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1. 成人における上腕骨近位端骨折proximal humeral fractures in adults [show details]
… of the proximal humerus: the anatomical neck, the surgical neck, the greater tuberosity, and the lesser tuberosity . Fractures are classified according to whether one or more of these four segments …
2. 肩関節脱臼および整復shoulder dislocation and reduction [show details]
…irreducible dislocations, displaced greater tuberosity fractures, and Bankart fractures that create glenohumeral instability . A Bankart fracture involving a bone fragment greater than 20 percent of the area of …
3. Neonatal shock: Managementneonatal shock management [show details]
…in this population is challenging. The definition of hypotension in EPT infants is discussed in greater detail separately. Successful management of neonatal shock requires rapid intervention to restore …
4. 最新の診療アップデートpractice changing updates [show details]
…important changes to UpToDate over the past year, are presented chronologically, and are discussed in greater detail in the identified topic reviews. We suggest one-time screening for hepatitis C virus infection …
5. Coronavirus disease 2019 (COVID-19): Psychiatric symptoms and disorderscoronavirus disease 2019 covid 19 psychiatric symptoms and disorders [show details]
…health care workers) and 112 healthy controls . Self-reported stress was greater among the SARS survivors than controls, and greater among health care worker SARS survivors than non-health care worker survivors …

English Journal

Hinge location and apical drill holes in opening wedge high tibial osteotomy: A finite element analysis.

Boström A, Amin AK, Macpherson GJ, Pankaj P, Scott CEH.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society. 2020 Apr;().
At the time of medial opening wedge high tibial osteotomy (HTO) to realign the lower limb and offload medial compartment knee osteoarthritis, unwanted fractures can propagate from the osteotomy apex. The aim of this study was to use finite element (FE) analysis to determine the effect of hinge locat
PMID 32352597

Follow-up radiographs in isolated Greater Tuberosity fractures lead to a change in treatment recommendation; an online survey study.

van Wier MF, Amajjar I, Hagemeijer NC, Claessen FMAP, van den Bekerom MPJ, van Deurzen DFP.
Orthopaedics & traumatology, surgery & research : OTSR. 2020 Apr;106(2)255-259.
It is common practice to obtain follow-up radiographs of non-operatively treated isolated greater tuberosity (GT) fractures 1 to 2 weeks after trauma. However, the majority of non-operatively treated GT fractures remain stable and do not require reconsideration of the initial treatment decision. Rad
PMID 32173302

Tuberosity healing improves functional outcome following primary reverse shoulder arthroplasty for proximal humeral fractures with a 135° prosthesis.

Schmalzl J, Jessen M, Holschen M, Cohen BC, Steinbeck J, Lehmann LJ, Denard PJ.
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie. 2020 Mar;().
Reverse shoulder arthroplasty (RSA) is a common treatment for proximal humeral fractures (PHFs) in the elderly. This study evaluates the influence of tuberosity healing (TH) on functional outcome following a 135° humeral inclination RSA for PHFs. Retrospectively, all patients with an acute PHF trea
PMID 32162048

Japanese Journal

経験と考察上腕骨大結節骨折に対する鏡視下bridging suture法の治療成績

三谷誠,藤林功,高瀬史明,古川隆浩,十倉健男,尾﨑琢磨
整形外科 = Orthopedic surgery 71(4), 319-323, 2020-04
NAID 40022203388

整復不能な陳旧性上腕骨大結節骨折に対して鏡視下肩上方関節包再建術を行った1例

三宅克広,三幡輝久,長谷川彰彦,河上剛,根尾昌志
中部日本整形外科災害外科学会雑誌 61(6), 1335-1336, 2018
NAID 130007623036

肩関節後方脱臼骨折に対してSuture bridging法が有用であった1例

相良学,梶山史郎,松尾洋昭,尾﨑誠
整形外科と災害外科 67(3), 542-545, 2018
<p>比較的稀な肩関節後方脱臼に対し，Suture bridging法にて骨接合術を行った一例を報告する．66歳男性，バイク走行中に転倒し受傷．近医に搬送され，Xp，CTにて左肩関節後方脱臼骨折を認めた．同院にて整復後，当院に紹介受診．小結節及び大結節骨片は結節間溝を含め一塊となり前方転位しており，肩関節後方亜脱臼が残存していた．受傷8日後，直視下にSuture bridging法にて …
NAID 130007508889