Two-part fractures of the proximal humerus

Jae Myeung Chun, Gordon I. Groh, Charles A Rockwood Jr

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Between 1981 and 1991, 137 patients had 141 two-part proximal humerus fractures. One hundred thirteen surgical neck, 24 greater tuberosity, 2 anatomic neck, and 2 lesser tuberosity fractures were studied. Eleven patients had died in the interim; the remaining cases were reviewed. The mean age of patients with surgical neck fractures was 57 years (range 20 to 91 years), and 62.8% (71 cases) were women. In 38% of cases there was another significant medical problem. Eighty (70.8%) cases were treated with a sling and early isometric and pendulum exercises. Bony union was obtained in an average of 3.2 months (range 2 to 8 months), and 87.5% achieved satisfactory function. The mean age of patients with greater tuberosity fractures was 37 years (range 20 to 59 years), and 79.2% (19 cases) were men. Ten (41.7%) cases were treated with open reduction and internal fixation, and the remainder were treated without surgery. All patients improved to a satisfactory level of function. Anatomic neck fractures (two) were treated with surgery. Lesser tuberosity fractures (two) were treated conservatively and had good functional results. It appears that conservative measures when coupled with early isometric and pendulum exercises produce a satisfactory result in surgical neck fractures. Similarly, conservative treatment for nondisplaced greater tuberosity fractures and operative intervention for displaced fractures resulted in satisfactory function. Lesser tuberosity fractures without limitation of motion appear to do well with a sling and early motion.

Original languageEnglish (US)
Pages (from-to)273-287
Number of pages15
JournalJournal of Shoulder and Elbow Surgery
Volume3
Issue number5
DOIs
StatePublished - 1994

Fingerprint

Humerus
Neck
Shoulder Fractures
Exercise

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Two-part fractures of the proximal humerus. / Chun, Jae Myeung; Groh, Gordon I.; Rockwood Jr, Charles A.

In: Journal of Shoulder and Elbow Surgery, Vol. 3, No. 5, 1994, p. 273-287.

Research output: Contribution to journalArticle

Chun, Jae Myeung ; Groh, Gordon I. ; Rockwood Jr, Charles A. / Two-part fractures of the proximal humerus. In: Journal of Shoulder and Elbow Surgery. 1994 ; Vol. 3, No. 5. pp. 273-287.
@article{1929262638744082aadf6fe6796124cd,
title = "Two-part fractures of the proximal humerus",
abstract = "Between 1981 and 1991, 137 patients had 141 two-part proximal humerus fractures. One hundred thirteen surgical neck, 24 greater tuberosity, 2 anatomic neck, and 2 lesser tuberosity fractures were studied. Eleven patients had died in the interim; the remaining cases were reviewed. The mean age of patients with surgical neck fractures was 57 years (range 20 to 91 years), and 62.8{\%} (71 cases) were women. In 38{\%} of cases there was another significant medical problem. Eighty (70.8{\%}) cases were treated with a sling and early isometric and pendulum exercises. Bony union was obtained in an average of 3.2 months (range 2 to 8 months), and 87.5{\%} achieved satisfactory function. The mean age of patients with greater tuberosity fractures was 37 years (range 20 to 59 years), and 79.2{\%} (19 cases) were men. Ten (41.7{\%}) cases were treated with open reduction and internal fixation, and the remainder were treated without surgery. All patients improved to a satisfactory level of function. Anatomic neck fractures (two) were treated with surgery. Lesser tuberosity fractures (two) were treated conservatively and had good functional results. It appears that conservative measures when coupled with early isometric and pendulum exercises produce a satisfactory result in surgical neck fractures. Similarly, conservative treatment for nondisplaced greater tuberosity fractures and operative intervention for displaced fractures resulted in satisfactory function. Lesser tuberosity fractures without limitation of motion appear to do well with a sling and early motion.",
author = "Chun, {Jae Myeung} and Groh, {Gordon I.} and {Rockwood Jr}, {Charles A}",
year = "1994",
doi = "10.1016/S1058-2746(09)80071-2",
language = "English (US)",
volume = "3",
pages = "273--287",
journal = "Journal of Shoulder and Elbow Surgery",
issn = "1058-2746",
publisher = "Mosby Inc.",
number = "5",

}

TY - JOUR

T1 - Two-part fractures of the proximal humerus

AU - Chun, Jae Myeung

AU - Groh, Gordon I.

AU - Rockwood Jr, Charles A

PY - 1994

Y1 - 1994

N2 - Between 1981 and 1991, 137 patients had 141 two-part proximal humerus fractures. One hundred thirteen surgical neck, 24 greater tuberosity, 2 anatomic neck, and 2 lesser tuberosity fractures were studied. Eleven patients had died in the interim; the remaining cases were reviewed. The mean age of patients with surgical neck fractures was 57 years (range 20 to 91 years), and 62.8% (71 cases) were women. In 38% of cases there was another significant medical problem. Eighty (70.8%) cases were treated with a sling and early isometric and pendulum exercises. Bony union was obtained in an average of 3.2 months (range 2 to 8 months), and 87.5% achieved satisfactory function. The mean age of patients with greater tuberosity fractures was 37 years (range 20 to 59 years), and 79.2% (19 cases) were men. Ten (41.7%) cases were treated with open reduction and internal fixation, and the remainder were treated without surgery. All patients improved to a satisfactory level of function. Anatomic neck fractures (two) were treated with surgery. Lesser tuberosity fractures (two) were treated conservatively and had good functional results. It appears that conservative measures when coupled with early isometric and pendulum exercises produce a satisfactory result in surgical neck fractures. Similarly, conservative treatment for nondisplaced greater tuberosity fractures and operative intervention for displaced fractures resulted in satisfactory function. Lesser tuberosity fractures without limitation of motion appear to do well with a sling and early motion.

AB - Between 1981 and 1991, 137 patients had 141 two-part proximal humerus fractures. One hundred thirteen surgical neck, 24 greater tuberosity, 2 anatomic neck, and 2 lesser tuberosity fractures were studied. Eleven patients had died in the interim; the remaining cases were reviewed. The mean age of patients with surgical neck fractures was 57 years (range 20 to 91 years), and 62.8% (71 cases) were women. In 38% of cases there was another significant medical problem. Eighty (70.8%) cases were treated with a sling and early isometric and pendulum exercises. Bony union was obtained in an average of 3.2 months (range 2 to 8 months), and 87.5% achieved satisfactory function. The mean age of patients with greater tuberosity fractures was 37 years (range 20 to 59 years), and 79.2% (19 cases) were men. Ten (41.7%) cases were treated with open reduction and internal fixation, and the remainder were treated without surgery. All patients improved to a satisfactory level of function. Anatomic neck fractures (two) were treated with surgery. Lesser tuberosity fractures (two) were treated conservatively and had good functional results. It appears that conservative measures when coupled with early isometric and pendulum exercises produce a satisfactory result in surgical neck fractures. Similarly, conservative treatment for nondisplaced greater tuberosity fractures and operative intervention for displaced fractures resulted in satisfactory function. Lesser tuberosity fractures without limitation of motion appear to do well with a sling and early motion.

UR - http://www.scopus.com/inward/record.url?scp=85006376758&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85006376758&partnerID=8YFLogxK

U2 - 10.1016/S1058-2746(09)80071-2

DO - 10.1016/S1058-2746(09)80071-2

M3 - Article

AN - SCOPUS:85006376758

VL - 3

SP - 273

EP - 287

JO - Journal of Shoulder and Elbow Surgery

JF - Journal of Shoulder and Elbow Surgery

SN - 1058-2746

IS - 5

ER -