ReviewActa ortopedica brasileira
ANTEROLATERAL APPROACHES FOR PROXIMAL HUMERAL OSTEOSYNTHESIS: A SYSTEMATIC REVIEW.
Review in Acta ortopedica brasileira. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Morphometric analysis of the axillary nerve in relation to the deltopectoral and deltoid-splitting approaches: implications for surgical safe zones.Surgical and radiologic anatomy : SRA · 2026Article
- Comparative finite element analysis: internal fixation plate versus intramedullary nail for neer type III-VI proximal humeral fractur.Journal of orthopaedic surgery and research · 2025Article
- Functional Shoulder Evaluation after Osteosynthesis of Greater Tuberosity Fracture: Is There any Influence of Glenohumeral Dislocation?Revista brasileira de ortopedia · 2023Article
- Augmented cerclage wire improves the fixation strength of a two-screw construct for humerus split type greater tuberosity fracture: a biomechanical study.BMC musculoskeletal disorders · 2021Article
- Long head of biceps in proximal fractures of the humerus: an underestimated problem?Acta bio-medica : Atenei Parmensis · 2020Review
- Is there any clinical significance of axillary nerve electrophysiological changes in the deltoid split approach?Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAnterolateral approaches for proximal humerus osteosynthesis have great advantages because they allow direct exposure of the lateral aspect of the humerus without the muscular retraction seen in the deltopectoral approach. However, much resistance is found among surgeons due to the potential risk of iatrogenic injury to the axillary nerve. To identify the incidence of axillary nerve iatrogenic lesions and evaluate the functional results of proximal humerus osteosynthesis with locking plates using anterolateral approaches.
methodsThe literature review followed the PRISMA protocol.
resultsA total of 23 articles were selected from 786 patients submitted to anterolateral approaches. Three cases (0.38%) of iatrogenic axillary nerve lesions were confirmed. The results of the functional tests were similar to those of the deltopectoral approach.
conclusionAnterolateral approaches are a viable and safe alternative for proximal humerus osteosynthesis with locking plate. Subacromial impingement was the most frequent complication.
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