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Orthopaedics
Proximal Humerus Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)
What’s inside
2 sections · 96 slides
Overview
- Introduction
- Proximal humerus fractures: key points
- Anatomy and biomechanics
- Tuberosities and rotator cuff pull
- Tuberosities and rotator cuff pull
- Humeral head blood supply
- Humeral head blood supply
- Axillary nerve and the danger zone
- Axillary nerve and the danger zone
- Other structures at risk
- Other structures at risk
- Clinical and radiographic assessment
- Clinical assessment
- Clinical assessment
- Trauma x-ray series
- Trauma x-ray series
- Role of CT
- Role of CT
- Radiographic signs that are easy to miss
- Radiographic signs that are easy to miss
- Intraoperative imaging views
- Intraoperative imaging views
- AO/OTA classification
- AO/OTA codes: extraarticular 2-part (A)
- AO/OTA codes: 3-part (B) and type C
- AO/OTA codes: 4-part fractures (C)
- AO type tree for the proximal humerus
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- Tuberosity fractures (A1)
- Greater tuberosity fractures
- Treatment options: tuberosity fractures
- Treatment options: tuberosity fractures
- Decision logic: tuberosity fractures
- Decision logic: tuberosity fractures
- Surgical neck fractures (A2)
- Impacted versus nonimpacted surgical neck
- Treatment options: surgical neck
- Treatment options: surgical neck (cont.)
- Decision logic: surgical neck fractures
- Decision logic: surgical neck fractures
- 3-part fractures (B1)
- Impacted 3-part fractures
- Nonimpacted 3-part and fracture dislocations
- Nonimpacted 3-part and fracture dislocations
- Treatment options: 3-part fractures
- Treatment options: 3-part fractures (cont.)
- Decision logic: 3-part fractures
- Decision logic: 3-part fractures
- Articular and 4-part fractures (C)
- 4-part fractures with slight displacement
- 4-part fractures with marked displacement
- 4-part fractures with marked displacement
- Anatomical neck fractures and dislocations
- Anatomical neck fractures and dislocations
- Treatment options: articular fractures
- Treatment options: articular fractures (cont.)
- Hemiarthroplasty versus reverse arthroplasty
- Hemiarthroplasty versus reverse arthroplasty
- Decision logic: articular fractures
- Operative technique
- Patient positioning by procedure
- Patient positioning by procedure
- Surgical approaches
- Surgical approaches
- Deltopectoral approach
- Deltopectoral approach
- Angular stable plate fixation: steps
- Angular stable plate fixation: steps
- Plate position and screw placement
- Plate position and screw placement
- Reduction targets and pitfalls
- Reduction targets and pitfalls
- Intramedullary nailing: steps
- Intramedullary nailing: steps
- Straight versus bent nail
- Straight versus bent nail
- Greater tuberosity ORIF: steps
- Greater tuberosity ORIF: steps
- Hemiarthroplasty: steps
- Hemiarthroplasty: steps
Aftercare and complications
- Nonoperative treatment: timeline
- Nonoperative treatment: timeline
- Rehabilitation after fixation
- Rehabilitation after arthroplasty
- Complications
- Take-home messages
- References (1 of 6)
- References (2 of 6)
- References (3 of 6)
- References (4 of 6)
- References (5 of 6)
- References (6 of 6)
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