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Date Published: 03/11/2023
Online Published: 20/11/2023
Abstract Views: 105
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DOI: https://doi.org/10.58490/ctump.2023i68.2248
Issue
No. 68 (2023)
Section
Article
How to Cite
Pham, V. N., Tran, C. X., Tran, D. L., Do, Q. T., & Nguyen, A. T. (2023). MINIMAL INVASIVE PLATE OSTEOSYNTHESIS FOR THE PROXIMAL HUMERUS FRACTURE DISLOCATION ASSOCIATED WITH IPSILATERAL HUMERUAL SHAFT FRACTURE: A CASE REPORT. Cantho Journal of Medicine and Pharmacy, 68, 57-62. https://doi.org/10.58490/ctump.2023i68.2248

MINIMAL INVASIVE PLATE OSTEOSYNTHESIS FOR THE PROXIMAL HUMERUS FRACTURE DISLOCATION ASSOCIATED WITH IPSILATERAL HUMERUAL SHAFT FRACTURE: A CASE REPORT

Van Nhat Pham1,, Chanh Xuan Tran1, Dinh Lam Tran1, Quang Tien Do1, Anh Tuan Nguyen2
1 Cu Chi District Hospital
2 University Medical Center Ho Chi Minh City

Main Article Content

Abstract

The condition combining a proximal humeral fracture – dislocation and an ipsilateral humeral shaft fracture is seen to be rare in literature. Effective management of these coexistent injuries is still a subject of debate. We reported a 79-year-old female patient with a three-part fracture of the proximal humerus, dislocation of the shoulder with a fracture of the humeral shaft on the same side, and an old tear of the supraspinatus tendon. The patient had managed by minimal invasive plate osteosynthesis through the deltopectoral approach.  After 33 months of follow-up, the result was bone healing and good function. Minimal invasive plate osteosynthesis should be considered as a safe and effective option, the risk of head necrosis needs to be considered before intervention.

Article Details

Keywords

MIPO, Proximal humerus fracture – dislocation, humeral shaft fracture

References

1. Flint JH, Carlyle LM, Christiansen CC, Nepola JV. Case report and literature review anterior shoulder dislocation with three-part proximal humerus fracture and humeral shaft fracture. Iowa Orthop J. 2009;29:105-13.
2. Cervera TP, Roca L, Montalvo MÁM. Shoulder Dislocation with Head and Shaft Fracture Ipsilateral. J Arthritis 2016;5:194.
3. Herzberg G, Tebaa E. Combined three-part humeral anterior fracture-dislocation and humeral shaft fracture treated with one-stage long stem shoulder hemiarthroplasty in an active elderly patient- A case report and review of literature. SICOT-J. 2017;3(62):62. doi:10.1051/sicotj/2017045.
4. Hertel R. Fractures of the proximal humerus in osteoporotic bone. Osteoporos Int. 2005;16(S02):S65-S72. doi:10.1007/s00198-004-171 4-2
5. Gönç U, Atabek M, Teker K, Tanrıöver A. Minimally invasive plate osteosynthesis with PHILOS plate for proximal humerus fractures. Acta Orthop Traumatol Turc. 2017;51(1):17-22. doi:10.1016/j.aott.2016.10.003.
6. Alberio RL, Del Re M, Grassi FA. Minimally Invasive Plate Osteosynthesis for Proximal Humerus Fractures: A Retrospective Study Describing Principles and Advantages of the Technique. Adv Orthop. 2018;2018:1-10. doi:10.1155/2018/5904028.
7. Attala D, Primavera M, Marcantonio A, et al. The role of minimally invasive plate osteosynthesis
(MIPO) technique for treating 3- and 4-part proximal humerus fractures in the elderly - a case study. Acta Biomed. 2021;2;92(4):e2021251.
8. Kongcharoensombat W, Wattananon P. Risk of Axillary Nerve Injury in Standard Anterolateral Approach of Shoulder: Cadaveric Study. Malays Orthop J. 2018;12(3):1-5. doi:10.5704/moj.1811.001.
9. Phùng Đức Khải, Cao Thỉ (2021). Giải phẫu ứng dụng thần kinh nách, Y học Thành phố Hồ Chí Minh, 25(1), tr 122-126.
10. Zhao L, Yang P, Zhu L, Chen AM. Minimal invasive percutaneous plate osteosynthesis (MIPPO) through deltoid-pectoralis approach for the treatment of elderly proximal humeral fractures. BMC Musculoskelet Disord. 2017;18(1). doi:10.1186/s1 2891-017-1538-9.
11. Zhou ZB, Gao YS, Tang MJ, Sun YQ, Zhang CQ. Minimally invasive percutaneous osteosynthesis for proximal humeral shaft fractures with the PHILOS through the deltopectoral approach. Int Orthop. 2012;36(11):2341-2345. doi:10.1007/s00264 012-1649-8.