Abstract
Proximal humerus fractures are notoriously difficult to treat. The surrounding rotator cuff musculature makes intraoperative assessment of the reduction of fractures, especially those involving the articular surface, difficult to assess. Even fractures fixed with open reduction and internal fixation often require intraoperative fluoroscopic guidance to ensure appropriate anatomic reduction. The anatomic relationship between the articular surface and the surrounding rotator cuff has a critical influence on the final result. Furthermore, fixation is a challenge to maintain as the rotator cuff exerts strong deforming forces on the tuberosities, which are often of poor bone quality and do not hold hardware well. In spite of this, many unstable proximal humerus fractures are treated successfully with established methods of open reduction and internal fixation.
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Hsu, J., Galatz, L.M. (2006). Mini-Incision Fixation of Proximal Humeral Four-Part Fractures. In: MIS Techniques in Orthopedics. Springer, New York, NY. https://doi.org/10.1007/978-0-387-29300-4_3
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DOI: https://doi.org/10.1007/978-0-387-29300-4_3
Publisher Name: Springer, New York, NY
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