Journal of Shoulder and Elbow Surgery
Volume 17, Issue 1 , Pages 2-8 , January 2008

Initial post-fracture humeral head ischemia does not predict development of necrosis

  • Johannes Dominik Bastian, MD

      Affiliations

    • Department Clinical Research, Inselspital, Berne, Switzerland
    • Department of Orthopaedic Surgery, Lindenhofspital, Berne, Switzerland
    • Corresponding Author InformationReprint requests: Dr. med. Johannes Dominik Bastian, Research Assistant, Department of Clinical Research, Inselspital, Murtenstrasse 35, 3010 Berne, Switzerland.
    • ,
  • Ralph Hertel, MD

      Affiliations

    • Department of Orthopaedic Surgery, Lindenhofspital, Berne, Switzerland

References 

  1. Beck M, Siebenrock KA, Affolter B, Nötzli H, Parvizi J, Ganz R. Increased intraarticular pressure reduces blood flow to the femoral head. Clin Orthop Relat Res. 2004;149–152
  2. Bernstein J, Adler LM, Blank JE, Dalsey RM, Williams GR, Iannotti JP. Evaluation of the Neer system of classification of proximal humeral fractures with computerized tomographic scans and plain radiographs. J Bone Joint Surg Am. 1996;78:1371–1375
  3. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;160–164
  4. Cruess RL. Steroid-induced avascular necrosis of the head of the humerus. Natural history and management. J Bone Joint Surg Br. 1976;58:313–317
  5. Ficat P, Arlet J. Pre-radiologic stage of femur head osteonecrosis: diagnostic and therapeutic possibilities. [French] Rev Chir Orthop Reparatrice Appar Mot. 1973;59(suppl 1):26–38
  6. Gerber C, Fuchs B, Hodler J. The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am. 2000;82:505-5
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  9. Hempfing A, Leunig M, Nötzli HP, Beck M, Ganz R. Acetabular blood flow during Bernese periacetabular osteotomy: an intraoperative study using laser Doppler flowmetry. J Orthop Res. 2003;21:1145–1150
  10. Hertel R. Fractures of the proximal humerus in osteoporotic bone. Osteoporos Int. 2005;16(suppl 2):S65–S72
  11. Hertel R, Hempfing A, Stiehler M, Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg. 2004;13:427–433
  12. Hessmann M, Baumgaertel F, Gehling H, Klingelhoeffer I, Gotzen L. Plate fixation of proximal humeral fractures with indirect reduction: surgical technique and results utilizing three shoulder scores. Injury. 1999;30:453–462
  13. Kristiansen B, Christensen SW. Plate fixation of proximal humeral fractures. Acta Orthop Scand. 1986;57:320–323
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  15. Lee CK, Hansen HR. Post-traumatic avascular necrosis of the humeral head in displaced proximal humeral fractures. J Trauma. 1981;21:788–791
  16. Nötzli HP, Siebenrock KA, Hempfing A, Ramseier LE, Ganz R. Perfusion of the femoral head during surgical dislocation of the hip. Monitoring by laser Doppler flowmetry. J Bone Joint Surg Br. 2002;84:300–304
  17. Nötzli HP, Swiontkowski MF, Thaxter ST, Carpenter GK, Wyatt R. Laser Doppler flowmetry for bone blood flow measurements: helium-neon laser light attenuation and depth of perfusion assessment. J Orthop Res. 1989;7:413–424
  18. Paavolainen P, Bjorkenheim JM, Slätis P, Paukku P. Operative treatment of severe proximal humeral fractures. Acta Orthop Scand. 1983;54:374–379
  19. Resch H, Beck E, Bayley I. Reconstruction of the valgus-impacted humeral head fracture. J Shoulder Elbow Surg. 1995;4:73–80
  20. Siebenrock KA, Gerber C. The reproducibility of classification of fractures of the proximal end of the humerus. J Bone Joint Surg Am. 1993;75:1751–1755
  21. Sturzenegger M, Fornaro E, Jakob RP. Results of surgical treatment of multifragmented fractures of the humeral head. Arch Orthop Trauma Surg. 1982;100:249–259
  22. Zyto K, Wallace WA, Frostick SP, Preston BJ. Outcome after hemiarthroplasty for three- and four-part fractures of the proximal humerus. J Shoulder Elbow Surg. 1998;7:85–89

PII: S1058-2746(07)00407-7

doi: 10.1016/j.jse.2007.03.026

Journal of Shoulder and Elbow Surgery
Volume 17, Issue 1 , Pages 2-8 , January 2008

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