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Related Concept Videos

Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Bones of the Upper Limb: Ulna01:15

Bones of the Upper Limb: Ulna

The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side of the...

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Related Experiment Video

Updated: Jul 6, 2026

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
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Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation

Published on: June 13, 2025

Prosthetic replacement for distal humerus fractures.

George S Athwal1, Thomas J Goetz, J Whitcomb Pollock

  • 1Hand and Upper Limb Centre, St. Joseph's Health Care, University of Western Ontario, 268 Grosvenor Street, London, Ontario, Canada. gathwal@uwo.ca

The Orthopedic Clinics of North America
|April 1, 2008
PubMed
Summary

Total elbow arthroplasty is suitable for elderly patients with complex distal humerus fractures. Distal humerus hemiarthroplasty is gaining interest for specific fracture types, focusing on prosthetic replacement management.

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Published on: July 5, 2011

Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Traumatology

Background:

  • Primary total elbow arthroplasty (TEA) is indicated for elderly patients with osteoporotic bone, severe comminution, and articular fragmentation.
  • Distal humerus hemiarthroplasty (DHH) is experiencing a resurgence for treating distal humerus fractures.

Purpose of the Study:

  • To review the evaluation and management of distal humerus fractures using prosthetic replacement.
  • To highlight the role of DHH in specific fracture patterns.

Main Methods:

  • Literature review focusing on prosthetic replacement for distal humerus fractures.
  • Analysis of indications and outcomes for TEA and DHH.

Main Results:

  • TEA is a viable option for complex fractures in elderly patients.
  • DHH shows promise for specific fractures like coronal shear fractures of the capitellum and trochlea.

Conclusions:

  • Prosthetic replacement, including TEA and DHH, is an important treatment strategy for select distal humerus fractures.
  • Careful patient and fracture selection is crucial for successful outcomes with prosthetic elbow reconstruction.