Pseudoarthrosis like a complication in proximal humeral fractures

Abstract

Proximal humerus fractures (FHP) represent 5 6% of all fractures in adults and occur more frequently in older adults due to poor bone quality, the initial evaluation and knowing the risk factors that the patient may have is essential to determine the most appropriate treatment and avoid complications. Pseudoarthrosis of the proximal humerus, despite having a frequency ranging from 1.1% to 8%, must be studied so that the doctor can resolve it, the elderly population tends to cope well, due to low functional demand, however, younger patients would notice a decrease in function, particularly when the tuberosities and adjacent cuff insertions are involved. The objective of this article was to deepen knowledge about proximal humerus pseudoarthrosis, results of risk factors, as well as their treatment, through a descriptive bibliographic review.


Keywords: proximal humerus, psedoarthrosis, fractures, nonunion.


Resumen


Las fracturas de húmero proximal (FHP) representan el 5-6% de todas las fracturas en adultos y se presentan con mayor frecuencia en adultos mayores debido a la mala calidad ósea, la evaluación inicial y conocer los factores de riesgo que puede tener el paciente es fundamental para determinar el tratamiento más adecuado y evitar complicaciones. La pseudoartrosis del humero proximal a pesar de tener una frecuencia que va de 1.1 % al 8% debe ser estudiada para que el medico la pueda resolver, la población de la tercera edad tiende a sobrellevarlo bien, debido a la baja demanda funcional, sin embargo, los pacientes más jóvenes notarían una disminución en la función, particularmente cuando están involucradas las tuberosidades y las inserciones de los manguitos adyacentes. El objetivo de este artículo fue profundizar conocimientos sobre pseudoartrosis de humero proximal, cuáles son los factores de riesgo, así como su tratamiento, mediante una revisión bibliográfica descriptiva.


Palabras Clave: Humero proximal, Pseudoatrosis, fracturas, no unión.

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