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1000 Titel
  • Surgical management and results of glenohumeral combination fractures of the anterior glenoid rim and the proximal humerus
1000 Autor/in
  1. Mempel, Eileen |
  2. Ull, Christopher |
  3. Rausch, Valentin |
  4. Bernstorff, Maria Alexandra |
  5. Seybold, Dominik |
  6. Schildhauer, Thomas Armin |
  7. Königshausen, Matthias |
1000 Verlag Springer Berlin Heidelberg
1000 Erscheinungsjahr 2024
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2024-10-02
1000 Erschienen in
1000 Quellenangabe
  • 144(11):4899-4906
1000 Copyrightjahr
  • 2024
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00402-024-05577-y |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11582334/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title><jats:sec> <jats:title>Introduction</jats:title> <jats:p>The combination of anterior large glenoid rim fractures (GRF) and proximal humerus fractures (PHF) is rare, with limited data available on specific treatments for these glenohumeral combination fractures (GCF). This study aimed to evaluate the treatment approaches for GCF, analyze patient outcomes, and outline surgical management strategies for different fracture types.</jats:p> </jats:sec><jats:sec> <jats:title>Materials and methods</jats:title> <jats:p>This retrospective study included patients with GCF, excluding those with fossa glenoidalis fractures, isolated greater tuberosity fractures, or small glenoid rim fractures (&lt; 5 mm). Preoperative radiographs, CT scans, and follow-up radiographs were reviewed. Clinical outcomes were assessed using the Constant-Murley Score (CMS), Western Ontario Shoulder Instability Index (WOSI), Rowe Score (RS), and Oxford Shoulder Score (OSS).</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Sixteen patients with 17 GCFs (mean age 62 years) were followed for an average of 39 months. PHFs were categorized into three-part (76%), four-part (12%), and two-part fractures (12%). The average medial displacement of GRF was 5 mm, with an average dehiscence of 4 mm in the sagittal plane. Fourteen patients (88%) underwent surgical treatment; 35% had only the PHF surgically addressed, while 53% had both lesions surgically treated. Two patients (12%) received non-operative treatment. Complications were observed in 29% of cases, primarily involving the humeral side. The average CMS was 68 points, WOSI was 75%, RS was 77 points, and OSS was 41 points.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>Treating GCF is complex and routinely necessitates surgical intervention, with or without GRF refixation. CT imaging is crucial for precise assessment of fracture morphology. The involvement of the minor tuberosity is critical in selecting the optimal surgical approach and managing the subscapularis muscle.</jats:p> </jats:sec>
1000 Sacherschließung
lokal Female [MeSH]
lokal Aged, 80 and over [MeSH]
lokal Aged [MeSH]
lokal Trauma Surgery
lokal Adult [MeSH]
lokal Humans [MeSH]
lokal Shoulder Fractures/surgery [MeSH]
lokal Treatment Outcome [MeSH]
lokal Glenohumeral combination fracture
lokal Retrospective Studies [MeSH]
lokal Middle Aged [MeSH]
lokal Glenoid fracture
lokal Tomography, X-Ray Computed [MeSH]
lokal Male [MeSH]
lokal Proximal humerus fracture
lokal Glenoid rim fracture
lokal Shoulder Fractures/diagnostic imaging [MeSH]
lokal Fracture Fixation, Internal/methods [MeSH]
lokal Bony bankart lesion
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-6443-9472|https://frl.publisso.de/adhoc/uri/VWxsLCBDaHJpc3RvcGhlcg==|https://frl.publisso.de/adhoc/uri/UmF1c2NoLCBWYWxlbnRpbg==|https://frl.publisso.de/adhoc/uri/QmVybnN0b3JmZiwgTWFyaWEgQWxleGFuZHJh|https://frl.publisso.de/adhoc/uri/U2V5Ym9sZCwgRG9taW5paw==|https://frl.publisso.de/adhoc/uri/U2NoaWxkaGF1ZXIsIFRob21hcyBBcm1pbg==|https://frl.publisso.de/adhoc/uri/S8O2bmlnc2hhdXNlbiwgTWF0dGhpYXM=
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  1. Berufsgenossenschaftliches Klinikum Bergmannsheil gGmbH |
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    1000 Förderer Berufsgenossenschaftliches Klinikum Bergmannsheil gGmbH |
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