Axillary nerve elongation in humeral fracture plating: A cadaveric study for comparison between straight and helical Philos plates.
biomechanical · Level V
Where this comes from
- Record sourced from PubMed, PMID 32071520.
- Also identified by DOI 10.1016/j.jor.2020.02.009 and PMC identifier 7013103.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Helical plating is a known concept in humeral fracture treatment. Attention should be paid to the axillary nerve when inserting a plate underneath the deltoid muscle. The purpose of this cadaveric study was to estimate axillary nerve stretching when introducing the plate. On 42 fresh frozen human humeri, an 8-, 10- and 12-hole Philos plate in a straight and a helical shape were compared measuring the maximum plate-bone-distance. For all three plate lengths, the helical plates had a significantly lower plate-bone-distance. Indirectly, this suggests a lower axillary nerve elongation and hence less chance of nerve damage.
Anatomy
- humerus