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Le fratture prossimali dell’omero. Complicanze neurologiche: diagnosi e trattamento

Nerve lesions in proximal humeral head fractures: Diagnosis and treatment

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LO SCALPELLO-OTODI Educational

Abstract

Peripheral nerve damage in proximal humeral head fractures is not rare. It is more frequent in 2-part of the surgical neck, 3- and 4-part fractures and in fracture-dislocations involving the axillary nerve. It is possible to cause a iatrogenic nerve lesion while performing reduction and synthesis of the fracture. We have to evaluate movement and sensibility after the trauma, before and after the treatment of the fracture. More than 90% of these peripheral nerve lesions have a spontaneous recovery. If there isn’t clinical and EMG recovery after 4–6 months, there is the indication to surgical revision and reconstruction by 2 or 3 autologous sural grafts, with a percentage of good results of 74% (deltoid in M4- M5).

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Rovesta, C., Marongiu, M.C. & Celli, L. Le fratture prossimali dell’omero. Complicanze neurologiche: diagnosi e trattamento. LO SCAL 23, 64–69 (2009). https://doi.org/10.1007/s11639-009-0024-2

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  • DOI: https://doi.org/10.1007/s11639-009-0024-2

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