Omid Reza Momenzadeh; Seyed Amirreza Mesbahi; Fatemeh sadat Azimi; Mohsen Mardani-Kivi
Volume 10, Issue 3 , July 2022, , Pages 116-121
Abstract
Objective: To evaluate the clinical and radiographic findings of long head biceps tendon (LHBT) transfer intraumatic proximal humeral fractures with the biceps groove breakage or comminution.Methods: In this interventional study, subjects surveyed in terms of shoulder function, clinical signs of LHBTtendinitis, ...
Read More
Objective: To evaluate the clinical and radiographic findings of long head biceps tendon (LHBT) transfer intraumatic proximal humeral fractures with the biceps groove breakage or comminution.Methods: In this interventional study, subjects surveyed in terms of shoulder function, clinical signs of LHBTtendinitis, radiographic signs of transferred biceps as a possible depressor of the shoulder, and mechanicalchanges of the scapula. Data were analyzed in SPSS version 21.Results: Fifteen patients were included in the case group (tendon transfer to the conjoined tendon), and 10patients were evaluated in the control group (non-transfer or non-manipulation of the exposed tendon inthe fracture callus of biceps groove). The mean age of the study population was 46.56±14.31 years, and themajority of patients (14.56%) were men. The differences between two groups were not significant in terms ofthe American Society of Shoulder and Elbow Surgeons (ASES) score, University of California at Los Angeles(UCLA) score, and constant shoulder score (CSS) (p=0.535, p=0.419, and p=0.266, respectively). Also, therewas no significant differences between the case and control groups regarding the biceps muscle involvement(Popeye sign: p=1.00; tenderness: p=0.477; pain: p=1.00; speed test: p=1.00; Yergason’s test: p=1.00).Conclusion: LHBT transfer to the conjoined tendon in proximal humerus fractures with cleavage orcomminution at the bicipital groove showed no advantages.
Nadeem Ali; Naseer Ahamd Mir; Tahir Ahmad Dar; Mohmad Nawaz Rather; Wajahat Ahmad Mir; Senin Shah; Saheel Maajid
Volume 6, Issue 4 , October 2018, , Pages 306-312
Abstract
Objective: To determine the time to radiological union and final functional outcome of fixation of extra-articular distal humeral fractures with extra-artricular distal humerus locking plate.Methods: This prospective study was conducted from March 2014 to February 2018 and included extra-articular distal ...
Read More
Objective: To determine the time to radiological union and final functional outcome of fixation of extra-articular distal humeral fractures with extra-artricular distal humerus locking plate.Methods: This prospective study was conducted from March 2014 to February 2018 and included extra-articular distal humeral fractures managed by operative fixation using extra-articular distal humerus locking plate. All the fractures were approached using lateral para-tricepetal approach of Gervin, and stabilized with extra-articular distal humerus locking plate with or without lag screws. Time to radiological union was assessed in the follow up and at the final follow up functional outcome was evaluated using Mayo Performance Elbow Score (MEPS). Complications and need for any additional procedures was also recorded.Results: A total of 20 patients with mean age of 36.5 years and an average follow up of 17 months were included. The mean time to radiological union was 17.4 weeks (12 to 36 weeks) which included one delayed union that required bone grafting. The mean flexion at elbow was 127o with only one patient having flexion extension arc movement of less than 100o at the final follow up. The average MEPS at final follow up was 94.7±8 with 19 patients having excellent and good results.Conclusion: Use of extra-articular distal humeral locking plate using lateral para-tricepetal approach in extra-articular distal humeral fractures allows stable fixation of the fracture to allow early return to function with minimal soft tissue dissection and excellent final functional results and minimum complications.
