most cases union was obtained primarily by the contact or gap healing irrespective of the patients’ ages, and that periosteal participation was very rare or negligible. Use of smaller diameter nail or new development of less rigid IM nail without external nail shape change is thought desirable to induce periosteal callus in early healing stage.

Beware the rebound effect: regional anesthesia increases opioid utilization after humerus fracture surgery

2021 ◽  
pp. 175857322110481
Author(s):  
Daniel J. Cunningham ◽  
Micaela A. LaRose ◽  
Gloria X. Zhang ◽  
Ariana R. Paniagua ◽  
Christopher S. Klifto ◽  
...  
Keyword(s):  
Regional Anesthesia ◽  
Proximal Humerus ◽  
Rebound Effect ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Opioid Consumption ◽  
Humeral Shaft ◽  
Patients Âgés ◽  
The Impact ◽  
Fracture Surgery

Introduction Regional anesthesia (RA) is used reduce pain in proximal humerus and humeral shaft fracture surgery. The study hypothesis was that RA would decrease opioid demand in patients undergoing fracture surgery. Materials and methods Opioid demand was recorded in all patients ages 18 and older undergoing proximal humerus or humeral shaft fracture surgery at a single, Level I trauma center from 7/2013 – 7/2018 (n = 380 patients). Inpatient opioid consumption from 0–24, 24–48, and 48–72 h and outpatient opioid demand from 1-month pre-operative to 90-days post-operative were converted to oxycodone 5-mg equivalents (OE's). Unadjusted and adjusted models were constructed to evaluate the impact of RA and other factors on opioid utilization. Results Adjusted models demonstrated increases in inpatient opioid consumption in patients with RA (6.8 estimated OE's without RA vs 8.8 estimated OE's with RA from 0–24 h post-op; 10 vs 13.7 from 24–48 h post-op; and 8.7 vs 11.6 from 48–72 h post-op; all p < 0.05). Estimated cumulative outpatient opioid demand was significantly higher in patients with RA at all timepoints. Discussion In proximal humerus and humeral shaft fracture surgery, RA was associated with increased inpatient and outpatient opioid demand after adjusting for baseline patient and treatment characteristics.

scholarly journals Humeral Shaft Fracture Sustained during Arm Wrestling in Young Males

2017 ◽  
Vol 35 (3) ◽  
pp. 149
Author(s):  
Seung Rim Yi ◽  
Jieun Kwon ◽  
Ye Hyun Lee ◽  
Bo Kyu Yang ◽  
Young Joon Ahn ◽  
...  
Keyword(s):  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Humeral Shaft ◽  
Young Males

The Treatment Of Humeral Shaft Fracture With Rertograde Ao Unreamed Humeral Nail

2002 ◽  
Vol 15 (3) ◽  
pp. 398
Author(s):  
Tae Woo Park ◽  
Sung Do Cho ◽  
Young Sun Cho ◽  
Bum Soo Kim ◽  
Sogu Lew ◽  
...  
Keyword(s):  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Humeral Shaft ◽  
Unreamed Humeral Nail

Double-crush syndrome after acetabular fractures

2005 ◽  
Vol 87-B (3) ◽  
pp. 401-407 ◽  
Author(s):  
P. V. Giannoudis ◽  
A. A. Da Costa ◽  
R. Raman ◽  
A. K. Mohamed ◽  
R. M. Smith
Keyword(s):  
Crush Syndrome ◽  
Acetabular Fractures ◽  
Double Crush ◽  
Double Crush Syndrome

Double-Crush Syndrome in Lower Limbs

2000 ◽  
pp. 131-136
Author(s):  
Vladimir Golovchinsky
Keyword(s):  
Crush Syndrome ◽  
Lower Limbs ◽  
Double Crush ◽  
Double Crush Syndrome
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