Posts Tagged ‘Broken Shoulder’

Pelaez - Broken Shoulder

“I completely recovered.”

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. 

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Shoulder fractures

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.

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Fractures with osteoporosis

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 A

    Figure A

    Anteroposterior (AP), oblique and lateral radiographs revealing a periprosthetic humerus fracture between a cemented long stemmed humeral component and a cemented standard length elbow component.

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  • Figure B

    Figure B

    Anteroposterior 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.

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*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.

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Our Patients

  • “I will be forever grateful to these amazing doctors.”

    ~ Olivia D’Angelo

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  • “The level of expertise and care is beyond imagination. Dr. Helfet is an artist.”

    ~ Herve Duteil

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  • “I can live a normal life and enjoy life once again.”

    ~ Ron Pollicino

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  • “We never would have gotten through this without HSS.”

    ~ Robert Casale

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  • “They were able to piece me back together where others were not.”

    ~ J. D. Pelaez

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  • “I was able to return to my passion, which was skiing big mountains.”

    ~ Tim DiPietro

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  • “The entire hospital staff were just amazing from the instant we rolled through the doors throughout the entire stay.”

    ~ Victor Katz

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David L. Helfet, MD

535 East 70th Street
New York, NY 10021

212-606-1888 phone
212-628-4473 fax

New York Fracture Care

Contact Us

David L. Helfet, MD 
212-606-1888

Dean G. Lorich, MD
212-746-4509

David S. Wellman, MD
212-606-1504