References

nmp

Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь»

Russian Sklifosovsky Journal "Emergency Medical Care"

2223-90222541-8017

“N.V. Sklifosovsky Research Institute for Emergency Medicine”

10.23934/2223-9022-2018-7-2-144-151

nmp-465

Research Article

ОБЗОРЫ ЛИТЕРАТУРЫ

REVIEWS OF LITERATURE

ДИАГНОСТИКА И ЛЕЧЕНИЕ ПЕРЕЛОМОВ ПРОКСИМАЛЬНОГО ОТДЕЛА ПЛЕЧЕВОЙ КОСТИ

DIAGNOSIS AND TREATMENT OF PROXIMAL HUMERUS FRACTURES

Файн

А. М.

Fain

A. M.

отделение неотложной травматологии опорно-двигательного аппарата,

129090 Москва, Б. Сухаревская пл., д. 3

Department of Emergency Traumatology and Musculoskeletal System,

Bolshaya Sukharevskaya Square, 3, Moscow 129090

https://orcid.org/0000-0003-4581-449X

Ваза

А. Ю.

Vaza

A. Y.

отделение неотложной травматологии опорно-двигательного аппарата,

129090 Москва, Б. Сухаревская пл., д. 3

Department of Emergency Traumatology and Musculoskeletal System,

Bolshaya Sukharevskaya Square, 3, Moscow 129090

https://orcid.org/0000-0002-1256-2911

Сластинин

В. В.

Slastinin

V. V.

отделение неотложной травматологии опорно-двигательного аппарата,

129090 Москва, Б. Сухаревская пл., д. 3

Department of Emergency Traumatology and Musculoskeletal System,

Bolshaya Sukharevskaya Square, 3, Moscow 129090

https://orcid.org/0000-0002-2960-8736

Титов

Р. С.

Titov

R. S.

научный сотрудник, отделение неотложной травматологии опорно-двигательного аппарата,

129090 Москва, Б. Сухаревская пл., д. 3

Researcher, Department of Emergency Traumatology and Musculoskeletal System,

Bolshaya Sukharevskaya Square, 3, Moscow 129090

doktor-titoff@yandex.ru

ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»РоссияN.V Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare DepartmentRussian Federation

2018

25072018

72144151

2018

Файн А.М., Ваза А.Ю., Сластинин В.В., Титов Р.С.

Fain A.M., Vaza A.Y., Slastinin V.V., Titov R.S.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.jnmp.ru/jour/article/view/465

Переломы проксимального отдела плечевой кости чаще всего встречаются у пожилых пациентов и приводят к выраженным функциональным нарушениям. Для лечения подобных травм существует множество консервативных и оперативных методов, таких как иммобилизация и раннее начало движений, чрескожный остеосинтез спицами, остеосинтез пластинами и штифтами, а также протезирование плечевого сустава. Выбор метода лечения зависит от характера перелома, опыта хирурга, возраста пациента и его физического статуса. На сегодняшний день не существует единого алгоритма лечения подобных травм, как не существует и крупных рандомизированных исследований, позволяющих создать такие алгоритмы. Целью данной статьи является обобщение результатов различных методов диагностики и лечения переломов проксимального отдела плечевой кости.

Proximal humeral fractures typically occur in elderly patients and lead to significant functional disorders. There are many different nonsurgical and surgical treatment options for these injuries, including immobilization and early physical therapy, percutaneous K-wires fixation, plate osteosynthesis, intramedullary nailing and shoulder arthroplasty. The choice of treatment depends on the fracture type and severity, surgeon skill level, patient’s age and health status. Today, there is no single algorithm for treating such injuries, there are no large randomized studies which allow it to be created. The aim of this article is to generalize various methods of treatment and diagnosis of fractures of the proximal humerus.

переломы проксимального отдела плечевой костидиагностикаконсервативное и оперативное лечениеостеосинтез плечевой кости

fractures of the proximal humerustreatment of fractures of the proximal humerusosteosynthesis of humerus

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The authors declare that there are no conflicts of interest present.