I was three minutes from home after a 2-hour weekend bike ride when I was struck by a car that didn’t see me at an intersection. I don’t remember the accident but the officer said that my head hit helmet first into the oncoming car’s front windshield, only one inch from the car’s solid roof-bar which otherwise would have ended things for me.
Posts Tagged ‘Broken Shoulder’
A 20-year-old male was walking across an intersection and was stuck by a car that went through a stop signal. He fell onto his outstretched left upper extremity was taken to the Orthopaedic Trauma Service at the Hospital for Special Surgery and placed under the care of David L. Helfet, MD for evaluation and treatment of his injuries.
A 48-year-old female was referred to Dr. David L. Helfet 2 days following a fall from a standing height onto her left upper extremity.
Radiographs revealed a periprosthetic fracture above a cemented total elbow replacement and below a cemented humeral component of a total shoulder replacement. Her history was also significant for osteoporosis.
Open reduction and internal fixation (ORIF) was performed with placement of a 3.5mm extra-articular distal humeral locking plate posterior-laterally and a 3.5mm reconstruction plate along the medial column in a 90-90 construct with multiple interfragmentary lag screws.
She returned for routine follow-up and at 7 months radiographs illustrate a healed periprosthetic humerus fracture and she has returned to activities of daily living with resolution of pain.
Figure AAnteroposterior (AP), oblique and lateral radiographs revealing a periprosthetic humerus fracture between a cemented long stemmed humeral component and a cemented standard length elbow component.
Figure BAnteroposterior and lateral fluoroscopic images demonstrating adequate fixation and alignment following open reduction and internal fixation. Radiographs at 7 months postoperatively demonstrate a healed periprosthetic humerus fracture.
*Carroll EA, Lorich DG, Helfet DL: Surgical management of a periprosthetic fracture between a total elbow and total shoulder prostheses: a case report. J Shoulder Elbow Surg. 2009 18(3):e9-12.