[The surgical treatment of proximal humerus fractures in children and adolescent].
The aim of his study was to evaluate outcomes of the surgical treatment of proximal humerus fractures in children. The studied group consisted of 24 patients who were operated on during the period 1997-2006. Operative and postoperative complications were evaluated. For the follow up evaluation Constant-Murley Score and Oxford Shoulder Score in own modification were employed. The scores assessed the following characteristics: pain, activity level in daily living, range of motion and shoulder strength. In all reported cases a correct union was obtained as well as the anatomical axis of the bone (only in one child 20 degrees varus curve of the bone remained but without limitation in the shoulder motion range). The total of 21 patients were evaluated during follow-up visits, 13 patients obtained the result "very good" and 8 "good" in the Consant-Murley Score. According to the Oxford Schoulder Score 18 patients obtained maximum results, and 3 children results above 95% of the maximum score. In the study group the results of the surgical treatment of proximal humerus fractures were very good. We can therefore recommend this type of treatment in patients with proximal humerus fracture with large dislocation and angulation.
Flont
Paweł
P
Klinika Ortopedii i Traumatologii, Instytut Centrum Zdrowia Matki Polki w Łodzi. flont2002@yahoo.com
Niedzielski
Kryspin
K
Lipczyk
Zbigniew
Z
Golański
Grzegorz
G
D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006811:Humerus / Q000293:injuries / Q000601:surgery*; D008297:Male; D010147:Pain Measurement; D011044:Poland; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome