By Hans-Jörg Oestern, Otmar Trentz, Selman Uranues
There presently is a transparent tendency to progressively more unintentional accidents in aged humans, in game accidents and vehicle crashes additionally in nations which lately joined the eu Union and applicants to affix the ecu Union. sufferers count on excellent practical effects even after critical accidents. yet unlike this improvement, Trauma surgical procedure as an self sufficient box, isn't really but demonstrated in all ecu nations. consequently, it sort of feels obligatory to bring together a booklet that covers the cutting-edge in Trauma surgical procedure. The booklet additionally serves to harmonise the perform of Trauma surgical procedure in the eu Union, and to organize for the examination of the U.E.M.S.
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Extra resources for Bone and Joint Injuries: Trauma Surgery III
The supine position is a less common placement. The shoulder is typically placed laterally on a shoulder support. Benefits of this positioning are the easy and quick preparation time and the ability to place the humerus on supports, helping to avoid a severe posterior displacement of the shaft. Additionally, it is easier to achieve two perpendicular X-ray planes, especially a transaxillary view, without movement of the arm intraoperatively. This is strongly recommended in order to minimize the rate of primary intraarticular implant malpositioning.
Clin Orthop Relat Res 442(1):87–92 Bahrs C, Schmal H, Lingenfelter E, Rolauffs B, Weise K, Dietz K et al (2008) Inter- and intraobserver reliability of the MTM-classification for proximal humeral fractures: a prospective study. BMC Musculoskelet Disord 9:21 Hertel R, Hempfing A, Stiehler M, Leunig M (2004) Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg 13(4):427–433 Majed A, Macleod I, Bull AMJ, Zyto K, Resch H, Hertel R et al (2011) Proximal humeral fracture classification systems revisited.
6. 7. 8. 9. 10. 11. 12. 13. 14. fractures in Hungary from the nationwide health insurance database, 1999–2003. Osteoporos Int 19(2):243–249 Palvanen M, Kannus P, Niemi S, Parkkari J (2006) Update in the epidemiology of proximal humeral fractures. Clin Orthop Relat Res 442(1):87–92 Bahrs C, Schmal H, Lingenfelter E, Rolauffs B, Weise K, Dietz K et al (2008) Inter- and intraobserver reliability of the MTM-classification for proximal humeral fractures: a prospective study. BMC Musculoskelet Disord 9:21 Hertel R, Hempfing A, Stiehler M, Leunig M (2004) Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus.