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Case Reports
. 2021 Apr 21:33:100474.
doi: 10.1016/j.tcr.2021.100474. eCollection 2021 Jun.

Supporting the medial hinge in proximal humerus fractures with an intramedullary plate

Tjibbe J Gardenbroek  1 , Sharon Oud  1 , Henk A Formijne Jonkers  1 , J Carel Goslings  1
Affiliations
Case Reports

Supporting the medial hinge in proximal humerus fractures with an intramedullary plate

Tjibbe J Gardenbroek et al. Trauma Case Rep. .

Erratum in

Abstract

Proximal humerus fractures are common and approximately 20% of displaced fractures may benefit from surgery. A lack of medial support is found to be a predictor of failure after surgical fixation of proximal humerus fractures. The optimal technique for restoring the medial hinge is unclear. We describe two cases of patients with a dislocated 4-part humerus fracture treated with a locking plate and an additional small intramedullary plate to support the medial hinge. This technique is simple and allows for an enhanced stability of the medial hinge during and after surgery.

Keywords: Intramedullary plate; Medial hinge plate; Proximal humerus fracture.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Fig. 1
Fig. 1
The preoperative image of the displaced, four-part proximal humerus. Fracture of patient A (left) and patient B (right).
Fig. 2
Fig. 2
The peroperative image with the placement of a two-hole 2.4 mm intramedullary plate to reconstruct the medial hinge in patient A (left) and patient B (right).
Fig. 3
Fig. 3
Intra-operative photo of patient B showing the medial hinge plate (2.0 mm).
Fig. 4
Fig. 4
Postoperative images of patient A and patient B.
See this image and copyright information in PMC

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