title: Three point fixation of pediatric proximal humerus fractures by prebent wave-shaped wires: technical notes.
abstract: Pediatric proximal humerus fractures are uncommon and mostly treated conservatively. However, surgical treatment should be considered in displaced fractures classified as Neer-Horowitz grade III-IV in children older than 11 years. We describe a three-point fixation method of applying two Kirschner wires, prebent into a wave shape, and inserted into the proximal humerus through a single cortical hole. In this minimally invasive approach, we treated four boys, obtaining accurate reduction and stable fixation, with all patients starting pendulous exercises the day after surgery. At follow-up, all patients had regained full shoulder range of motion, with no residual pain and no complications recorded.
authors.affiliation: Division of Orthopedic Surgery, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Ido
authors.initials: I
authors.lastname: Stahl
authors.forename: Mark
authors.initials: M
authors.lastname: Eidelman
mesh_terms: D000293:Adolescent; D001864:Bone Wires; D002648:Child; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D006811:Humerus / Q000601:surgery*; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D011184:Postoperative Period; D016059:Range of Motion, Articular; D012782:Shoulder / Q000601:surgery; D012784:Shoulder Fractures / Q000601:surgery*; D016896:Treatment Outcome