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Shoulder Fractures

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Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities.

Also Known As:

Fracture, Proximal Humeral; Fracture, Shoulder; Fractures, Proximal Humeral; Fractures, Shoulder; Humeral Fracture, Proximal; Proximal Humeral Fracture; Proximal Humeral Fractures; Shoulder Fracture; Humeral Fractures, Proximal

Networked: 199 relevant articles (9 outcomes, 24 trials/studies)

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Disease Context: Research Results

Wounds and Injuries: 94065
- Bone Fractures: 1763
  - Shoulder Fractures: 199
- Arm Injuries: 17
  - Shoulder Fractures: 199

Related Diseases

1.	Comminuted Fractures
2.	Wounds and Injuries (Trauma)
3.	Dislocations
4.	Neoplasms (Cancer)
5.	Infection

Experts

1.	Walch, Gilles: 5 articles (12/2014 - 01/2006)
2.	Zuckerman, Joseph D: 4 articles (09/2014 - 01/2005)
3.	Boileau, Pascal: 4 articles (11/2013 - 01/2006)
4.	Krishnan, Sumant G: 3 articles (12/2015 - 10/2008)
5.	Ring, David: 3 articles (05/2015 - 05/2013)
6.	Voloshin, Ilya: 3 articles (10/2014 - 09/2011)
7.	Jiang, Chunyan: 3 articles (10/2014 - 01/2013)
8.	Abboud, Joseph A: 3 articles (09/2014 - 08/2009)
9.	Cofield, Robert H: 3 articles (08/2014 - 12/2011)
10.	Sperling, John W: 3 articles (08/2014 - 12/2011)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Shoulder Fractures:

1.	TitaniumIBA 12/01/2014 - "Locking titanium plate for the treatment of comminuted proximal humeral fracture in elderly plays an important role in good rate, bone healing time and Neer score. " 12/01/2014 - "From June 2011 to May 2013, 72 elderly patients with comminuted proximal humeral- fractures were divided into locking titanium plate group and anatomical plate group, 36 cases in each group. " 12/01/2014 - "To observe therapeutic effects of locking titanium plate for the treatment of comminuted proximal humeral fracture in elderly. " 12/01/2014 - "[Case-control study on locking titanium plate in treating comminuted proximal humeral fracture in elderly]." 03/01/2014 - "Between April 2009 and July 2012, 31 cases of severe displaced proximal humeral fractures were treated with closed or open reduction and fixation with 2 titanium elastic nails, and the clinical data were retrospectively analyzed. "
2.	CalciumIBA 08/01/2013 - "Effect of calcium triphosphate cement on proximal humeral fracture osteosynthesis: a cadaveric biomechanical study." 08/01/2013 - "Finite element models of a 3-part proximal humeral fracture fixed with a plate with and without calcium triphosphate cement augmentation were generated from a quantitative computed tomography dataset of an intact proximal humerus. " 08/01/2013 - "To measure the effect of void-filling calcium triphosphate cement on the loads at the implant-bone interface of a proximal humeral fracture osteosynthesis using a finite element analysis. " 08/01/2013 - "Effect of calcium triphosphate cement on proximal humeral fracture osteosynthesis: a finite element analysis."
3.	triphosphoric acid (triphosphate)IBA 08/01/2013 - "Effect of calcium triphosphate cement on proximal humeral fracture osteosynthesis: a cadaveric biomechanical study." 08/01/2013 - "Finite element models of a 3-part proximal humeral fracture fixed with a plate with and without calcium triphosphate cement augmentation were generated from a quantitative computed tomography dataset of an intact proximal humerus. " 08/01/2013 - "To measure the effect of void-filling calcium triphosphate cement on the loads at the implant-bone interface of a proximal humeral fracture osteosynthesis using a finite element analysis. " 08/01/2013 - "Effect of calcium triphosphate cement on proximal humeral fracture osteosynthesis: a finite element analysis."
4.	Bone SubstitutesIBA 04/01/2013 - "The aim of our study is to analyse the results of our surgical technique for the treatment of proximal humeral fractures and fracture dislocations using locking plates in conjunction with calcium sulphate bone-substitute augmentation and tuberosity repair using high-strength sutures. " 04/01/2013 - "In our experience, we have found the use of locking plates, calcium sulphate bone substitute and tuberosity repair with high-strength sutures to be a safe and reliable method of internal fixation for complex proximal humeral fractures and fracture-dislocations. "
5.	Calcium Sulfate (Alabaster)IBA 04/01/2013 - "Proximal humeral fractures: the role of calcium sulphate augmentation and extended deltoid splitting approach in internal fixation using locking plates." 04/01/2013 - "The aim of our study is to analyse the results of our surgical technique for the treatment of proximal humeral fractures and fracture dislocations using locking plates in conjunction with calcium sulphate bone-substitute augmentation and tuberosity repair using high-strength sutures. " 04/01/2013 - "In our experience, we have found the use of locking plates, calcium sulphate bone substitute and tuberosity repair with high-strength sutures to be a safe and reliable method of internal fixation for complex proximal humeral fractures and fracture-dislocations. "
6.	chlorhexidine gluconate (Dyna-Hex)FDA LinkGeneric 04/01/2014 - "This study suggests that washing the shoulder with chlorhexidine gluconate and avoiding the use of first-generation cephalosporin in favor of more effective prophylactic therapy are effective at reducing the risk of infection after treatment for proximal humeral fractures."
7.	calcium phosphateIBA 07/01/2013 - "Calcium phosphate cement-augmented locking plates enhanced fixation stability in proximal humeral fractures and reduced glenohumeral screw perforation in this 2-part cadaveric model. " 07/01/2013 - "To evaluate the influence of calcium phosphate cement augmentation on failure of locking plate fixation of proximal humeral fracture fixation in a cadaveric fracture model. " 07/01/2013 - "Biomechanical evaluation of locking plate fixation of proximal humeral fractures augmented with calcium phosphate cement." 06/01/2012 - "Augmentation with calcium phosphate cement in the treatment of proximal humeral fractures with locked plates decreased fracture settling and significantly decreased intra-articular screw penetration." 06/01/2012 - "We sought to examine fracture settling and screw penetration after open reduction-internal fixation of 2-, 3-, and 4-part proximal humeral fractures and determine whether the use of calcium phosphate cement reduced these unwanted complications. "
8.	recombinant human bone morphogenetic protein-2IBA 01/01/2012 - "Inflammatory response to recombinant human bone morphogenetic protein-2 use in the treatment of a proximal humeral fracture: a case report." 08/01/2008 - "To report use of recombinant human bone morphogenetic protein-2 (rhBMP-2) as adjunctive therapy for treatment of a comminuted, open, proximal humeral fracture in an avian species. "
9.	polyetheretherketoneIBA 09/01/2015 - "CFR-PEEK plates proved as reliable as metallic plates in the treatment of proximal humeral fractures. " 09/01/2015 - "In a multicenter study involving the Orthopedic Services of 6 Italian hospitals, 182 patients with a proximal humeral fracture were treated with a Diphos H (Lima Corporate, San Daniele del Friuli, Italy) CFR-PEEK plate, 160 of whom were followed clinically and radiographically for 2 years or more. " 09/01/2015 - "Proximal humeral fracture fixation: multicenter study with carbon fiber peek plate." 06/01/2013 - "Investigation of metallic and carbon fibre PEEK fracture fixation devices for three-part proximal humeral fractures."
10.	carbon fiber (carbon fibre)IBA 09/01/2015 - "Proximal humeral fracture fixation: multicenter study with carbon fiber peek plate." 06/01/2013 - "Investigation of metallic and carbon fibre PEEK fracture fixation devices for three-part proximal humeral fractures."

Therapies and Procedures

1.	Arthroplasty 12/01/2011 - "Conversion total shoulder arthroplasty is effective for addressing painful glenoid arthrosis after primary HHR for a proximal humeral fracture, with or without the need to change the humeral component. " 01/01/2013 - "Improvement in shoulder rotation in complex shoulder fractures treated by reverse shoulder arthroplasty." 02/01/2015 - "The purpose of this study was to evaluate functional outcomes of reverse shoulder arthroplasty (RSA) in patients with acute fracture and sequelae of the proximal humeral fractures. " 02/01/2015 - "The purpose of this study was to review the survivorship, radiologic and clinical outcomes of reverse shoulder arthroplasty (RSA) used for the treatment of 3-part and 4-part proximal humeral fractures in the elderly. " 09/17/2014 - "The purpose of this study was to report complication and reoperation rates following non-arthroplasty fixation of shoulder fractures determined on the basis of observational, population-based data from all inpatient admissions in California over an eleven-year period. "
2.	Prostheses and Implants (Prosthesis) 01/01/2014 - "Although reversed total shoulder prosthesis has gained popularity and showed promising results in the treatment for proximal humeral fractures in the elderly patients, no randomized controlled trials exist to the authors' knowledge. " 10/01/2014 - "The purpose of this study was to compare the outcomes after hemiarthroplasty between a trabecular metal prosthesis and a conventional prosthesis in the treatment of complex proximal humeral fractures. " 11/01/2013 - "The purpose of this study was to assess the clinical and radiographic results of the trabecular metal shoulder prosthesis in the treatment of complex proximal humeral fractures. " 09/01/2015 - "Reverse shoulder prosthesis to treat complex proximal humeral fractures in the elderly patients: results after 10-year experience." 04/01/2015 - "Reverse prostheses are suitable for 3- or 4-part complex proximal humeral fractures in patients over 65. "
3.	Homologous Transplantation (Allograft) 11/01/2012 - "The use of an intramedullary fibular allograft together with a locking plate fixation has been recently described in biomechanical studies to provide additional medial support and prevent varus malalignment for displaced proximal humeral fractures with promising results. " 01/01/2015 - "The aim of this study is to explore the clinical outcomes of anatomical allograft or fibula shaft augmentation with locking compression plates (LCPs) in elderly patients with four-part proximal humeral fracture (PHF). " 06/01/2015 - "Osteosynthesis of proximal humeral fractures via locked plating with fibular strut allograft augmentation results in similar clinical outcomes between geriatric and non-geriatric patients. " 06/01/2015 - "From March 2007 to January 2013, 71 adult patients with 2-, 3-, and 4-part proximal humeral fractures according to the Neer classification underwent osteosynthesis with locked plating and fibular allograft augmentation and had at least 12 months of clinical follow-up. " 06/01/2015 - "The purpose of this investigation was to compare postoperative clinical outcomes between cohorts of geriatric (aged ≥65 years) and non-geriatric proximal humeral fracture patients treated via locked plating with endosteal fibular strut allograft augmentation. "
4.	Intramedullary Fracture Fixation 02/01/2015 - "The purpose of this investigation was to determine which of the following methods of fixation, percutaneous pinning (PP) or intramedullary nailing (IMN), was more cost-effective in the treatment of displaced pediatric proximal humeral fractures (PPHF). " 01/01/2013 - "The aim of the study was to examine the functional and radiological postoperative outcome in patients with proximal humeral fractures treated with intramedullary nailing and the significance of reduction. " 07/01/1997 - "The purpose of this study was to investigate the mechanical strength and durability of intramedullary nailing (IM) and percutaneous pinning (PP) for fixation of three-part proximal humeral fractures using a cadaveric model. " 08/01/2015 - "For the treatment of proximal humeral fractures two major therapeutic principles can be employed: intramedullary nailing (PHN) or locking plate osteosynthesis. " 08/01/2015 - "[Intramedullary nailing vs. locking plate osteosynthesis in proximal humeral fractures: Long-term outcome]."
5.	Early Ambulation 12/01/2007 - "Early mobilization for impacted nonoperatively treated proximal humeral fractures is safe and is more effective for quickly restoring the physical capability and performance of the injured arm than is conventional immobilization followed by physiotherapy." 04/01/2011 - "The aim of this study is to evaluate whether two 3.0 mm Schanz screws in two-part proximal humeral fractures (plus one additional Schanz screw or K wire in three-part fractures) can provide enough stability to allow early mobilization until healing occurs in elderly patients. " 09/01/2008 - "Locking compression plate (LPHP) is an advantageous implant in proximal humeral fractures due to angular stability, particularly in comminuted fractures and in osteoporotic bones in elderly patients, thus allowing early mobilization."