le fratture prossimali dell'omero. complicanze neurologiche: diagnosi e trattamento

Peripheral nerve damage in proximal humeral head fractures is not rare. It is more frequentin 2-part of the surgical neck, 3- and 4-part fractures and in fracture-dislocations involvingthe axillary nerve. It is possible to cause a iatrogenic nerve lesion while performing reductionand synthesis of the fracture.We have to evaluate movement and sensibility after thetrauma, before and after the treatment of the fracture.More than 90% of these peripheralnerve lesions have a spontaneous recovery. If there isn’t clinical and EMG recovery after 4-6months, there is the indication to surgical revision and reconstruction by 2 or 3 autologoussural grafts, with a percentage of good results of 74% (deltoid in M4- M5).