Hyunseong Yoo; Jaehui Han; Youngsoo Byun; Daegeun Jeong; Dongju Shin

doi:10.12671/jkfs.2016.29.1.73

Articles

Page Path: HOME > J Musculoskelet Trauma > Volume 29(1); 2016 > Article

Case Report
Functional Recovery of the Shoulder after Correcting Malrotation of the Distal Humerus: A Case Report: Hyunseong Yoo, M.D., Jaehui Han, M.D., Youngsoo Byun, M.D., Ph.D., Daegeun Jeong, M.D., Dongju Shin, M.D.; Journal of the Korean Fracture Society 2016;29(1):73-78.
DOI: https://doi.org/10.12671/jkfs.2016.29.1.73
Published online: January 19, 2016

Department of Orthopaedic Surgery, Daegu Fatima Hospital, Daegu, Korea.

Address reprint requests to: Dongju Shin, M.D. Department of Orthopaedic Surgery, Daegu Fatima Hospital, 99 Ayang-ro, Dong-gu, Daegu 41199, Korea. Tel: 82-53-940-7324, Fax: 82-53-954-7417, osaabga@gmail.com

• Received: May 26, 2015 • Revised: July 13, 2015 • Accepted: December 26, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

47 Views
0 Download

prev next

Full Article

Download PDF

Abstract
NOTES
REFERENCES

Abstract

Although studies on malrotation of the humerus possibly leading to dysfunction of the shoulder have been reported, studies on its causes are inadequate. The authors encountered a patient complaining of malrotation accompanied by dysfunction of the shoulder which occurred during treatment of a distal humeral fracture. The patient recovered the shoulder function by only correcting malrotation of the humerus without direct treatment on the shoulder, and we report it herein with a review of the literature.
Key words: Humerus, Fracture, Rotational deformity, Malunion, Malrotation, Shoulder function

None.

REFERENCES

1. Puloski S, Romano C, Buckley R, Powell J. Rotational malalignment of the tibia following reamed intramedullary nail fixation. J Orthop Trauma, 2004;18:397-402.
2. Buckley R, Mohanty K, Malish D. Lower limb malrotation following MIPO technique of distal femoral and proximal tibial fractures. Injury, 2011;42:194-199.
3. Wallny T, Sagebiel C, Westerman K, Wagner UA, Reimer M. Comparative results of bracing and interlocking nailing in the treatment of humeral shaft fractures. Int Orthop, 1997;21:374-379.
4. Flury MP, Goldhahn J, Holzmann P, Simmen BR. Does Weber's rotation osteotomy induce degenerative joint disease at the shoulder in the long term? J Shoulder Elbow Surg, 2007;16:735-741.
5. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res, 1987;(214):160-164.
6. Boileau P, Bicknell RT, Mazzoleni N, Walch G, Urien JP. CT scan method accurately assesses humeral head retroversion. Clin Orthop Relat Res, 2008;466:661-669.
7. Li Y, Wang C, Wang M, Huang L, Huang Q. Postoperative malrotation of humeral shaft fracture after plating compared with intramedullary nailing. J Shoulder Elbow Surg, 2011;20:947-954.
8. Robinson CM, Bell KM, Court-Brown CM, McQueen MM. Locked nailing of humeral shaft fractures Experience in Edinburgh over a two-year period. J Bone Joint Surg Br, 1992;74:558-562.

Fig. 1

(A) Initial radiographs show a comminuted open fracture of the distal humerus. (B) Radiographs after the emergency operation show open reduction and internal fixation with a long anatomical plate on the anterior aspect of the medial column and a short reconstruction plate on the lateral column.

Fig. 2

Radiograph 7 months after the initial operation shows non-union of the distal humeral fracture with loss of reduction.

Fig. 3

Photographs 7 months after the initial operation show the limitation of the right shoulder motion.

Fig. 4

Bilateral anteroposterial radiographs (A) and bilateral (B) computed tomography scans show 45° of malrotation of the right humerus.

Fig. 5

Intraoperative photographs show 45° of derotation with 2 K-wires.

Fig. 6

Final radiographs 17 months after the operation show solid union without implant loosening and loss of reduction.

Fig. 7

Photographs 2 years after the operation show a good functional result of the right shoulder.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Functional Recovery of the Shoulder after Correcting Malrotation of the Distal Humerus: A Case Report

J Korean Fract Soc. 2016;29(1):73-78. Published online January 31, 2016

DOI: https://doi.org/10.12671/jkfs.2016.29.1.73

XML Download

Figure

We recommend

Functional Recovery of the Shoulder after Correcting Malrotation of the Distal Humerus: A Case Report

Fig. 1 (A) Initial radiographs show a comminuted open fracture of the distal humerus. (B) Radiographs after the emergency operation show open reduction and internal fixation with a long anatomical plate on the anterior aspect of the medial column and a short reconstruction plate on the lateral column.

Fig. 2 Radiograph 7 months after the initial operation shows non-union of the distal humeral fracture with loss of reduction.

Fig. 3 Photographs 7 months after the initial operation show the limitation of the right shoulder motion.

Fig. 4 Bilateral anteroposterial radiographs (A) and bilateral (B) computed tomography scans show 45° of malrotation of the right humerus.

Fig. 5 Intraoperative photographs show 45° of derotation with 2 K-wires.

Fig. 6 Final radiographs 17 months after the operation show solid union without implant loosening and loss of reduction.

Fig. 7 Photographs 2 years after the operation show a good functional result of the right shoulder.

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

Fig. 6

Fig. 7

Functional Recovery of the Shoulder after Correcting Malrotation of the Distal Humerus: A Case Report