Download Fractures of the Shoulder Girdle by William N. Levine, Guido Marra PDF

By William N. Levine, Guido Marra

This identify deals directions to prevent problems within the prognosis, administration, fix and rehabilitation of universal, complicated and multifaceted fractures of the shoulder girdle. It emphasizes severe matters in medical and radiographic evaluate for optimum surgical results. The textual content can be illustrated to explain diagnostic, surgical and healing schemes.

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Extra info for Fractures of the Shoulder Girdle

Example text

K) Fracture 4 months after accident; K-wires were removed after 6 weeks and withdrawn after 3 weeks under local anesthesia. Resch and Hu¨bner 46 Figure 7 Continued. subscapularis tendon and pulled laterally until the articular incongruity seen medially disappears. Temporary fixation is provided with the drill guide wire combination or a K-wire, and a 40 mm screw is placed anteroposteriorly. Finally the K-wires initially drilled into the head segment are cut off and left just beneath the skin. H Valgus-Impacted Fractures (Valgus-Impacted Four-Part Fractures) In these fractures (Fig.

The lesser tuberosity, which is displaced far medially, is reduced with an Percutaneous Treatment of Proximal Humeral Fractures 45 elevator or a hook retractor. (G) The lesser tuberosity is pulled laterally with a hook retractor, which is engaged at the insertion of the lesser tuberosity until the step formation of the articular surface has disappeared. The drill is inserted for temporary fixation. (H) The fragment is secured temporarily with two drills or K-wires. (I) Lesser tuberosity is fixed with two cannulated screws which are inserted over the guide wire.

Interobserver reproducibility was not measured and a condensed version of the classification was used. Sidor et al. 5 (moderate) for their evaluation of 50 fractures by observers of different experience levels (60). 5. 6 (fair) for interobserver and intraobserver reliability, respectively, using the Neer system (61). The main difficulties were in assessing the lesser tuberosity fracture and determining the amount of fracture fragment displacement. The effect of computed tomography on increasing reliability and reproducibility was subsequently assessed (2,62).

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