A Study on Patient Outcomes, Rotator Cuff Integrity and Shoulder Function after Intra Medullary Nailing of Diaphyseal Fractures of Humerus
A Study on Patient Outcomes, Rotator Cuff Integrity and Shoulder Function after Intra Medullary Nailing of Diaphyseal Fractures of Humerus
The surgical management of humeral diaphyseal fractures have different inherent draw backs owing to the complex anatomy, the unique biomechanical characteristics of the humerus which are often overlooked and characteristics of the arm and shoulder with their anatomical considerations also play a role. Antegrade intramedullary nailing in humeral shaft fracture allows a stable fixation with satisfactory outcomes. The antegrade nailing is a better option in younger patients, and in humerus with moderately wide or wide medullary canals. This study has been performed on 60 patients with humeral shaft fractures. The functional status of the shoulder is assessed post operatively at three months with Constant-Murley scores and the level of proximal tip of the intra medullary interlocking nail.
The surgical management of humeral diaphyseal fractures have different inherent draw backs owing to the complex anatomy, the unique biomechanical characteristics of the humerus which are often overlooked and characteristics of the arm and shoulder with their anatomical considerations also play a role. Antegrade intramedullary nailing in humeral shaft fracture allows a stable fixation with satisfactory outcomes. The antegrade nailing is a better option in younger patients, and in humerus with moderately wide or wide medullary canals. This study has been performed on 60 patients with humeral shaft fractures. The functional status of the shoulder is assessed post operatively at three months with Constant-Murley scores and the level of proximal tip of the intra medullary interlocking nail.
Fracture shaft of the humerus – proximal entry point – rotator cuff integrity – shoulder function
Fracture shaft of the humerus – proximal entry point – rotator cuff integrity – shoulder function
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