Anatomic evaluation of radiographic landmarks for accurate straight antegrade intramedullary nail placement in the humerus. (Record no. 5974)

MARC details
000 -LEADER
fixed length control field 02912nam a22003617a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 201231s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2666-6383
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.jseint.2020.06.004 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC7738442 [pmc]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S2666-6383(20)30086-4 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33345210
245 ## - TITLE STATEMENT
Title Anatomic evaluation of radiographic landmarks for accurate straight antegrade intramedullary nail placement in the humerus.
251 ## - Source
Source JSES International. 4(4):745-752, 2020 Dec.
252 ## - Abbreviated Source
Abbreviated source JSES Int. 4(4):745-752, 2020 Dec.
253 ## - Journal Name
Journal name JSES international
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
266 ## - Date added to catalog
Date added to catalog 2020-12-31
520 ## - SUMMARY, ETC.
Abstract Background: Neurovascular insult, nonunion, and iatrogenic rotator cuff injury are concerns when using an intramedullary nail (IMN) for proximal humerus fracture. The purpose of this study was to identify a reproducible starting point and intraoperative imaging for nail insertion optimizing nail depth, tuberosity screw position, and protecting the axillary nerve and rotator cuff insertion. Our hypothesis was that a more medialized starting point would protect soft tissue structures and improve locking screw positioning.
520 ## - SUMMARY, ETC.
Abstract Conclusions: Medial placement optimized fixation of the GT, avoided violation of the rotator cuff tendon and footprint, and was associated with an increased distance of proximal locking screw to the axillary nerve. Copyright (c) 2020 The Authors.
520 ## - SUMMARY, ETC.
Abstract Methods: Ten fresh-frozen cadavers underwent antegrade IMN with Grashey and modified lateral "precipice" view imaging. A guidewire was positioned medial to the coracoacromial ligament (CAL) in 5 cadavers and lateral to the CAL in 5. Distances from the nail entry point to anatomic landmarks were measured. Anatomic and histologic evaluations were performed, characterizing the nail perforation zone. Radiographs were compared between groups.
520 ## - SUMMARY, ETC.
Abstract Results: The medial CAL group had a greater distance of screw fixation to the axillary nerve, a shorter distance of greater tuberosity (GT) screw fixation at the rotator cuff insertion on the infraspinatus and teres minor tubercles, and greater screw spread with improved lesser tuberosity capture. Two laterally placed implants violated the rotator cuff tendon. Imaging demonstrated that the ideal starting pin position was medial to the articular margin at a distance equal to the width of the rotator cuff insertion footprint.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar St. Mary's Hospital
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Tagouri, Yahia M
790 ## - Authors
All authors Curran-Everett D, Hatzidakis AM, Johnston PS, Sears BW, Tagouri YM
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.jseint.2020.06.004">https://dx.doi.org/10.1016/j.jseint.2020.06.004</a>
Public note https://dx.doi.org/10.1016/j.jseint.2020.06.004
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/31/2020   33345210 33345210 12/31/2020 12/31/2020 Journal Article

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