지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.12
- 수록면
- 282 - 287 (6page)
이용수
초록· 키워드
오류제보하기
Background: Muscular forces drive proximal humeral fracture deformity, yet it is unknown if arm position can help mitigate such forces. Our hypothesis was that glenohumeral abduction and humeral internal rotation decrease the pull of the supraspinatus and subscapularis muscles, minimizing varus fracture deformity.
Methods: A medial wedge osteotomy was performed in eight cadaveric shoulders to simulate a two-part fracture. The specimens were tested on a custom shoulder testing system. Humeral head varus was measured following physiologic muscle loading at neutral and 20° humeral internal rotation at both 0° and 20° glenohumeral abduction.
Results: There was a significant decrease in varus deformity caused by the subscapularis (p＜0.05) at 20° abduction. Significantly increasing humeral internal rotation decreased varus deformity caused by the subscapularis (p＜0.05) at both abduction angles and that caused by the supraspinatus (p＜0.05) and infraspinatus (p＜0.05) at 0° abduction only.
Conclusions: Postoperative shoulder abduction and internal rotation can be protective against varus failure following proximal humeral fracture fixation as these positions decrease tension on the supraspinatus and subscapularis muscles. Use of a resting sling that places the shoulder in this position should be considered.
Methods: A medial wedge osteotomy was performed in eight cadaveric shoulders to simulate a two-part fracture. The specimens were tested on a custom shoulder testing system. Humeral head varus was measured following physiologic muscle loading at neutral and 20° humeral internal rotation at both 0° and 20° glenohumeral abduction.
Results: There was a significant decrease in varus deformity caused by the subscapularis (p＜0.05) at 20° abduction. Significantly increasing humeral internal rotation decreased varus deformity caused by the subscapularis (p＜0.05) at both abduction angles and that caused by the supraspinatus (p＜0.05) and infraspinatus (p＜0.05) at 0° abduction only.
Conclusions: Postoperative shoulder abduction and internal rotation can be protective against varus failure following proximal humeral fracture fixation as these positions decrease tension on the supraspinatus and subscapularis muscles. Use of a resting sling that places the shoulder in this position should be considered.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Arm position and deforming muscular forces in proximal humeral fracture
대한견주관절의학회지
2022 .12
-
20도 이상의 술전 내반 변형이 있었던 족관절에서 인공관절 치환술의 결과: 내반 변형 20도 미만 군과의 비교
대한족부족관절학회지
2016 .03
-
Botulinum Toxin A Injection into the Subscapularis Muscle to Treat Intractable Hemiplegic Shoulder Pain
Annals of Rehabilitation Medicine
2016 .01
-
Preventing Varus Deformity in Senile Patients with Proximal Humerus Fractures and Poor Medial Support
대한견주관절의학회지
2016 .12
-
Osteokinematic analysis during shoulder abduction using the C-arm
Physical therapy rehabilitation science
2017 .01
-
Radiologic Outcomes According to Varus Deformity in Minimally Invasive Surgery Total Knee Arthroplasty
Yonsei Medical Journal
2016 .01
-
Acute complications after reverse total shoulder arthroplasty for treatment of cuff arthropathy versus fracture
대한견주관절의학회지
2025 .03
-
Incidence and Mortality after Proximal Humerus Fractures Over 50 Years of Age in South Korea: National Claim Data from 2008 to 2012
대한골대사학회지
2015 .01
-
Short-term outcomes of anatomic total shoulder arthroplasty with biceps augmentation of subscapularis peel repair
대한견주관절의학회지
2025 .03
-
Radiographic analysis of the effect of external rotation on the correction angle in reverse step-cut osteotomy for cubitus varus deformity
대한견주관절의학회 학술대회논문집
2022 .04
-
Comparison of Shoulder Abduction Range of Motion in Glenohumeral Joint in Individuals with and without Myofascial Trigger Points in the Upper Trapezius
근골격계과학기술학회
2023 .06
-
Scapulohumeral rhythm during horizontal flexion and extension in shoulder abduction and external rotation
대한견주관절의학회 학술대회논문집
2018 .03
-
Internal Fixation with a Locking T-Plate for Proximal Humeral Fractures in Patients Aged 65 Years and Older
대한견주관절의학회지
2017 .12
-
Shoulder kinematics during internal rotation : Comparison of three different methods
대한견주관절의학회 학술대회논문집
2015 .04
-
Preoperative Varus-Valgus Stress Angle Difference Is Valuable for Predicting the Extent of Medial Release in Varus Deformity during Total Knee Arthroplasty
Knee Surgery and Related Research
2019 .01
-
Selection/Exposure of rotator cuff and making rotator cuff defect model (supraspinatus or subscapularis?)
대한견주관절의학회 학술대회논문집
2015 .04
-
상완골 근위부 골절의 보존적 치료
대한골절학회지
2018 .01
-
Whatever Your Preference Is for the Treatment of the Proximal Humeral Fracture
대한견주관절의학회지
2017 .12
-
Three-dimensional change in the rotator cuff during arm abduction using open magnetic resonance system
대한견주관절의학회 학술대회논문집
2019 .03
-
A Comparative Study on Internal Fixation using Long Proximal Intramedullary Nail for the Treatment of Humeral Shaft Fracture according to Fracture Types
대한견주관절의학회 학술대회논문집
2019 .03
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2023-514-000222674