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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...
Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a short...
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...
Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
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 Videos

Skin dimpling after a closed proximal humerus fracture.

Arun Aneja1, Nicholas B Jew, Matthew L Graves

  • 1Department of Orthopedic Surgery, University of Mississippi Medical Center, Jackson, Mississippi.

The Journal of Emergency Medicine
|July 30, 2013
PubMed
Summary

Skin dimpling, a rare sign after proximal humerus fractures, indicates potential skin incarceration. Prompt identification and reduction are crucial to prevent severe soft tissue damage and complications.

Keywords:
proximal humerus fracturesskin dimpling

Related Experiment Videos

Area of Science:

  • Orthopedic Surgery
  • Emergency Medicine
  • Radiology

Background:

  • Skin dimpling, or puckering, is an infrequent complication following closed proximal humerus fractures.
  • This sign may indicate skin incarceration at the fracture site, potentially leading to necrosis.

Observation:

  • A case report details a 46-year-old woman presenting with left shoulder pain and swelling post-fall.
  • Physical examination revealed skin dimpling on the anterior shoulder, with imaging confirming a proximal humerus fracture.

Findings:

  • Skin dimpling is an uncommon but significant clinical sign in proximal humerus fractures.
  • Early recognition of skin dimpling aids in diagnosis and treatment planning.

Implications:

  • Prompt identification of skin dimpling is essential for timely fracture reduction.
  • Failure to address this sign can result in severe soft tissue injury and adverse outcomes.