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Conservative Treatment for Bilateral Displaced Proximal Humerus Head Fracture

Proximal humerus fracture represents five to eight percent of all fractures and is twice as common in women than in men. Most cases of displaced fracture of the proximal humerus are treated surgically; it is probable that more cases are preferred to be treated surgically greater than required. The o...

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Autores principales: Rodriguez-Corlay, Ruy E, Velutini-Becker, Ricardo, Aguilar-Alcalá, Luis D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4963233/
https://www.ncbi.nlm.nih.gov/pubmed/27489750
http://dx.doi.org/10.7759/cureus.657
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author Rodriguez-Corlay, Ruy E
Velutini-Becker, Ricardo
Aguilar-Alcalá, Luis D
author_facet Rodriguez-Corlay, Ruy E
Velutini-Becker, Ricardo
Aguilar-Alcalá, Luis D
author_sort Rodriguez-Corlay, Ruy E
collection PubMed
description Proximal humerus fracture represents five to eight percent of all fractures and is twice as common in women than in men. Most cases of displaced fracture of the proximal humerus are treated surgically; it is probable that more cases are preferred to be treated surgically greater than required. The optimal treatment for these fractures remains controversial, but physicians have a tendency to treat via open reduction and fixation with angular locking plates or glenohumeral arthroplasty.  We present a case of a 71-year-old woman with bilateral displaced proximal humeral fracture. Conservative treatment was initiated with two hanging casts, achieving radiological reduction on week one. After two additional weeks of casting, treatment continued with radiologic control and home physical therapy, ultimately an excellent functional outcome and adequate radiological reduction was obtained.    Even in bilaterally displaced proximal humerus fractures, conservative treatment can be an efficient option, reducing complications, reaching adequate functional results and acceptable radiographic reduction.​
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spelling pubmed-49632332016-08-03 Conservative Treatment for Bilateral Displaced Proximal Humerus Head Fracture Rodriguez-Corlay, Ruy E Velutini-Becker, Ricardo Aguilar-Alcalá, Luis D Cureus Orthopedics Proximal humerus fracture represents five to eight percent of all fractures and is twice as common in women than in men. Most cases of displaced fracture of the proximal humerus are treated surgically; it is probable that more cases are preferred to be treated surgically greater than required. The optimal treatment for these fractures remains controversial, but physicians have a tendency to treat via open reduction and fixation with angular locking plates or glenohumeral arthroplasty.  We present a case of a 71-year-old woman with bilateral displaced proximal humeral fracture. Conservative treatment was initiated with two hanging casts, achieving radiological reduction on week one. After two additional weeks of casting, treatment continued with radiologic control and home physical therapy, ultimately an excellent functional outcome and adequate radiological reduction was obtained.    Even in bilaterally displaced proximal humerus fractures, conservative treatment can be an efficient option, reducing complications, reaching adequate functional results and acceptable radiographic reduction.​ Cureus 2016-06-27 /pmc/articles/PMC4963233/ /pubmed/27489750 http://dx.doi.org/10.7759/cureus.657 Text en Copyright © 2016, Rodriguez-Corlay et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Rodriguez-Corlay, Ruy E
Velutini-Becker, Ricardo
Aguilar-Alcalá, Luis D
Conservative Treatment for Bilateral Displaced Proximal Humerus Head Fracture
title Conservative Treatment for Bilateral Displaced Proximal Humerus Head Fracture
title_full Conservative Treatment for Bilateral Displaced Proximal Humerus Head Fracture
title_fullStr Conservative Treatment for Bilateral Displaced Proximal Humerus Head Fracture
title_full_unstemmed Conservative Treatment for Bilateral Displaced Proximal Humerus Head Fracture
title_short Conservative Treatment for Bilateral Displaced Proximal Humerus Head Fracture
title_sort conservative treatment for bilateral displaced proximal humerus head fracture
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4963233/
https://www.ncbi.nlm.nih.gov/pubmed/27489750
http://dx.doi.org/10.7759/cureus.657
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