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See Latest ArticlesMicrocirculatory sequelae of the rotator cuff after antegrade nailing in proximal humerus fracture
Archives of Orthopaedic and Trauma Surgery, 08/17/09
Gierer P et al. – The trauma leading to proximal humerus fracture causes no fundamental impairment of nutritive perfusion of the rotator cuff. Whereas the implantation of an antegrade humerus nail, which necessarily includes a splitting of the rotator cuff, nearly halves the functional capillary density of the supraspinatus tendon. Even though this effect seems to be reversible, the surgical dissection of the supraspinatus tendon should be performed in a soft tissue sparing way.
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