BookFilippo Castoldi, Davide Blonna, Marco Assom, editors.
Summary: The treatment of humeral fractures is a complex issue and the source of considerable controversy. In the case of fractures of the proximal humerus, early range of motion is the main aim of treatment. If a fracture modifies the anatomy or function of the glenohumeral and scapulothoracic joints, the surgeon must adhere meticulously to treatment principles in order to ensure a satisfactory outcome. Humeral shaft fractures are frequent, accounting for 1% to 3% of all fractures in adults; while excellent functional results have been reported with nonoperative management, open reduction and internal fixation is preferred in specific clinical settings. In contrast, intra-articular fractures of the distal humerus are frequently complex and full functional recovery is difficult to achieve. This volume clearly explains the concepts that are central to an understanding of humeral fractures from the proximal to the distal tip. Indications for different forms of treatment, including nonsurgical, are presented in detail, and all of the commonly used fixation techniques are described with the help of high-quality illustrations. Further important aspects such as complications, rehabilitation, and treatment of sequelae are also fully considered. This book will be an invaluable and comprehensive aid for all surgeons who treat humeral fractures.
Contents:
PART 1. Proximal humerus: 1. Main anatomy
2. Understanding the Fracture
3. Operating theatre setup
4. Closed reduction principles
5. Surgical Approaches
6. Percutaneous fixation: when and how
7. ORIF in three-/four-part fractures
8. Intramedullary nail rationale and surgical technique
9. Anatomical shoulder arthroplasty
10. Reverse total shoulder arthroplasty
11. Surgical neck fracture
12. The tuberosities
13. Malunions of the tuberosity
14. Nerve injuries
15. Fracture dislocations
16. Treatment of the sequelae
17. Conservative treatment
PART 2. The diaphysis: 18. Surgical anatomy
19. Radial palsy and humerus fractures
20. Internal Fixation: plate or IM Nail
21. External fixation
22. Periprosthetic fracture
PART 3. Distal Humerus: 23. Surgical anatomy
24. Surgical approaches and fracture pattern
25. Internal fixation principles
26. Prosthesis
27. External fixation when and how
28. Malunion and non union
29. Terrible triad.