上腕骨外科頚骨折後の偽関節の1例
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A 70-year-old woman with nonunion of the surgical neck of the humerus was reported. She had suffered a fracture of the right humerus in May 1982. The surgeon whom she first visited placed the arm in a hanging cast for two months. The fracture resulted in nonunion. We operated on her for replacement with Neer's prosthesis in March 1989. Postoperative results were relatively good. She said that cast had been too heavy and she was permitted early ROM exercise including internal and/or external rotation.It was speculated that causes of nonunion of the surgical neck of the humerus were too heavy cast and early ROM exercise, especially internal and/or external rotation before union.
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