Keywords
How to Cite
Abstract
The Amapaense Society of Osteology and Orthopedics, unanimously, informs in a special bulletin in the BJIH, that understands the ITD (deltoid tuberosity index) is a reliable, simple and applicable tool to assess the local bone quality in the proximal humerus. In addition, its use has better clinical applicability in patients with fractures of the proximal humerus than the Tingart index, since, occasionally, the fracture lines reach the reference points of this measurement.
References
Fjalestad T, Iversen P, Hole MØ, Smedsrud M, Madsen JE. Clinical investigation for displaced proximal humeral fractures in the elderly: a randomized study of two surgical treatments: reverse total prosthetic replacement versus angular stable plate Philos (The DELPHI-trial). BMC Musculoskeletal Disord. 2014;15:323. [ Links ]
Court-Brown CM, McQueen MM. The relationship between fractures and increasing age with reference to the proximal humerus. Curr Orthop. 2002;16: 213-22. [ Links ]
Bengner U, Johnell O, Redlund-Johnell I. Changes in the incidence of fracture of the upper end of the humerus during a 30 year period: a study of 2125 fractures. Clin Orthop. 1988;231:179-82. [ Links ]
Mather J, MacDermid JC, Faber KJ, Athwal GS. Proximal humerus cortical bone thickness correlates with bone mineral density and can clinically rule out osteoporosis, J Shoulder Elbow Surg. 2013;22(6):732-8. [ Links ]
Jung SW, Shim SB, Kim HM, Lee JH, Lim HS. Factors that influence reduction loss in proximal humerus fracture surgery. J Orthop Trauma. 2015;29:276-82. [ Links ]
Hertel RW. Fractures of the proximal humerus in osteoporotic bone. Osteoporos Int. 2005;16(Suppl 2):S65-72. [ Links ]
Nho SJ, Brophy RH, Barker JU, Cornell CN, MacGillivray JD. Management of proximal humeral fractures based on current literature. J Bone Joint Surg. 2007;89:44-58. [ Links ]
Mazzucchelli RA, enny K, Zdravkovic V, Erhardt JB, Jost B, Spross C. The influence of local bone quality on fracture pattern in proximal humerus fractures. Injury. 2018;492:359-63. [ Links ]
Spross C, Kaestle N, Benninger E, Fornaro J, Erhardt J, Zdravkovic V, et al. Deltoid Tuberosity Index: a simple radiographic tool to assess local bone quality in proximal humerus fractures. Clin Orthop Relat Res. 2015;473:3038-45. [ Links ]
Barnett E, Nordin BEC. The radiological diagnosis of osteoporosis: a new approach. Clin Radiol. 1960;11:166-9. [ Links ]
Tingart MJ, Apreleva M, von Stechow D, Zurakowski D, Warner JJ. The cortical thickness of the proximal humeral diaphysis predicts bone mineral density of the proximal humerus. J Bone Joint Surg Br. 2003;85(4):611-7. [ Links ]
Spross C, Meester J, Mazzucchelli RA, Puskás GJ, Zdravkovic V, Jost B. Evidence-based algorithm to treat patients with proximal humerus fractures-a prospective study with early clinical and overall performance results. J Shoulder Elbow Surg. 2019; 28(6):1022-32. [ Links ]
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2020 Roberto Campos Dourado , Mario Luiz da Rocha Araújo