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By Yingze Zhang

"While many fracture books are at the moment on hand in quite a few languages, this e-book may well to date be at the of the biggest collections of scientific epidemiological facts of bone fracture classifications to be had. it's according to greater than 25 years of expertise in a wide trauma middle and comprises special points of therapy and care when it comes to released or ongoing learn by way of the professional authors. hence, a Read more...

summary: "While many fracture books are at the moment on hand in numerous languages, this ebook might to date be at the of the most important collections of scientific epidemiological information of bone fracture classifications on hand. it really is according to greater than 25 years of expertise in a wide trauma middle and contains detailed elements of remedy and care in terms of released or ongoing study via the specialist authors. therefore, an intensive interpreting presents perception into the continued improvement of recent developments in trauma care"--Provided through writer

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Extra resources for Clinical Epidemiology of Orthopedic Trauma

Example text

N Diagnosis Pain, swelling, and restricted motion are usually present when fracture of the proximal humerus occurs. If the fracture involves the articulation site, with minimal or no displacement, then the swelling and deformity may not be visible, due to protection from thick soft tissue around the shoulder. Tenderness of the shoulder and bone crepitus indicate a fracture. If a fracture fragment becomes displaced, a palpable cavity in the glenohumeral joint will be noted. It is essential to determine the presence of any associated neurovascular injury.

16 47 2 48 2 2 Fractures of the Humerus Operative intervention is indicated in special circumstances, including failure of closed treatment, open fracture, vascular injury, floating elbow, segmental fractures, bilateral fractures of the humerus, and polytrauma such as multiple fractures. Radial nerve injury can be seen in 18% of humeral fractures, and is often caused by traction injury, 90% of which resolve to normal function in 3–4 months. Nerve exploration is required for unresolved radial nerve injury.

Surgical management in patients with osteoporosis or severely comminuted fractures cannot achieve satisfactory results by reduction and stabilization; therefore, prosthetic replacement for the joint should be applied for such patients. 14) extends from the upper border of the pectoralis major insertion site to the supracondylar ridge distally. The proximal aspect of the humeral shaft is cylindric on cross-section; distally, its anterior–posterior diameter narrows. The medial and lateral intermuscular septa divide the arm into anterior and posterior compartments.

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