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RESEARCH PRODUCT
Nonunion and malunion in proximal humerus fractures
Giacomo SabbioniGiulio Edoardo VigniEnrico GervasiAndrea Tomasisubject
musculoskeletal diseases030222 orthopedicsmedicine.medical_specialtyShoulder FractureJoint replacementbusiness.industrymedicine.medical_treatmentRotator cuff injuryNonunion030229 sport sciencesBone graftingmedicine.diseaseArthroplastySurgery03 medical and health sciencesPseudarthrosis0302 clinical medicinemedicineMalunionbusinessdescription
Proximal humerus fractures are common injuries and the development of nonunion or malunion is infrequent. However, these complications can occur with both operative and non-operative treatment of the fracture. A complete evaluation of these patients must include an investigation of the original fracture, bone and soft tissue quality as well as an extensive radiological study with X-Ray, CT and MRI. Asymptomatic and low demanding patients can benefit from conservative treatment, otherwise surgery is necessary. Multiple treatment options exist with no consensus upon the gold standard. The management of these complications is case-specific and needs extensive pre-operative planning. Arthroscopic procedures, osteotomies and bone grafting are viable joint preservation techniques. Bone loss or articular pathology are indications for joint replacement. The surgical treatment of nonunion and malunion is challenging even for experienced surgeons.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-03-01 | Lo Scalpello - Otodi Educational |