Abstract
The shoulder’s traumatology in recent decades has seen a major increase in surgical compared to conservative treatment even if recent studies and meta-analyzes do not confirmed that surgical treatment leads to better functional results. The interest in the surgical accesses, expecially in mininvasive surgery, for the treatment of fractures of the proximal humerus had a new birth. The aim of this work is to illustrate the most commonly used surgical technique in traumatology of proximal humerus.
Similar content being viewed by others
Bibliografia
Prakash KG, Saniya K (2015) Anatomy of axillary nerve and its clinical importance: a cadaveric study. J Clin Diagn Res 9(3):AC13–AC17
Hettrich CM, Boraiah S, Dyke JP et al. (2010) Quantitative assessment of the vascularity of the proximal part of the humerus. J Bone Jt Surg, Am 92(4):943–948
Mackenzie DB (1993) The antero-superior exposure for total shoulder replacement. Orthop Traumatol 2:71–77
Webb M, Funk L, Lennard F (2006) An anteriorsuperior approach for proximal humeral fracture. Tech Shoulder Elb Surg 7(2):77–81
Gardner MJ, Voos JE, Wanich T et al. (2006) Vascular implications of minimally invasive plating of proximal humerus fractures. J Orthop Trauma 20(9):602–607
Robinson CM, Murray IR (2011) The extended deltoid-splitting approach to the proximal humerus: variations and extensions. J Bone Jt Surg Br 93(3):387–392
Buecking B, Mohr J, Bockmann B et al. (2014) Deltoid-split or deltopectoral approaches for the treatment of displaced proximal humeral fractures? Clin Orthop Relat Res 472:1576–1585
Zhao W, Zhang Y, Johansson D et al. (2017) Comparison of minimally invasive percutaneous plate osteosynthesis and open reduction internal fixation on proximal humeral fracture in elder patients: a systematic review and meta-analysis. BioMed Res Int. 2017:3431609. Epub 2017 Jun 15
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflitto di interesse
Gli autori Pietro De Biase, Edy Biancalani, Giulio Cortonesi e Daniela Martinelli dichiarano di non avere alcun conflitto di interesse.
Consenso informato e conformità agli standard etici
Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.
Human and Animal Rights
L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.
Rights and permissions
About this article
Cite this article
De Biase, P., Biancalani, E., Cortonesi, G. et al. Gli accessi chirurgici alla spalla. LO SCALPELLO 32, 68–72 (2018). https://doi.org/10.1007/s11639-018-0257-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11639-018-0257-9