Tension band sutures using a washer for a proximal humerus fracture

J Trauma. 2008 Apr;64(4):1136-8. doi: 10.1097/TA.0b013e318076b514.

Abstract

To prevent distraction and varus deformity between the humeral head and shaft, tension band sutures placed between the head of the interlocking screw and the rotator cuff, and we recommend using nonabsorbable sutures. We describe our simple procedure to overcome these difficulties in tension band suturing after reducing a proximal humerus fracture to maintain the reduction.

MeSH terms

  • Bone Screws*
  • Follow-Up Studies
  • Fracture Fixation, Intramedullary / instrumentation
  • Fracture Fixation, Intramedullary / methods*
  • Fracture Healing / physiology
  • Humans
  • Radiography
  • Range of Motion, Articular / physiology*
  • Recovery of Function
  • Risk Assessment
  • Shoulder Fractures / diagnostic imaging
  • Shoulder Fractures / surgery*
  • Shoulder Impingement Syndrome / prevention & control
  • Suture Techniques
  • Sutures*
  • Treatment Outcome