title: Fractures of the proximal humeral epiphysis. Their influence on humeral growth.
abstract: We have reviewed the notes and radiographs of 57 patients with fractures of the proximal humeral epiphysis and examined 30 of them at 2 to 8 years after injury. Regardless of treatment the maximum shortening of the humerus was 2 cm and residual varus angulation was insignificant. Manipulation of a displaced, fresh fracture did not improve the final outcome with respect to humeral growth or function; and open reduction is very rarely indicated.
mesh_terms: D000293:Adolescent; D002648:Child; D004838:Epiphyses / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging / Q000254:growth & development*; D008297:Male; D011859:Radiography; D012189:Retrospective Studies; D012784:Shoulder Fractures / Q000000981:diagnostic imaging*