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In general orthopaedic practice, you get lots of shoulder problems, esp. working
in Industrial Areas, where workers have to do a lot of pulling/ pushing repetitive
work (esp. those over 45). In Australia, people are staying fit longer and pushing
their bodies harder and harder into their 60s, 70s and 80s.
Fracture of humeral shaft, 68F, put in two or more Rush pins using MIS
incisions (here one over lateral epicondyle and the other over greater
tuberosity).It is easy to complicated this Fx. Hanging casts and moulded
(Sarmiento) braces Are uncomfortable and patients hate them, an incision over
the fracture might damage the radial nerve and locking nails turn it into a big;
procedure. Rush pins are simple and easy but alas the technique has nearly been
forgotten.
(Leslie V)Rush wrote a wonderful book (Fracture Problems) showing how to use
this technique for just about every Fx. It does work as I worked with a
consultant who did just that.
Case 5:
Case 6:
Case 7:
Case 8
Hypertrophic AC jnt. Painful. 55 yo,M.
Case 9:
Case 10:
Case 11:
Labral detachment, debrided, at shoulder arth. 47yo,M.
Case 12.