Journal of Shoulder and Elbow Surgery
Volume 17, Issue 2 , Pages 189-196 , March 2008

Neer Award 2006: Biomechanical assessment of inferior tuberosity placement during hemiarthroplasty for four-part proximal humeral fractures

  • G. Russell Huffman, MD, MPH

      Affiliations

    • Penn Sports Medicine Center, University of Pennsylvania, Philadelphia, PA
    • ,
  • John M. Itamura, MD

      Affiliations

    • Orthopaedic Biomechanics Laboratory, VA Long Beach Healthcare System and University of California, Irvine, Long Beach, CA
    • Department of Orthopaedic Surgery, University of Southern California, Los Angeles, CA
    • ,
  • Michelle H. McGarry, MS

      Affiliations

    • Orthopaedic Biomechanics Laboratory, VA Long Beach Healthcare System and University of California, Irvine, Long Beach, CA
    • ,
  • Long Duong, BA

      Affiliations

    • Orthopaedic Biomechanics Laboratory, VA Long Beach Healthcare System and University of California, Irvine, Long Beach, CA
    • ,
  • Jeremy Gililland, BS

      Affiliations

    • Orthopaedic Biomechanics Laboratory, VA Long Beach Healthcare System and University of California, Irvine, Long Beach, CA
    • ,
  • James E. Tibone, MD

      Affiliations

    • Orthopaedic Biomechanics Laboratory, VA Long Beach Healthcare System and University of California, Irvine, Long Beach, CA
    • Department of Orthopaedic Surgery, University of Southern California, Los Angeles, CA
    • ,
  • Thay Q. Lee, PhD

      Affiliations

    • Orthopaedic Biomechanics Laboratory, VA Long Beach Healthcare System and University of California, Irvine, Long Beach, CA
    • Corresponding Author InformationReprint requests: Thay Q. Lee, PhD, Orthopaedic Biomechanics Laboratory, VA Long Beach Healthcare System (09/151), 5901 E 7th St, Long Beach, CA 90822.

References 

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  2. Becker R, Pap G, Machner A, Neumann WH. Strength and motion after hemiarthroplasty in displaced four-fragment fracture of the proximal humerus: 27 patients followed for 1-6 years. Acta Orthop Scand. 2002;73:44–49
  3. Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Mole D. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. J Shoulder Elbow Surg. 2002;11:401–412
  4. Christoforakis JJ, Kontakis GM, Katonis PG, Stergiopoulos K, Hadjipavlou AG. Shoulder hemiarthroplasty in the management of humeral head fractures. Acta Orthop Belg. 2004;70:214–218
  5. Debski RE, McMahon PJ, Thompson WO, Woo SL, Warner JJ, Fu FH. A new dynamic testing apparatus to study glenohumeral joint motion. J Biomech. 1995;28:869–874
  6. Dimakopoulos P, Potamitis N, Lambiris E. Hemiarthroplasty in the treatment of comminuted intraarticular fractures of the proximal humerus. Clin Orthop Relat Res. 1997;7–11
  7. Frankle MA, Greenwald DP, Markee BA, Ondrovic LE. Lee WE III. Biomechanical effects of malposition of tuberosity fragments on the humeral prosthetic reconstruction for four-part proximal humerus fractures. J Shoulder Elbow Surg. 2001;10:321–326
  8. Frankle MA, Ondrovic LE, Markee BA, Harris ML. Lee WE III. Stability of tuberosity reattachment in proximal humeral hemiarthroplasty. J Shoulder Elbow Surg. 2002;11:413–420
  9. Goldman RT, Koval KJ, Cuomo F, Gallagher MA, Zuckerman JD. Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures. J Shoulder Elbow Surg. 1995;4:81–86
  10. Grossman MG, Tibone JE, McGarry MH, Schneider DJ, Veneziani S, Lee TQ. A cadaveric model of the throwing shoulder: a possible etiology of superior labrum anterior-to-posterior lesions. J Bone Joint Surg Am. 2005;87:824–831
  11. Hempfing A, Leunig M, Ballmer FT, Hertel R. Surgical landmarks to determine humeral head retrotorsion for hemiarthroplasty in fractures. J Shoulder Elbow Surg. 2001;10:460–463
  12. Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S. The normal glenohumeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am. 1992;74:491–500
  13. Krackow KA, Thomas SC, Jones LC. A new stitch for ligament-tendon fixation. Brief note. J Bone Joint Surg Am. 1986;68:764–766
  14. Kralinger F, Schwaiger R, Wambacher M, Farrell E, Menth-Chiari W, Lajtai G, et al. Outcome after primary hemiarthroplasty for fracture of the head of the humerus. A retrospective multicentre study of 167 patients. J Bone Joint Surg Br. 2004;86:217–219
  15. Mighell MA, Kolm GP, Collinge CA, Frankle MA. Outcomes of hemiarthroplasty for fractures of the proximal humerus. J Shoulder Elbow Surg. 2003;12:569–577
  16. Nyffeler RW, Sheikh R, Jacob HA, Gerber C. Influence of humeral prosthesis height on biomechanics of glenohumeral abduction. An in vitro study. J Bone Joint Surg Am. 2004;86:575–580
  17. Prakash U, McGurty DW, Dent JA. Hemiarthroplasty for severe fractures of the proximal humerus. J Shoulder Elbow Surg. 2002;11:428–430
  18. Robinson CM, Page RS, Hill RM, Sanders DL, Court-Brown CM, Wakefield AE. Primary hemiarthroplasty for treatment of proximal humeral fractures. J Bone Joint Surg Am. 2003;85:1215–1223
  19. Schneider DJ, Lee TQ. Biomechanics of total shoulder arthroplasty. Tech Orthop. 2002;12:2–9
  20. Takase K, Imakiire A, Burkhead WZ. Radiographic study of the anatomic relationships of the greater tuberosity. J Shoulder Elbow Surg. 2002;11:557–561
  21. Tillett E, Smith M, Fulcher M, Shanklin J. Anatomic determination of humeral head retroversion: the relationship of the central axis of the humeral head to the bicipital groove. J Shoulder Elbow Surg. 1993;2:255–263
  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

 This study received the Charles Neer Award at the annual American Shoulder and Elbow Surgeons Meeting, Chicago, Illinois, September 2006.

PII: S1058-2746(07)00578-2

doi: 10.1016/j.jse.2007.06.017

Journal of Shoulder and Elbow Surgery
Volume 17, Issue 2 , Pages 189-196 , March 2008

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