上腕骨骨折

関: humerus fracture

WordNet

interrupt, break, or destroy; "fracture the balance of power"
breaking of hard tissue such as bone; "it was a nasty fracture"; "the break seems to have been caused by a fall" (同)break
fracture a bone of; "I broke my foot while playing hockey" (同)break
become fractured; "The tibia fractured from the blow of the iron pipe"
break (a bone); "She broke her clavicle"
break into pieces; "The pothole fractured a bolt on the axle"
violate or abuse; "This writer really fractures the language"
the act of cracking something (同)crack, cracking

PrepTutorEJDIC

〈U〉(特に)骨を折ること;骨を折った状熊 / 〈C〉割れ(裂け)目,(鉱物の)破砕面 / 〈足・腕などを〉‘を'骨折する;…‘を'砕く / 骨折する;砕ける

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/11/12 15:39:38」(JST)

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[Wiki en表示]

A humerus fracture may be classified by the location of the humerus involved: the upper or proximal end, the shaft, or the lower distal.

Certain lesions are commonly associated with fractures to specific areas of the humerus. Proximal humerus fractures may occur at the surgical neck of the humerus^[1] and anatomical neck of humerus^[2] greater and lesser trochanters. This forms the basis for the Neer classification of fractures. Depending on the extent of the injury these fractures may be managed conservatively with a sling or require an open operation to internally fix the fragments. The axillary nerve can be damaged in fractures of this type leading to a neuropraxia however this may self-resolve. Avascular necrosis may also represent a complication of the fracture or open surgery associated with both deltopectoral (40%) or transdeltoid (10%) approaches during surgery.

Mid-shaft fractures may damage the radial nerve, which traverses the lateral aspect of the humerus closely associated with the radial groove. The median nerve is vulnerable to damage in the supracondylar area, and the ulnar nerve is vulnerable near the medial epicondyle, around which it curves to enter the forearm.

Radiographs are usually considered as a first-line imaging modality to evaluate clinically suspected humerus fracture. US, MRI, and CT are adequate alternatives if radiographs fail to demonstrate the cause of symptoms or do not sufficiently delineate the fracture for management purposes. CT is currently considered the gold standard to diagnose, but has limitations to detect adjacent soft tissue disorders. Depiction of greater tuberosity fractures at US is not uncommon in trauma setting because the fracture may be missed or overlooked at baseline radiographs and the patient will then present for US to scan rotator cuff for abnormalities.^[3]

A fracture of the greater tuberosity as seen on AP X ray
A fracture of the greater tuberosity of the humerus
Fracture of the greater tuberosity of the humerus
Proximal humerus fracture

References

^ "Surgical Neck Fractures of the Humerus - Wheeless' Textbook of Orthopaedics". Retrieved 2007-08-16.
^ "Anatomic Neck Fracture of Humerus - Wheeless' Textbook of Orthopaedics". Retrieved 2007-08-16.
^ Arend CF. Ultrasound of the Shoulder. Master Medical Books, 2013. Free section on proximal humerus fracture available at ShoulderUS.com

External links

http://www.patient.co.uk/showdoc/40024961/
http://www.shoulderus.com/ultrasound-of-the-shoulder/proximal-humerus-fracture

UpToDate Contents

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1. 成人における上腕骨近位端骨折 proximal humeral fractures in adults
2. 小児における上腕骨近位端骨折 proximal humeral fractures in children
3. 成人における上腕骨骨幹部骨折 midshaft humeral fractures in adults
4. 小児における上腕骨骨幹部骨折 midshaft humeral fractures in children
5. 小児における上腕骨上顆および骨端線骨折 epicondylar and transphyseal elbow fractures in children

English Journal

An uncommon variant of the Essex-Lopresti injury.

Kedous MA1,2, Msakni A3, Chebbi W3, Zaraa M3, Mbarek M3.
Skeletal radiology.Skeletal Radiol.2018 Mar;47(3):397-400. doi: 10.1007/s00256-017-2782-7. Epub 2017 Oct 2.
PMID 28971244

Pediatric and adolescent anterior shoulder instability: clinical management of first-time dislocators.

Lin KM1, James EW1, Spitzer E2, Fabricant PD1.
Current opinion in pediatrics.Curr Opin Pediatr.2018 Feb;30(1):49-56. doi: 10.1097/MOP.0000000000000566.
PMID 29135565

Ulnar Nerve Management with Distal Humerus Fracture Fixation: A Meta-Analysis.

Shearin JW1, Chapman TR2, Miller A3, Ilyas AM4.
Hand clinics.Hand Clin.2018 Feb;34(1):97-103. doi: 10.1016/j.hcl.2017.09.010.
PMID 29169602

Japanese Journal

経験と考察上腕骨骨幹部転移性骨腫瘍に対するインターロッキングネイルの治療成績

整形外科 = Orthopedic surgery 67(5), 407-410, 2016-05
NAID 40020828187

症例 Salter-Harris Ⅱ型の上腕骨近位骨端線損傷後に上腕骨頭壊死を生じた1例

整形・災害外科 59(3), 353-356, 2016-03
NAID 40020755366

仮性動脈瘤を伴った上腕骨近位端骨折の治療経験

整形外科と災害外科 65(1), 174-175, 2016
NAID 130005151224

「上腕骨骨折」

Humerus fracture
	Classification and external resources
	Comminuted midshaft humerus fracture with callus formation
ICD-10	S42.2-S42.4
AO	11A1-13C3
eMedicine	1239985, 1261320
MeSH	68006810

　　[★]

英: humerus fracture、humeral fracture

「humerus fracture」

　　[★]

上腕骨骨折

関: humeral fracture

「humeral」

　　[★]

adj.

上腕骨の

関: humerus、upper arm bone

「fracture」

　　[★]

n.

骨折

[1] "Surgical Neck Fractures of the Humerus - Wheeless' Textbook of Orthopaedics". Retrieved 2007-08-16.

[2] "Anatomic Neck Fracture of Humerus - Wheeless' Textbook of Orthopaedics". Retrieved 2007-08-16.

[3] Arend CF. Ultrasound of the Shoulder. Master Medical Books, 2013. Free section on proximal humerus fracture available at ShoulderUS.com

リンク元	「上腕骨骨折」「humerus fracture」
関連記事	「humeral」「fracture」

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案内

humeral fracture