Fractures of the neck of the humerus: a review of the late results

Clifford, P. C.

doi:10.1016/0020-1383(80)90129-1

Cited by 99 publications

(53 citation statements)

References 3 publications

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“…Even if the Neer displacement criteria have not been truly established clinically (Jacob et al 1984), our series confirms its prognostic value in agreement with Clifford (1981) and Mill & Horne (1985). Minimally displaced fractures have an excellent prognosis.…”

Section: Discussionsupporting

confidence: 86%

“…Minimally displaced fractures have an excellent prognosis. Clifford (1981) reported a significant relationship between the time spent in a sling, the duration of physiotherapy, and the final result, and recommended early active movements, whereas Lundberg et al (1979) found no difference between independent exercises and conventional physiotherapy. We were unable to confirm any such.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Proximal humeral fractures: Late results in relation to classification and treatment

Kristiansen

Christensen

1987

Acta Orthopaedica Scandinavica

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Proximal humeral fractures: Late results in relation to classification and treatment

Kristiansen

Christensen

1987

Acta Orthopaedica Scandinavica

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“…Our patients were younger when we compared to the other reports in the available literature [3,12] ( our study-49 versus other studies-56-61 years). Since the injury sustained was in a much younger age group, men were predominantly involved in our study, compared to predominance of women (61-89%) in reported literature due to the age difference at which the injury is sustained (osteoporosis and fragility fractures due to trivial fall) [13,14].…”

Section: Discussionmentioning

confidence: 48%

“…These fractures accounts for a total of 4% to 5% of all the fractures [1]. The majority (85%) of these fractures show minimal or no displacement and can be treated successfully with conservative treatment and early mobilization [2,3,4]. In contrast, conservative management of displaced fractures of proximal humerus often results in mal union and poor shoulder function.…”

Section: Introductionmentioning

confidence: 99%

Complex Proximal Humeral Fractures (Three or Four Part) with Dislocation: Outcome Analysis of Percutaneous Reduction and External Fixation

Nikose¹

2016

MOJOR

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Background: The complex fractures of the proximal humerus remain dilemmas far as treatment is concerned. Although better-quality techniques of internal fixation and prosthetic replacement are introduced effectively in the field of operative fracture care, management of complex fractures of the proximal humerus for head preserving modalities in injuries involving the humeral head remains to be a major factor concerning the trauma surgeon. Materials & Methods:Thirty nine patients with complex three or four part proximal fracture of humerus with dislocation of humeral head were treated and analyzed for results of percutaneous reduction and external fixation. All Patients were subjected to careful closed reduction under general anesthesia with optimal relaxation and fluoroscopic control followed by percutaneous external fixation of proximal humerus in optimal position. The patients were evaluated clinically and radiologically for a period till union or 10 months, whichever was earlier.One patient had an incomplete brachial plexus injury, which was yet to recover completely at the end of last follow up 10 months, with acceptable hand, elbow and shoulder function.Results: Percutaneous reduction & external fixation to treat complex fractures of the proximal humerus produces good results, if correct re-position and biological principles are respected. Most of the patients were pain-free and the shoulders functioned well despite the severity of shoulder injury. Conclusions:Percutaneous reduction and external fixation is a reasonable and logical approach to treat complex proximal humeral head fractures, rather than conservative treatment and before hemi-arthroplasty by prosthesis is considered, in view of the acceptable results obtained. Our study shows that complex fractures of the proximal humerus should be treated initially by head preserving procedures. The probable revascularization of the humeral head occurs by creeping substitution as the shoulder is non weight bearing joint.

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“…The operative cohort had more severe fracture patterns than the nonoperative comparison group and this biased our findings. In several other studies, minimally displaced fractures have had ''satisfactory to excellent results'' reported in more than 90% of patients [4,16]. However, we used this study design because we believed randomization of patients with displaced fractures into operative and nonoperative groups could not be justified based on the available literature and would not have been approved by our IRB.…”

Section: Discussionmentioning

confidence: 99%

Three- and Four-part Fractures Have Poorer Function Than One-part Proximal Humerus Fractures

Ong

Bechtel

Walsh

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Locking plates have become a commonly used fixation device in the operative treatment of three-and four-part proximal humerus fractures. Examining function in patients treated nonoperatively and operatively should help determine whether and when surgery is appropriate in these difficult-to-treat fractures. Questions/purposes We compared functional scores, ROM, and radiographs in patients with one-part proximal humerus fractures treated nonoperatively to those in patients with displaced three-and four-part proximal humerus fractures treated with open reduction and internal fixation using locking plates. Patients and Methods We retrospectively reviewed 142 patients with proximal humerus fractures treated with a standardized treatment algorithm over a 6-year period.

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Fractures of the neck of the humerus: a review of the late results

Cited by 99 publications

References 3 publications

Proximal humeral fractures: Late results in relation to classification and treatment

Proximal humeral fractures: Late results in relation to classification and treatment

Complex Proximal Humeral Fractures (Three or Four Part) with Dislocation: Outcome Analysis of Percutaneous Reduction and External Fixation

Three- and Four-part Fractures Have Poorer Function Than One-part Proximal Humerus Fractures

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