Trauma Monthly

Published by: Kowsar

Treatment of Proximal Humeral Fractures Using Minimally Invasive Plate Osteosynthesis

Adel Ebrahimpour 1 , Reza Zandi 1 , Mohammadreza Minator Sajjadi 1 , Mehrdad Sadighi 1 , Amin Karimi 1 , Mohammad Ali Okhovatpour 1 , * and Pejman Moradi 1
Authors Information
1 Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Article information
  • Trauma Monthly: November 2018, 23 (6); e60717
  • Published Online: September 8, 2018
  • Article Type: Research Article
  • Received: August 22, 2017
  • Revised: April 3, 2018
  • Accepted: April 12, 2018
  • DOI: 10.5812/traumamon.60717

To Cite: Ebrahimpour A, Zandi R, Minator Sajjadi M, Sadighi M , Karimi A, et al. Treatment of Proximal Humeral Fractures Using Minimally Invasive Plate Osteosynthesis, Trauma Mon. 2018 ; 23(6):e60717. doi: 10.5812/traumamon.60717.

Copyright © 2018, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Palvanen M, Kannus P, Niemi S, Parkkari J. Update in the epidemiology of proximal humeral fractures. Clin Orthop Relat Res. 2006;442:87-92. [PubMed: 16394745].
  • 2. Baron JA, Barrett JA, Karagas MR. The epidemiology of peripheral fractures. Bone. 1996;18(3):S209-13. doi: 10.1016/8756-3282(95)00504-8.
  • 3. Lanting B, MacDermid J, Drosdowech D, Faber KJ. Proximal humeral fractures: a systematic review of treatment modalities. J Shoulder Elbow Surg. 2008;17(1):42-54. doi: 10.1016/j.jse.2007.03.016. [PubMed: 18308203].
  • 4. Ruchholtz S, Hauk C, Lewan U, Franz D, Kuhne C, Zettl R. Minimally invasive polyaxial locking plate fixation of proximal humeral fractures: a prospective study. J Trauma. 2011;71(6):1737-44. doi: 10.1097/TA.0b013e31823f62e4. [PubMed: 22182882].
  • 5. Handoll HHG, Ollivere BJ. Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev. 2010:CD000434. doi: 10.1002/14651858.CD000434.pub2.
  • 6. Siegel J, Tornetta P 3rd, Borrelli J, Kregor P, Ricci WM. Locked and minimally invasive plating. Instr Course Lect. 2007;56:353–68.
  • 7. Brunner A, Weller K, Thormann S, Jockel JA, Babst R. Closed reduction and minimally invasive percutaneous fixation of proximal humerus fractures using the Humerusblock. J Orthop Trauma. 2010;24(7):407-13. doi: 10.1097/BOT.0b013e3181c81b1c. [PubMed: 20577070].
  • 8. Imarisio D, Trecci A, Sabatini L, Scagnelli R. Treatment for proximal humeral fractures with percutaneous plating: our first results. Musculoskelet Surg. 2013;97 Suppl 1:85-91. doi: 10.1007/s12306-013-0266-z. [PubMed: 23588835].
  • 9. Chiewchantanakit S, Tangsripong P. Locking plate fixation of proximal humeral fracture: minimally invasive vs. standard delto-pectoral approach. J Med Assoc Thai. 2015;98(2):196-200. [PubMed: 25842801].
  • 10. Vundelinckx BJ, Dierickx CA, Bruckers L, Dierickx CH. Functional and radiographic medium-term outcome evaluation of the Humerus Block, a minimally invasive operative technique for proximal humeral fractures. J Shoulder Elbow Surg. 2012;21(9):1197-206. doi: 10.1016/j.jse.2011.07.029. [PubMed: 22036547].
  • 11. Tauber M, Hirzinger C, Hoffelner T, Moroder P, Resch H. Midterm outcome and complications after minimally invasive treatment of displaced proximal humeral fractures in patients younger than 70 years using the Humerusblock. Injury. 2015;46(10):1914-20. doi: 10.1016/j.injury.2015.05.017. [PubMed: 26071323].
  • 12. Bockmann B, Buecking B, Franz D, Zettl R, Ruchholtz S, Mohr J. Mid-term results of a less-invasive locking plate fixation method for proximal humeral fractures: a prospective observational study. BMC Musculoskelet Disord. 2015;16:160. doi: 10.1186/s12891-015-0618-y. [PubMed: 26141352]. [PubMed Central: PMC4491200].
  • 13. Liu K, Liu PC, Liu R, Wu X. Advantage of minimally invasive lateral approach relative to conventional deltopectoral approach for treatment of proximal humerus fractures. Med Sci Monit. 2015;21:496-504. doi: 10.12659/MSM.893323. [PubMed: 25682320]. [PubMed Central: PMC4335575].
  • 14. Roderer G, Erhardt J, Graf M, Kinzl L, Gebhard F. Clinical results for minimally invasive locked plating of proximal humerus fractures. J Orthop Trauma. 2010;24(7):400-6. doi: 10.1097/BOT.0b013e3181ccafb3. [PubMed: 20577069].
  • 15. Neer CS 2nd. Displaced proximal humeral fractures. I. Classification and evaluation. J Bone Joint Surg Am. 1970;52(6):1077-89. [PubMed: 5455339].
  • 16. Altman GT, Gallo RA, Molinero KG, Muffly MT, Mascarenhas L. Minimally invasive plate osteosynthesis for proximal humerus fractures: functional results of treatment. Am J Orthop (Belle Mead NJ). 2011;40(3):E40-7. [PubMed: 21720607].
  • 17. Illert T, Grass R, Zwipp H. [Internal fixation with fixed-angle plates for fractures of the proximal humerus]. Trauma und Berufskrankheit. 2008;10(S1):39-46. German. doi: 10.1007/s10039-007-1295-3.
  • 18. Iannotti JP, Ramsey ML, Williams GJ, Warner JJ. Nonprosthetic management of proximal humeral fractures. Instr Course Lect. 2004;53:403-16. [PubMed: 15116630].
  • 19. Seide K, Triebe J, Faschingbauer M, Schulz AP, Puschel K, Mehrtens G, et al. Locked vs. unlocked plate osteosynthesis of the proximal humerus - a biomechanical study. Clin Biomech (Bristol, Avon). 2007;22(2):176-82. doi: 10.1016/j.clinbiomech.2006.08.009. [PubMed: 17134800].
  • 20. Hessmann MH, Rommens PM. [Osteosynthesis techniques in proximal humeral fractures]. Chirurg. 2001;72(11):1235-45. [PubMed: 11766645].
  • 21. Gardner MJ, Griffith MH, Dines JS, Lorich DG. A minimally invasive approach for plate fixation of the proximal humerus. Bull Hosp Jt Dis. 2004;62(1-2):18-23. [PubMed: 15517853].
  • 22. Gardner MJ, Griffith MH, Dines JS, Briggs SM, Weiland AJ, Lorich DG. The extended anterolateral acromial approach allows minimally invasive access to the proximal humerus. Clin Orthop Relat Res. 2005;(434):123-9. [PubMed: 15864041].
  • 23. Saran N, Bergeron SG, Benoit B, Reindl R, Harvey EJ, Berry GK. Risk of axillary nerve injury during percutaneous proximal humerus locking plate insertion using an external aiming guide. Injury. 2010;41(10):1037-40. doi: 10.1016/j.injury.2010.04.014. [PubMed: 20542510].
  • 24. Falez F, Papalia M, Greco A, Teti A, Favetti F, Panegrossi G, et al. Minimally invasive plate osteosynthesis in proximal humeral fractures: one-year results of a prospective multicenter study. Int Orthop. 2016;40(3):579-85. doi: 10.1007/s00264-015-3069-z. [PubMed: 26686493].
  • 25. Vijayvargiya M, Pathak A, Gaur S. Outcome analysis of locking plate fixation in proximal humerus fracture. J Clin Diagn Res. 2016;10(8):RC01-5. doi: 10.7860/JCDR/2016/18122.8281. [PubMed: 27656515]. [PubMed Central: PMC5028477].
  • 26. Fattoretto D, Borgo A, Iacobellis C. The treatment of complex proximal humeral fractures: analysis of the results of 55 cases treated with PHILOS plate. Musculoskelet Surg. 2016;100(2):109-14. doi: 10.1007/s12306-015-0395-7. [PubMed: 26833189].
  • 27. Terry GC, Chopp TM. Functional anatomy of the shoulder. J Athl Train. 2000;35(3):248-55. [PubMed: 16558636]. [PubMed Central: PMC1323385].
  • 28. Gardner MJ, Voos JE, Wanich T, Helfet DL, Lorich DG. Vascular implications of minimally invasive plating of proximal humerus fractures. J Orthop Trauma. 2006;20(9):602-7. doi: 10.1097/ [PubMed: 17088661].
  • 29. Repetto I, Alessio-Mazzola M, Cerruti P, Sanguineti F, Formica M, Felli L. Surgical management of complex proximal humeral fractures: pinning, locked plate and arthroplasty : Clinical results and functional outcome on retrospective series of patients. Musculoskelet Surg. 2017;101(2):153-8. doi: 10.1007/s12306-017-0451-6. [PubMed: 28120283].

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