Evidence map›Paper›PMID 36628500›Full record

ArticleOrthopaedic surgery2023

Morphological Analysis of Fractures of the Proximal Humerus by the Fracture Mapping Technique.

Hanru Ren, Lianghao Wu, Xu Zhang, Zheng Jian, Chengqing Yi

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In one paragraph

Article in Orthopaedic surgery, 2023. 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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6citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Morphology and novel classification of proximal humeral fractures.Frontiers in bioengineering and biotechnology · 2024
    Article
  4. Review
  5. Article
  6. Article
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hanru RenDepartment of Orthopaedics, Shanghai Pudong Hospital, Fudan University, Pudong Medical Center, Shanghai, China.
Lianghao WuDepartment of Orthopaedics, Shanghai Pudong Hospital, Fudan University, Pudong Medical Center, Shanghai, China.
Xu ZhangDepartment of Orthopaedics, Shanghai Pudong Hospital, Fudan University, Pudong Medical Center, Shanghai, China.
Zheng JianDepartment of Orthopaedics, Shanghai Pudong Hospital, Fudan University, Pudong Medical Center, Shanghai, China.
Chengqing YiDepartment of Orthopaedics, Shanghai Pudong Hospital, Fudan University, Pudong Medical Center, Shanghai, China.ORCID https://orcid.org/0000-0002-1103-456X

Funding

Program for Medical Key Department of Shanghai ZK2019C01Pu Jing Project PJ202004the Project of Key Medical Discipline of Pudong Hospital of Fudan University Zdzk-04
6 · The paper itself

Abstract

objectiveFractures of different parts of the proximal humerus may lead to different postoperative functional deficits, but there are few studies on the morphology and related functions of the proximal humerus. The purpose of this study was to analyze the fracture pattern of the proximal humerus by the three-dimensional (3-D) fracture mapping technique and to further evaluate its clinical utility.

methodsPatients with proximal humeral fractures admitted to Pudong Hospital, Fudan University, from January 2018 to December 2020, were analyzed. Three surgeons divided the fractures into groups according to the 3-D CT imaging technique and mapped the fractures on a 3-D template according to the fracture line of each fracture. Finally, the humeral head inversion angle and the functional score were recorded in different fracture types.

resultsA total of 312 cases of humeral fractures were included. Among them, there were 90 patients (28.8%) in the simple greater tuberosity + lesser tuberosity + medial cortex group, with typical fracture features of surgical neck fractures of the humerus + greater tuberosity fractures. Eighty-seven patients (27.9%) in the greater tuberosity + isolated fragment lesser tuberosity + medial cortex group had typical "four-part fractures." There were 45 patients (14.4%) in the greater tuberosity + lesser tuberosity + medial isolated fragment group. Moreover, more patients in this group had medial comminution due to varus displacement of the femoral head. There were 66 patients (21.1%) in the isolated greater tuberosity group, 21 patients (6.7%) in the greater tuberosity + lesser tuberosity group, and three patients (1.0%) in the greater tuberosity + medial cortex group. In addition, the humeral head inversion angle and other statistical differences were observed in the greater tuberosity + lesser tuberosity + medial isolated fragment group.

conclusionsThis morphological study helps to further identify the characteristics of proximal humerus fracture patterns, which may be closely related to different clinical outcomes. Further relevant studies are needed to verify the reliability of their clinical application and the potential value in surgical planning and postoperative functional rehabilitation.

Indexed as

Fractures, ComminutedHumeral FracturesShoulder FracturesFracture Fixation, InternalHumansHumerusReproducibility of ResultsRetrospective Studies3-D fracture mapping techniqueClinical outcomesNew typesProximal humerus fractures

Identifiers

PMID36628500
PMCPMC10432501

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