Relevant bibliographies by topics / Humerus / Dissertations / Theses
To see the other types of publications on this topic, follow the link: Humerus.

Dissertations / Theses on the topic 'Humerus'

Author: Grafiati
Published: 4 June 2021
Last updated: 15 June 2025

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 50 dissertations / theses for your research on the topic 'Humerus.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.

1

Hodgson, Steve A. "Proximal humerus fracture rehabilitation." Thesis, Sheffield Hallam University, 2006. http://shura.shu.ac.uk/20723/.

Full text
Abstract:
The western world faces an explosion in the number of patients who will fracture their proximal humerus (PH) as a result of the rapidly changing demographics and the increase in osteoporosis. In 1998 there were 110 000 PH fractures in the United Kingdom (UK) and epidemiological studies indicate that the PH fracture incidence is increasing. Scant evidence exists to the optimum management and rehabilitation of these fractures and the aims of the study were to investigate the effect of an accelerated rehabilitation programme on patients' recovery. A Randomised Controlled Trial (RCT) comparing two rehabilitation programmes (n=86) with patients who sustained two-part fractures of the proximal humerus was performed. Patients were randomised to receive immediate physiotherapy within one week (Group A) or delayed physiotherapy (Group B) after 3 weeks immobilisation. Assessment was at 8, 16 and 52 weeks with the Constant Shoulder Score (CSS), Short form generic health survey (SF-36) and Croft Shoulder Disability Questionnaire (CSDQ). Additional reassessment was undertaken at two years. Regression analysis modelling was conducted to identify the risk factors for developed long-term shoulder disability. At the primary outcome point (16 weeks) Group A experienced less pain (p < 0.01) and had greater shoulder function (p < 0.001) compared to Group B. At 52 weeks the differences between the Groups had reduced. Overall, Group A experienced less pain as measured with the SF-36 (mean difference 486 Cl 83 to 889, p < 0.01) and improvedshoulder function (mean difference in AUC 6.4 [95% Cl: 2.5 to 10.5], p < 0.002). At one year, shoulder disability (CSDQ) was 42.8% in Group A and 72.5% in Group B (p < 0.01). By two years, shoulder disability in Group A remained unchanged (43.2%), but had reduced in Group B (59.5%). Immediate physiotherapy following a proximal humerus fracture results in faster recovery with maximal functional benefit being achieved at one year and requires fewer treatment sessions (9 versus 14 treatments, Group-A and B respectively). Delayed rehabilitation by three weeks shoulder immobilisation produces a slower recovery. The belief that patients make an excellent recovery after one year is questionable as 25 patients (33.5%) still reported considerable shoulder disability after two years of their injury. Gender (female), age and high levels of social deprivation were identified as risk factors for continued shoulder problems at two years after the fracture. This work suggests that patients who fracture their PH should not be immobilised before referral for physiotherapy as immediate referral to physiotherapy (within 1 week) results in faster recovery and less reported pain. Physiotherapy should be targeted towards those patients who are identified as having a greater risk of developing long-standing problems. Currently, a wide variation in PH fracture management exists in UK hospitals and implementing clinical care pathways will help target finite resources.
APA, Harvard, Vancouver, ISO, and other styles
2

Bräuer, Isabel. "Ergebnisse der Clavicula-pro-humero-Operation nach Resektion von Knochentumoren am proximalen Humerus." [S.l.] : [s.n.], 2004. http://deposit.ddb.de/cgi-bin/dokserv?idn=971385467.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

De, Jager L. T. "Epiphyseal fractures of the distal humerus." Master's thesis, University of Cape Town, 1990. http://hdl.handle.net/11427/26345.

Full text
Abstract:
This dissertation discusses distal humeral epiphyseal injuries in children, i.e. lateral condylar fractures, medial condylar fractures, fracture-separation of the distal humeral epiphysis and T-condylar fractures. Medial and lateral epicondylar fractures, being apophyseal, are excluded. The research was done at the Red Cross Children's Hospital Trauma Unit. It was based on two clinical retrospective studies and one case report: a: 60 lateral condylar fractures presenting from 1984 to 1987 -were reviewed. b: 12 fracture-separations of the distal humeral epiphysis presenting from 1984 to 1989 were reviewed. c: One case report of a medial condylar fracture with associated elbow dislocation The distal humeral epiphysis is the second most commonly injured epiphysis in the body, after that of the distal radius (Peterson 1972). Supracondylar fractures are the most common fractures around the elbow in children, making up 65% of the total (Canale 1987). Lateral condyle fractures have an incidence of 17.4%, compared to 3.2% for medial condylar fractures and 0.8% for T-condylar fractures (Canale 1987). At the Red Cross Children's Hospital, 60 displaced supracondylar fractures, 20 lateral condylar fractures and 2 to 3 fracture-separations of the distal humeral epiphysis are seen every year. Medial condylar fractures are rare.
APA, Harvard, Vancouver, ISO, and other styles
4

SEBAG, FRANCK. "Instabilite de l'epaule et torsion de l'humerus." Aix-Marseille 2, 1993. http://www.theses.fr/1993AIX20052.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Meek, John D. "Ethnic differences in bone morphometrics of the distal humerus: Implications for plate design." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/106916/3/John_Meek_Thesis.pdf.

Full text
Abstract:
The primary aim of the thesis was to investigate the correlation between height and ethnicity on the variation of shape of the distal humerus and to empirically qualify these ethnic differences. This was accomplished by utilising 3D models of bones reconstructed by computerised tomography (CT) scan data from Europe, Japan and Thailand. This information was then utilised to assess and document the implications that stature and ethnic origin have on bone morphology, as it relates to plate design and fracture fixation. The findings of this research project will contribute to the understanding in this field as well as allowing the establishment of clinically relevant fit criteria of plates on the distal humerus.
APA, Harvard, Vancouver, ISO, and other styles
6

Barnett, Nicholas David. "Measurement and modelling of three dimensional scapulohumeral kinematics." Thesis, University of Newcastle upon Tyne, 1996. http://hdl.handle.net/10443/3588.

Full text
Abstract:
The term scapulohumeral rhythm is commonly used to describe the two dimensional rotation of the scapula accompanying motion of the arm. Despite the development of a variety of measurement techniques, including radiography, goniometry and three dimensional digitisation, the complete three dimensional kinematics of the scapula have never been presented. Nor have the effects of arm motions outside elevation in the coronal, sagittal or scapula planes been considered. Employing the Isotrak®" electromagnetic measurement system, this study has developed and validated a new method to simultaneously measure the three dimensional kinematics of the scapula and humerus. Euler angle rotations of the· scapu·lawere defined in a sequence approximately analogous to clinical definitions. For the first time, the three dimensional displacements of the scapula have also been determined. 950/0 confidence intervals for lateral rotation of the scapula during humeral elevation in the coronal plane have been calculated at under 4°, Significantly smaller than those presented by previous authors. A mathematical model of three dimensional scapulohumeral kinematics has been developed, capable of predicting the position and orientation of the scapula for a given orientation of the humerus over a wide range of humeral motion. Using this model system, the effects of humeral azimuth, elevation and rotation on the kinematics of the scapula have been investigated. Humeral elevation was seen to have the largest effect, causing the scapula to rotate laterally, retract and tip backwards. Humeral azimuth. has no noticeable effect on the lateral rotation of the scapula, although it causes the scapula to retract, and to tip backwards slightly. Rotation of the humerus has littre effect on the kinematics of the scapula. However, when approaching maximal internal rotation, the ligaments around the glenohumeral joint impose a kinematic constraint on the scapula, resulting in elevation of the scapula upon the thoracic cage.
APA, Harvard, Vancouver, ISO, and other styles
7

NOUVEL, CHRISTINE. "Apport de l'enclouage fascicule dans les fractures de l'humerus : a propos de trente cas." Toulouse 3, 1988. http://www.theses.fr/1988TOU31341.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

DEMOUSSEL, VERONIQUE, and FRANCOIS TAHON. "L'enclouage centro-medullaire bipolaire ascendant aux clous elastiques des fractures de l'humerus : a propos de 115 cas." Lille 2, 1990. http://www.theses.fr/1990LIL2M151.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Heckel, Thierry. "Fractures de la diaphyse humérale de l'adulte : traitements orthopédiques et chirurgicaux : comparaison et indications, à propos de 137 cas." Université Louis Pasteur (Strasbourg) (1971-2008), 1988. http://www.theses.fr/1988STR1M230.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

HOCHARD, ERIC. "Les fractures diaphysaires de l'humerus : indications therapeutiques : a propos de 200 observations." Lille 2, 1990. http://www.theses.fr/1990LIL2M258.

Full text
APA, Harvard, Vancouver, ISO, and other styles
11

Korsch, Maja. "Die winkelstabile Osteosynthese am proximalen Humerus mit der PHILOS Platte." Diss., Ludwig-Maximilians-Universität München, 2013. http://nbn-resolving.de/urn:nbn:de:bvb:19-159228.

Full text
APA, Harvard, Vancouver, ISO, and other styles
12

Jabran, Ali. "Biomechanical analysis of proximal humerus plate for spatial subchondral support." Thesis, University of Manchester, 2017. https://www.research.manchester.ac.uk/portal/en/theses/biomechanical-analysis-of-proximal-humerus-plate-for-spatial-subchondral-support(101d8da0-ce24-44c0-9ca1-8fe281b3e7fd).html.

Full text
Abstract:
Proximal humerus fractures are the third most common fractures in the over-65 patient population and their stable fixation remains a key challenge in orthopaedic and trauma surgery. While Open Reduction Internal Fixation by plate has become a well-known treatment modality in the last few decades, clinical studies associate high complication rate with its use. The overall aim of this project was to create a computer-aided design framework for proximal humerus plates using a validated subject-specific humerus-plate finite element model. The framework consisted of three stages: (1) reverse engineering of bone and plate geometry, (2) creation and validation of a finite element model simulating the in vitro testing of the bone-implant construct and (3) parametric optimisation study of implant design using this model. In vitro biomechanical tests were conducted to not only compare the mechanical performance of three key commercially available proximal humerus plates (S3-, Fx- and PHILOS plate) but also the effect of different screw zones. Sixty-five humeri specimens with two-part surgical neck fractures were treated and grouped based on their different screw configurations. Extension, flexion, varus and valgus bending were applied in the cantilever fashion in the elastic tests whereas only varus bending was applied in the plastic tests. The load required to apply 5 mm displacement was measured to determine bone-plate construct stiffness. The S3 plate yielded the stiffest constructs and while the removal of the inferomedial support had the most impact on varus bending stiffness, type of medial support was important: inferomedial screws in the Fx plate achieved higher bending stiffness than blade insertion. Stability of constructs treated with the plate was an interplay of factors such as the plate’s and screws' number, orientation and position. Next, a subject-specific finite element model of the humerus-plate construct was successfully developed that simulated the stiffest of the constructs from the in vitro varus bending tests conducted in this project. The model was validated against the in vitro results. The validated model was then used to perform a parametric optimisation study where the combination of design parameters (height and divergence angle of S3 plate’s inferomedial screws) was determined that achieved optimum bone-plate construct stability (minimum fracture gap change). Out of the 538 designs tested, the optimum design (16o divergence angle and 33o height angle) yielded the lowest fracture gap change (0.156 mm) which was 4.686% lower than the standard finite element model while achieving 5.707% higher varus bending load (54.753 N). The validated model was also used to investigate the issue of using smooth pegs and threaded screws. Twenty-six models with different percentages of screw threading were run to compare their bone-plate construct stiffness. While threading the smooth pegs was found to increase the varus bending stiffness by up to 4.546%, it did not affect all screws equally. Finally, the successful completion of the optimisation study of screw orientation and the clinical investigation promises the implementation of the computational framework for a range of future multi-objective optimisation studies of multiple design parameters especially for the design of implants for other parts of the human body and also for investigations into other clinically relevant questions.
APA, Harvard, Vancouver, ISO, and other styles
13

PICHARD, BERNARD. "Revue de la litterature a propos de deux cas d'osteosarcome de l'extremite superieure de l'humerus." Nice, 1995. http://www.theses.fr/1995NICE6516.

Full text
APA, Harvard, Vancouver, ISO, and other styles
14

Graf, Michael [Verfasser]. "Mittelfristige Ergebnisse nach minimalinvasiver winkelstabiler Plattenosteosynthese am proximalen Humerus / Michael Graf." Ulm : Universität Ulm. Medizinische Fakultät, 2015. http://d-nb.info/1078068046/34.

Full text
APA, Harvard, Vancouver, ISO, and other styles
15

Raghava, Parthasarathy. "Biomechanical evaluation of proximal humerus fracture fixation and rotator cuff repair." Birmingham, Ala. : University of Alabama at Birmingham, 2008. https://www.mhsl.uab.edu/dt/2008m/raghava.pdf.

Full text
APA, Harvard, Vancouver, ISO, and other styles
16

Miglori, Nicole. "Quantifying intraspecific shape variation in the Kangaroo Humerus using geometric morphometrics." Thesis, Miglori, Nicole (2015) Quantifying intraspecific shape variation in the Kangaroo Humerus using geometric morphometrics. Honours thesis, Murdoch University, 2015. https://researchrepository.murdoch.edu.au/id/eprint/30273/.

Full text
Abstract:
Kangaroos exhibit one of the largest variations in body size for any vertebrate, with males being 1.5 times larger in body mass compared to females. Therefore it is assumed that sexual selection plays a major role in the behavioural and physical characteristics of kangaroos. Male and female kangaroos demonstrate marked differences in musculature of the forelimb. I investigated if the humerus (the upper bone of the forearm) of the western grey kangaroo (Marcopus)fuliginosus) displays sexual dimorphic characteristics, and if these characteristics are correlated with muscle mass. 28 landmarks were digitised in 72 male and 23 female humeri and analysed using geometric morphometric approaches. Muscles were collected from fine dissection and residual muscle masses were calculated for analyses of each sex. Males and females were sexually dimorphic in shape, with the most obvious change at the deltoid crest where the crest was significantly increased in size and the shaft was in a bent orientation. This study suggests that a humerus from a western grey kangaroo can be classified by correct sex 92% of the time. There was a significant relationship between muscle mass and bone shape that indicate that muscles affect the morphology of the humerus. Male humeri are robust and slightly bent, conversely female obtain a more gracile form. Geometrics morphometrics is an advantageous technique that allows the morphology of shape to be investigated; by including fine muscle dissection we have determined how shape and muscles influence one another. The methods in this study can be applied to multiple studies that wish to investigate the morphology of shape and the influence of muscles.
APA, Harvard, Vancouver, ISO, and other styles
17

Braunstein, Volker Alexander. "Die operative Behandlung der Tuberkulum majus Fraktur des Humerus - Eine biomechanische Analyse." Diss., lmu, 2006. http://nbn-resolving.de/urn:nbn:de:bvb:19-60673.

Full text
APA, Harvard, Vancouver, ISO, and other styles
18

BOURREL, SENEGAS CHRISTINE. "Etude comparative de deux series de fractures humerales proximales osteosynthesees par embrochage." Toulouse 3, 1994. http://www.theses.fr/1994TOU31035.

Full text
APA, Harvard, Vancouver, ISO, and other styles
19

MOUGHABGHAB, MIRDAD. "Les fractures articulaires de l'extremite inferieure de l'humerus chez l'adulte : a propos de 59 cas." Lille 2, 1988. http://www.theses.fr/1988LIL2M282.

Full text
APA, Harvard, Vancouver, ISO, and other styles
20

Gautheron, Thierry. "Fractures de l'extremite inferieure de l'humerus chez l'adulte : revue d'une serie de 58 cas traites par osteosynthese." Amiens, 1991. http://www.theses.fr/1991AMIEM074.

Full text
APA, Harvard, Vancouver, ISO, and other styles
21

Isart, Torruella Anna. "Estudi dels patrons del desplaçament fracturari en les fractures del húmer proximal." Doctoral thesis, Universitat Autònoma de Barcelona, 2017. http://hdl.handle.net/10803/458627.

Full text
Abstract:
Actualment estem trobant un augment de les fractures d’húmer proximal degut principalment a l’augment de l’esperança de vida, a la major supervivència de la població amb un envelliment més prevalent. Aquest segment de la població presenta un major nombre de fractures de perfil fràgil i aquestes solen ser per causa osteoporòtica amb patrons més complexes. Interpretar el desplaçament d’aquests fragments es necessari per comprendre la fractura i poder planificar el seu tractament. La hipòtesi de treball és que el volteig del cap humeral condiciona el desplaçament de la tuberositat gran. I com a objectius es vol determinar el punt de tall a partir del qual el volteig del cap humeral condiciona el desplaçament de la tuberositat gran, estudiar la relació de la fractura o el desplaçament de la tuberositat petita amb el volteig del cap humeral i avaluar si la tuberositat gran es desplaça cranialment depenent del volteig del cap humeral. Es tracta d’un estudi descriptiu retrospectiu que inclou els pacients afectes de fractura d’húmer proximal des de l’any 2010 al 2014, que compleixin els criteris d’inclusió i exclusió de l’estudi. A tots se’ls hi realitza una radiografia antero-posterior de l’espatlla i una lateral transescapular seguint el protocol de l’hospital juntament amb una TC de l’húmer proximal per analitzar els desplaçaments fracturaris dels 4 fragments majors. Es realitza la quantificació del desplaçament de cadascun del quatre fragments de manera aïllada i en relació amb el desplaçament de la resta de fragments i es calcula l’angle cervico-diafisari, la distància tuberositat gran – acromi, la distància tuberositat gran – diàfisis, la distància tuberositat gran – cap, la distància entre el punt mig de la diàfisis i el punt mig del cap, la distància tuberositat gran – glena i es valora si el cap humeral està desplaçat cap a posterior – centrat – anterior i si la tuberositat gran i la tuberositat petita estan trencades. La població estudiada i inclosa en el treball consta de 132 pacients afectes de fractura d’húmer proximal. S’ha comprovat que el volteig del cap humeral condiciona el desplaçament de la tuberositat gran. I a l’estudiar si aquest condiciona el desplaçament de la tuberositat gran, observem que sinó diferenciem la posició del cap humeral, la tuberositat gran es troba desplaçada 1cm a partir d’un angle cervico – diafisari de 152º. En els casos on el cap humeral es troba desplaçat cap a posterior, aquest angle és de 156.5º i en els que el cap humeral es troba centrat, l’angle és de 141.7º. A l’observar la relació entre la tuberositat petita i el volteig del cap humeral, concloem que la fractura o el desplaçament de la tuberositat petita no es relaciona amb el volteig del cap humeral i alhora d’interpretar els resultats del desplaçament a superior o cranial de la tuberositat gran respecte el volteig del cap humeral, no hi hem trobat una relació significativa. Amb aquest estudi hem pogut observar que si prestem atenció a les radiografies que es realitzen en un primer moment quan el pacient amb una fractura d’húmer proximal arriba a la urgència, amb la projecció antero-posterior ja li podem calcular l’angle cervico – diafisari de la fractura i amb aquesta mesura ja podríem predir el desplaçament de la tuberositat gran. Aquestes mesures ens permeten fer un primer cribratge per poder, ja en aquest moment, sospitar quin tractament (conservador vs quirúrgic) seria el més òptim aplicar-li al pacient sense necessitat de més exploracions complementàries, i saber si seria candidat a necessitar una TC per acabar de completar l’estudi per si fos necessària la cirurgia.
Currently, there is an increase in fractures of the proximal humerus mainly due to the increase in life expectancy, the greater survival of population aging more prevalent. This segment of the population has a higher number of fractures fragile and osteoporotic profile because these are usually more complex patterns. Interpreting the displacement of these fragments is needed to understand the fracture and to plan your treatment. The working hypothesis is that the rotation of the humeral head determines the displacement of the greater tuberosity. And the goals you want to determine the cut-off point after which the rotation of the humeral head determines the displacement of the greater tuberosity, to study the relationship of fracture or displacement of the tuberosity small to flip the humeral head and assess whether tuberosity moves cranially depending on the flip of the humeral head. This is a retrospective descriptive study that includes patients with fractures of the proximal humerus from 2010 to 2014, the criteria for inclusion and exclusion of the study. All of them are carried out X-ray anteroposterior and lateral shoulder trans-scapular following the protocol of the hospital with a CT of the proximal humerus fracture to analyze the movements of the four biggest fragments. It quantified the displacement of each of the four fragments in isolation and the posting of the remaining fragments and the calculated: cephalo - diaphyseal angle, the distance greater tuberosity - acromion, greater tuberosity distance - diaphysis, the distance greater tuberosity - head, the distance between the midpoint of the diaphysis and the midpoint of the head, the distance greater tuberosity - glenoid valued if the humeral head is shifted back - focused - above and if the greater tuberosity and tuberosity are broken small. The population studied and included in the work consists of 132 patients with fractures of the proximal humerus. It has been proven that the rotation of the humeral head determines the displacement of the greater tuberosity. And if the study determines the displacement of the greater tuberosity, but note that differentiates the position of the humeral head, tuberosity is displaced from a 1cm cephalo - diaphyseal angle of 152º. In cases where the humeral head is shifted back, and this angle is 156.5º where the humeral head is centred, the angle is 141.7º. Observing the relationship between small tuberosity and the humeral head rotation, we conclude that the fracture or displacement of the small tuberosity is not related to the rotation of the humeral head. While interpreting the results of a superior or cranial displacement tuberosity of the humeral head on the rotation, we have not found a significant relationship. With this study, we have seen that if we pay attention to X-rays performed at first when the patient with a fracture of the proximal humerus reaches the urgency with anteroposterior projection because we can calculate the cephalo - diaphyseal angle fracture and this measure could already predict the displacement of the greater tuberosity. These measures allow us to make an initial screening to since then, suspecting what treatment (conservative vs. surgical) would be the most optimal apply it to the patient without further additional examinations, and whether it would be a candidate to need a CT finish to complete the study if required surgery.
APA, Harvard, Vancouver, ISO, and other styles
22

MAZZOLENI, NOEL. "Determination in vitro de la retrotorsion humerale : evaluation de deux methodes radiologiques : l'incidence de kronberg et la tomodensitometrie." Nice, 1992. http://www.theses.fr/1992NICE6527.

Full text
APA, Harvard, Vancouver, ISO, and other styles
23

Pichaud, Jean-Claude. "Le traitement des fractures de la diaphyse humerale de la personne agee par la methode de sarmiento." Bordeaux 2, 1988. http://www.theses.fr/1988BOR25087.

Full text
APA, Harvard, Vancouver, ISO, and other styles
24

ALBERQUE, TONDRE CAROLINE. "Traitement des fractures de l'humerus par embrochage fascicule en bouquet selon la technique d'hackethal et appril : a propos de 91 cas." Amiens, 1990. http://www.theses.fr/1990AMIEM085.

Full text
APA, Harvard, Vancouver, ISO, and other styles
25

IRRAZI, M'BAREK. "Les fractures non engrenees de l'extremite superieure de l'humerus." Besançon, 1994. http://www.theses.fr/1994BESA3088.

Full text
APA, Harvard, Vancouver, ISO, and other styles
26

Beltrand, Eric. "La prothese humerale de neer dans les traumatismes complexes et recents de l'extremite superieure de l'humerus." Lille 2, 1994. http://www.theses.fr/1994LIL2M284.

Full text
APA, Harvard, Vancouver, ISO, and other styles
27

Fröhlich, Valerie. "Experimentelle Untersuchung biomechanischer Eigenschaften von Verankerungssystemen zur Rotatorenmanschetten-Rekonstruktion am Tuberculum majus des Humerus." Diss., lmu, 2009. http://nbn-resolving.de/urn:nbn:de:bvb:19-99352.

Full text
APA, Harvard, Vancouver, ISO, and other styles
28

Sabharwal, Sanjeeve. "The health and economic outcomes of managing complex proximal humerus fractures in the elderly." Thesis, Imperial College London, 2016. http://hdl.handle.net/10044/1/58254.

Full text
Abstract:
Proximal humerus fractures represent a significant burden to society in terms of disability to patients and healthcare costs. This thesis investigates the costs, health outcomes and cost-effectiveness of treatment strategies for the management of complex proximal humerus fractures in elderly patients. A meta-analysis of randomised trials comparing treatment strategies was performed. A qualitative clinical study was conducted exploring patient perceptions of their injury and recovery. A cost-analysis based on the principles of time-driven activity base costing was conducted to investigate the institutional burden of treatment costs relative to the national tariff. Finally, two separate health economic evaluations (HEEs) were performed which investigated the cost-effectiveness of existing treatment strategies over a 2-year and a 20-year time horizon. Sub-group and sensitivity meta-analysis demonstrated that clinical outcomes were improved for patients undergoing hemiarthroplasty for 4-part fractures. Qualitative analysis revealed that patients perceived the following themes as important in their recovery; pain, sleep, shoulder function, emotional state, support networks, relationship with health professionals and experience of healthcare institution. The cost analysis found that there were wide variations in treatment costs and large institutional losses were incurred if hemiarthroplasty was performed. The HEEs found that hemiarthroplasty was the most cost-effective treatment strategy, however the 20-year model was less prone to uncertainty based on sensitivity analysis. Despite a quantifiable benefit to health outcomes when hemiarthroplasty is performed in an elderly population with complex fractures, the national tariff in the English NHS may not adequately reimburse hospitals that perform this procedure. Furthermore, this inequity in financial reimbursement extends beyond the penalisation of clinically effective treatment; hemiarthroplasty also represents the most cost-effective treatment strategy for complex proximal humerus fractures in the English NHS. Finally, the measures of health outcomes within this field need further development so that they better represent the perceptions of the target population.
APA, Harvard, Vancouver, ISO, and other styles
29

Barthel, Juliane [Verfasser]. "Matched Pair-Analyse winkelstabiler Plattenosteosynthesen am proximalen Humerus: PHILOS versus NCB-PH / Juliane Barthel." Ulm : Universität Ulm. Medizinische Fakultät, 2015. http://d-nb.info/1075253101/34.

Full text
APA, Harvard, Vancouver, ISO, and other styles
30

Winter, Kristy A. "Preliminary sex and stature estimation of the humerus for a contemporary Australian sub-population." Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/134065/1/Kristy_Winter_Thesis.pdf.

Full text
Abstract:
Biological profiles (ancestry, sex, age and stature) of skeletal remains assist with the identification of missing persons. Standards for estimating the sex and/or stature for the humerus of an Australian population are yet to be developed. This research aims to develop sex and stature estimation equations for the humerus specifically for a Queensland population. Samples consisted of humeral PMCT Digital Imaging and Communications in Medicine (DICOM) datasets from a contemporary Caucasian Australian adult sub-population, aged between 17-90 years, obtained from the Brisbane Mortuary and QUT's Medical Engineering Research Facility from 2016 – 2018. Threshold based segmentation was conducted to form 3D models of the humeri, which was then measured according to the five standardised measurements of the humeri. This thesis presents the results of the preliminary sex and stature estimation equations developed from this research and their utility to contemporary missing persons casework.
APA, Harvard, Vancouver, ISO, and other styles
31

COGNE, MURIEL. "Protheses d'epaule dans les fractures articulaires de l'extremite superieure de l'humerus : a propos de 14 cas." Toulouse 3, 1989. http://www.theses.fr/1989TOU31165.

Full text
APA, Harvard, Vancouver, ISO, and other styles
32

VERLYCK, VIRGINIE. "Apophyse sus-epitrochleenne : a propos de cinq cas." Lille 2, 1993. http://www.theses.fr/1993LIL2M248.

Full text
APA, Harvard, Vancouver, ISO, and other styles
33

PLAQUET, JEAN-LUC. "Le clou hexagone : conception et resultats ; a propos de 200 cas." Amiens, 1991. http://www.theses.fr/1991AMIEM100.

Full text
APA, Harvard, Vancouver, ISO, and other styles
34

Korsch, Maja [Verfasser], and Ekkehard [Akademischer Betreuer] Euler. "Die winkelstabile Osteosynthese am proximalen Humerus mit der PHILOS Platte / Maja Korsch. Betreuer: Ekkehard Euler." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2013. http://d-nb.info/103815197X/34.

Full text
APA, Harvard, Vancouver, ISO, and other styles
35

Woods, Kathleen Nichole. "Analysis of entheseal changes and cross-sectional bone properties of the humerus: implications for bioarchaeology." Thesis, Boston University, 2013. https://hdl.handle.net/2144/21278.

Full text
Abstract:
Thesis (M.S.F.S.) PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
Bioarchaeologists work to reconstruct the past using skeletal remains inside a framework influenced by archaeological data. One area, into which bioarchaeologists have sought to provide insight, is the reconstruction of physical activities through skeletal indicators. These indicators of activity include looking at skeletal changes such as development of osteoarthritis, osteon remodeling, dental modifications, cross-sectional bone geometry (CSBG) and changes to muscle attachment sites, also known as entheseal changes. The study of entheseal changes has received much attention as researchers have hypothesized that a direct correlation between muscle use and entheseal size exists. Researchers sought to interpret specific movements such as spear-throwing or kayaking by examining the muscle attachment sites involved in those movements and analyzing the robusticity of the entheses. CSBG has also been used to analyze activity levels and interpret the degree of manual labor an individual was involved in. These analyses are based on the biomechanical interpretation of bone as structure that reacts to mechanical stress by increasing bone thickness. This research tested the hypothesis that changes to entheseal size in the humerus would correlate to changes in CSBG. Entheseal changes were analyzed using two methods, the Hawkey and Merbs (1995) and Mariotti et al. (2007) methods. Both methods were analyzed in terms of their ease of use and intraobserver error rates. The Mariotti et al. (2007) method of scoring entheseal changes was found to have more instances of a significant intraobserver error rate than the Hawkey and Merbs (1995) method despite the improved photographs and more detailed descriptions provided by the authors. Both entheseal scoring methods were used to analyze the correlation between entheseal changes and CSBG in the form of the polar moment of area (J) as standardized for size (J'). CSBG has been found to have stronger correlations with mechanical use and this research sought to identify relationships between entheseal development and J' in the humerus. Entheses scored using the Mariotti et al. (2007) method were more frequently found to have a significant correlation with CSBG, while only one enthesis scored using the Hawkey and Merbs (1995) method was found to have a significant correlation (p <.05) with CSBG. This implies that the method used greatly affects the identifiable correlations between entheseal changes and CSBG. Refined methods and more research are necessary before entheseal changes can be accurately used in activity reconstruction.
2031-01-01
APA, Harvard, Vancouver, ISO, and other styles
36

Schellenberger, Michael [Verfasser], and Frank [Gutachter] Gohlke. "Mineralisation im proximalen Humerus - Messungen im Q-CT mit dreidimensionaler Rekonstruktion / Michael Schellenberger. Gutachter: Frank Gohlke." Würzburg : Universität Würzburg, 2015. http://d-nb.info/1110984731/34.

Full text
APA, Harvard, Vancouver, ISO, and other styles
37

Hubbell, Zachariah Randall. "Developmental Mechanobiology of the Metaphyseal Cortical-Trabecular Interface in the Human Proximal Tibia and Proximal Humerus." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1452264587.

Full text
APA, Harvard, Vancouver, ISO, and other styles
38

Dieterle, Silke. "Schulterfunktion und onkologisches Spätergebnis bei Patienten mit Schulterendoprothesen bei primären Knochentumoren oder Metastasen des proximalen Humerus." [S.l. : s.n.], 2006. http://nbn-resolving.de/urn:nbn:de:bsz:289-vts-56274.

Full text
APA, Harvard, Vancouver, ISO, and other styles
39

Желіба, В. І. "Лікування переломів проксимального відділу плечової кістки". Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27291.

Full text
APA, Harvard, Vancouver, ISO, and other styles
40

Wanek, Veronica L. "A Qualitative Analysis for Sex Determination in Humans Utilizing Posterior and Medial Aspects of the Distal Humerus." PDXScholar, 2002. https://pdxscholar.library.pdx.edu/open_access_etds/3571.

Full text
Abstract:
Visual and metric analysis both provide accepted methods for sex determination in humans. Visual ascertainment uses differing morphological traits in males and females to establish sex. Researchers have continually sought accurate methods of sexing long bones when skulls or pelves are absent or fragmented. These long bone elements may not have sexually distinct characteristics, but tend to survive in the field quite well. Metric analysis depends on size dimorphism between males and females to correctly assign sex. Metric methods fail where the sexes overlap or when skeletal elements cannot be assigned to their correct biological population. Under these conditions, visual ascertainment is extremely useful. It relies on descriptive features, not size, to interpret the shape variations between male and female elements. For example, physiological soft tissue variations in the "carrying angle'" of the arm at the humero-radioulnar junction are known to be sexually dimorphic; therefore, the hard tissue features of the distal humerus also should be sexually dimorphic. I observed six distinct visual characteristics of the distal humerus to determine sex in a blind study conducted on 649 individuals sampled from diverse biological populations. In addition to visual assessment, I collected four humeral measurements to determine whether quantitative analysis would be a better indicator of sex than non-metric analysis. I used nonparametric statistical methods to examine· the significance of each morphological feature and its relationship to known sex. All characteristics showed a high association with sex, and the relationships between sex and each characteristic were statistically strong. The final predictive quality of this method was 84% regardless of population; I concluded that my visual method is a dependable sex predictor among diverse populations. Every biological group varied considerably in size dimensions, but exhibited common morphological features of the distal humerus. This confirms that visual techniques provide accurate results regardless of biological affiliation. In many cases, visual assessment was as accurate or more accurate than metric analysis. Therefore, the distal humerus and its unique physical features provide an alternative method to previously used quantitative techniques in the determination of sex.
APA, Harvard, Vancouver, ISO, and other styles
41

Kindsvater, Johannes [Verfasser], and Florian [Akademischer Betreuer] Haasters. "Osteoporose als Risikofaktor für das Versagen der winkelstabilen Plattenosteosynthese am proximalen Humerus / Johannes Kindsvater ; Betreuer: Florian Haasters." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2018. http://d-nb.info/1186629460/34.

Full text
APA, Harvard, Vancouver, ISO, and other styles
42

Teschemacher, Sandra [Verfasser], and Hans-Georg [Akademischer Betreuer] Dietz. "Frakturen am distalen Humerus im Kindesalter : Behandlungsergebnisse und Überlegungen zum Frakturmechanismus / Sandra Teschemacher ; Betreuer: Hans-Georg Dietz." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2018. http://d-nb.info/1162443553/34.

Full text
APA, Harvard, Vancouver, ISO, and other styles
43

Lenko, Eric S. Lenko. "The Potential Use of Intraoperative Ultrasound to Locate the Axillary Nerve Along Its Course Around the Humerus." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1523994898360527.

Full text
APA, Harvard, Vancouver, ISO, and other styles
44

Amasay, Tal. "Unconstrained humeral elevation exposure in occupational settings /." Connect to title online (Scholars' Bank) Connect to title online (ProQuest), 2008. http://hdl.handle.net/1794/8520.

Full text
Abstract:
Thesis (Ph. D.)--University of Oregon, 2008.
Typescript. Includes vita and abstract. "This dissertation includes unpublished co-authored material"--P. v. Includes bibliographical references (leaves 119-128). Also available online in Scholars' Bank; and in ProQuest, free to University of Oregon users.
APA, Harvard, Vancouver, ISO, and other styles
45

ZERIHEM, ARMAND. "Consequences mammaires et osseuses 17 ans apres le traitement d'une maladie de hodgkin ; a propos d'un cas." Amiens, 1990. http://www.theses.fr/1990AMIEM046.

Full text
APA, Harvard, Vancouver, ISO, and other styles
46

Erre, Véronique. "Le traitement des fractures de la diaphyse humérale chez l'adulte par embrochage fasciculé à foyer fermé selon Hackethal : sur 21 cas." Montpellier 1, 1989. http://www.theses.fr/1989MON11057.

Full text
APA, Harvard, Vancouver, ISO, and other styles
47

Bresson, Philippe. "Le traitement des fractures de l'extrémité supérieure de l'humérus par embrochage fasciculé : à propos de 50 cas." Montpellier 1, 1991. http://www.theses.fr/1991MON11226.

Full text
APA, Harvard, Vancouver, ISO, and other styles
48

Eggers, Carina Maria [Verfasser], and Joris [Akademischer Betreuer] Peters. "Vom frühholozänen Wildschaf zum modernen Hausschaf. Geometrisch Morphometrische Analysen am distalen Humerus / Carina Maria Eggers ; Betreuer: Joris Peters." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2021. http://nbn-resolving.de/urn:nbn:de:bvb:19-285749.

Full text
APA, Harvard, Vancouver, ISO, and other styles
49

Günther, Christian Max Joachim. "Vergleichende Untersuchung der Knochendichtewerte im Bereich der proximalen Implantatlager gerader und schräger, intramedullärer, antegrader Implantate des Humerus mittels HR-µCT." Diss., lmu, 2011. http://nbn-resolving.de/urn:nbn:de:bvb:19-138352.

Full text
APA, Harvard, Vancouver, ISO, and other styles
50

Engelmann, Esmee Wilhelmina Maria. "Perspectives on the management of humerus fractures due to gunshot trauma: an inter- and intra-observer agreement and reliability study." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/24989.

Full text
Abstract:
Background: Upper extremity fractures due to gunshot trauma are frequently treated at the level I trauma unit of Groote Schuur Hospital. There is no gold standard for the classification and management of such complex upper extremity fractures available to date and only few retrospective case studies on gunshots of the humerus were available. Interobserver agreement studies reported low levels of intra- and inter-rater reliability (IRR) for the classification of proximal humerus fractures using Neer and AO/OTA classification. The complexity of the fractures, the inconsistency of classification systems outcomes and the wide variety of treatment modalities demand evidence-based medicine. Aim: The primary aim was to assess the inter- and intraobserver agreement between surgeons in the classification and treatment of humerus fractures caused by gunshot trauma in a gunshot violence endemic area. The secondary aims were to analyse interobserver agreement with respect to debridement, removal of the bullet, the use of external fixators in patients with gunshot humerus fractures and to evaluate the effect of clinical scenarios surrounding surgical decision-making. Methods: This is an agreement study performed with a fixed panel of 32 observers who answered a set of 14 questions regarding classification and treatment by rating multiple X-ray views of a fixed set of 22 cases. The panel included junior registrars, senior registrars, orthopaedic trauma specialist and upper extremity specialists. Cases were extracted from the electronic Trauma Health Record between June 2014 and July 2016. Observers reviewed 16 midshaft and 6 proximal humerus fractures cases at 2 sessions with a 2-week interval. Descriptive statistics, Cohen's and Fleiss Kappa and rate of agreement were used to analyse data. Kappa was interpreted according to Landis and Koch guidelines. Results: There was slight yet significant overall interobserver agreement on the AO classification (k=0.20); the highest interobserver agreement ('fair') was achieved by the upper extremity specialists and senior registrars (k=0.28, 0.27). Overall interobserver reliability of agreement on preferred treatment was similar to classification agreement (k=0.18). Only trauma specialists achieved fair agreement with a significant difference compared to senior registrars and upper extremity specialists (k=0.26, 95%CI 0.21-0.32). Overall intraobserver reliability was fair for classification and moderate for treatment (k=0.39, 0.42). There was fair overall agreement on debridement of the wound (k=0.26) and removal of the bullet (k=0.31) and close to poor agreement for the use of temporary external fixators (k=0.03). Vascular injury was rated as influential factor on decision-making by the majority of observers (53.7%), followed by bilateral (37.1%) and other fractures (26.8%). Conclusions: This is the first intra- and interobserver agreement study that evaluated classification and treatment of gunshot humerus fractures in the light of a broader spectrum of patient- and fracture-related factors. Consistent with previous studies, there was low interobserver agreement for the classification and treatment of proximal humerus fractures, thereby contributing to the field of knowledge with specific evidence regarding gunshot trauma. Future research should further assess predictive factors in surgical decision-making and analyse global preferences in order to develop evidence-based classification and treatment guidelines for the management of patients with humerus fractures.
APA, Harvard, Vancouver, ISO, and other styles
We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!

To the bibliography