Olerud P, Ahrengart L, Ponzer S, Saving J, Tidermark J. A prospective clinical study of proximal humerus fractures treated with a locking proximal humerus plate. Closed reduction and external fixation for displaced proximal humeral fractures. Rotator cuff tears in proximal humeral fractures: an MRI cohort study in 76 patients. 17 (1):2-8.įjalestad T, Hole MØ, Blücher J, Hovden IA, Stiris MG, Strømsøe K. Initial post-fracture humeral head ischemia does not predict development of necrosis. Prosthetic replacement in acute fractures of the proximal humerus. Shoulder hemiarthroplasty for proximal humeral fractures. Hartsock LA, Estes WJ, Murray CA, Friedman RJ. Hemiarthroplasty in the treatment of comminuted intraarticular fractures of the proximal humerus. Additionally, technical factors in the reconstruction of these fractures require surgical experience that few surgeons have the opportunity to develop. Accurate assessment of the fracture, patient compliance, medical comorbidities, and time from injury to treatment are critical factors affecting outcome. Many factors must be considered in developing a treatment plan.
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Successful treatment of fractures of the proximal humerus (ie, that portion involving the glenohumeral articulation) presents a challenge for physicians.
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In 1970, Neer's classification expanded on the four-part concept and included anatomic, biomechanical, and treatment principles, providing clinicians with a useful framework for diagnosing and treating patients with these fractures. In 1934, Codman developed a classification that divided the proximal humerus into four parts on the basis of epiphyseal lines. In 1869, to improve treatment, Krocher classified fractures of the proximal humerus. Hippocrates first documented a proximal humerus fracture in 460 BCE and treated it with traction.