[Treatment of proximal humerus fractures: relative position of different locking plates to the axillary nerve]. / Versorgung von Humeruskopffrakturen: Lagebeziehung proximaler Verriegelungsplatten zum N. axillaris.
Unfallchirurg
; 116(11): 1000-5, 2013 Nov.
Article
em De
| MEDLINE
| ID: mdl-22814611
ABSTRACT
OBJECTIVES:
Placement of a proximal humerus locking plate through a percutaneous transdeltoid approach bears the advantages of a minimally invasive approach but may compromise the anterior branches of the axillary nerve. This anatomic study aimed to develop a risk profile for 6 types of modern proximal humerus locking plates as to their interference with the axillary nerve. MATERIALS ANDMETHODS:
In this study six different implants (Arthrex®, DePuy®, Königsee®, Smith & Nephew®, Stryker® and Synthes®) were placed on the intact proximal humerus of 33 embalmed cadaveric upper extremities and the relative positioning between the axillary nerve and the screw holes was determined.RESULTS:
All locking plates displayed an area of risk which concerned 3 out of 7 (Arthrex®), 4 out of 10 (DePuy®), 2 out of 9 (Königsee®), 3 out of 11 (Smith & Nephew®), 3 out of 11 (Stryker®) and 6 out of 12 (Synthes®) screw holes of the plate.CONCLUSIONS:
Using the anterolateral percutaneous deltoid splitting approach the relative position of the axillary nerve to the holes of a specific implant is of relevance for avoidance of iatrogenic lesions to the nerve.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fraturas do Ombro
/
Placas Ósseas
/
Parafusos Ósseos
/
Traumatismos dos Nervos Periféricos
/
Fixação Interna de Fraturas
Limite:
Aged80
/
Female
/
Humans
/
Male
Idioma:
De
Revista:
Unfallchirurg
Assunto da revista:
TRAUMATOLOGIA
Ano de publicação:
2013
Tipo de documento:
Article