CURRENT CONCEPTS IN ADULTS UPPER EXTREMITY FRACTURES

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ANATOMY, EPIDEMIOLOGY AND CLASSIFICATION OF DISTAL HUMERAL FRACTURES

Mustafa Aydın

Ankara Gülhane Training and Research Hospital, Department of Orthopedics and Traumatology, Ankara, Türkiye

Aydın M. Anatomy, Epidemiology and Classification of Distal Humeral Fractures. In: Tiftikçi U, Erdoğan E, Ergün C, Güneş Z, editors. Current Concepts in Adults Upper Extremity Fractures. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.113-119.

ABSTRACT

Distal humerus fractures (DHF), difficult to treat, pose a significant problem due to their complex anatomical features and proximity to neurovascular structures. These fractures usually require surgical treatment because prolonged immobilization of elbow joint can lead to poor functional results. Adequately rigid and stable fixation should be provided to allow for early mobilization in the postoperative period. In elderly patients with osteopenia or osteoporosis, inadequate and poor-quality bone stock makes it more difficult to achieve this goal.

Keywords: Humerus fractures; Neurovascular structures; Osteopenia; Osteoporosis

Referanslar

  1. NAUTH, Aaron, et al. Distal humeral fractures in adults. JBJS. 2011,93.7:686-700. [Crossref]  [PubMed]
  2. Rose SH, Melton LJ 3rd, Morrey BF, Ilstrup DM, Riggs BL. Epidemiologic features of humeral fractures. Clin Orthop Relat Res. 1982;(168):24-30. [Crossref]
  3. Robinson CM, Hill RM, Jacobs N, Dall G, Court-Brown CM. Adult distal humeral metaphyseal fractures: epidemiology and results of treatment. J Orthop Trauma. 2003;17:38-47. [Crossref]  [PubMed]
  4. Amir S, Jannis S, Daniel R. Distal humerus fractures: a review of current therapy concepts. Curr Rev Musculoskelet Med. 2016;9(2):199-206. [Crossref]  [PubMed]  [PMC]
  5. Palvanen M, Kannus P, Niemi S, Parkkari J. Secular trends in the osteoporotic fractures of the distal humerus in elderly women. Eur J Epidemiol. 1998;14(2):159-64. [Crossref]  [PubMed]
  6. Hausman M, Panozzo A. Treatment of distal humerus fractures in the elderly. Clin Orthop Relat Res. 2004;(425):55-63. [Crossref]  [PubMed]
  7. Ul Islam S, Glover AW, Waseem M. Challenges and Solutions in Management of Distal Humerus Fractures. Open Orthop J. 2017;11:1292-1307. [Crossref]  [PubMed]  [PMC]
  8. Tornetta P III, ed. Rockwood and Green's Fractures in Adults. 9th ed. Wolters Kluwer; 2020. Accessed October 18, 2024.
  9. Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am. 1981;63(6):872-7. [Crossref]  [PubMed]
  10. Sardelli M, Tashjian RZ, MacWilliams BA. Functional elbow range of motion for contemporary tasks. J Bone Joint Surg Am. 2011;93(5):471-7. [Crossref]  [PubMed]
  11. Goldfarb CA, Patterson JM, Sutter M, Krauss M, Steffen JA, Galatz L. Elbow radiographic anatomy: measurement techniques and normative data. J Shoulder Elbow Surg. 2012;21(9):1236-46. [Crossref]  [PubMed]  [PMC]
  12. Kimball JP, Glowczewskie F, Wright TW. Intraosseous blood supply to the distal humerus. J Hand SurgAm. 2007;32(5):642-6. [Crossref]  [PubMed]
  13. Dunning CE, Zarzour ZD, Patterson SD, Johnson JA, King GJ. Ligamentous stabilizers against posterolateral rotatory instability of the elbow. J Bone Joint Surg Am. 2001;83(12):1823-8. [Crossref]  [PubMed]
  14. Armstrong AD, Dunning CE, Faber KJ, Johnson JA, King GJ. Single-strand ligament reconstruction of the medial collateral ligament restores valgus elbow stability. J Shoulder Elbow Surg. 2002;11(1):65-71. [Crossref]  [PubMed]
  15. Moore KL, Dalley AF, Agur AMR. Clinically Oriented Anatomy. ningth edition. Wolters Kluwer Health/Lippincott Williams & Wilkins; 2023.
  16. Gerwin M, Hotchkiss RN, Weiland AJ. Alternative operative exposures of the posterior aspect of the humeral diaphysis with reference to the radial nerve. J Bone Joint Surg Am. 1996;78(11):1690-5. [Crossref]  [PubMed]
  17. Steinbach LS, Miller TT, Chung CB. The Postoperative Elbow, Wrist, and Hand. In: Pope T, Bloem JL, Morrison,WB, Wilson DJ, White L. 2023 (eds). Musculoskeletal Imaging. Springer, Cham. [Crossref]