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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 4, 504-508.
doi: 10.1302/0301-620X.84B4.12488  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Impacted valgus fractures (B1.1) of the proximal humerus

THE RESULTS OF NON-OPERATIVE TREATMENT

C. M. Court-Brown, MD, FRCS Ed(Orth), Professor of Orthopaedic Trauma; H. Cattermole, FRCS, Specialist Orthopaedic Registrar; and M. M. McQueen, FRCS Ed(Orth), Consultant Orthopaedic Surgeon

Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Lauriston Place, Edinburgh EH3 9YW, UK.

Correspondence should be sent to Professor C. M. Court-Brown.

We present a retrospective study of 125 patients with an impacted valgus fracture (B1.1) of the proximal humerus. This fracture rarely occurs in young patients and is much more common in elderly fit subjects. All patients were documented prospectively and followed for one year. None was treated surgically.

At one year, 80.6% of the patients had a good or excellent result, the quality of which depended on the age of the patient and the degree of displacement of the fracture. Mean outcome scores based on these two parameters are presented. A comparison with data from other studies suggests that operative fixation of these fractures is not necessary.




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C. M. Robinson, L. A. K. Khan, and M. A. Akhtar
Treatment of anterior fracture-dislocations of the proximal humerus by open reduction and internal fixation
J Bone Joint Surg Br, April 1, 2006; 88-B(4): 502 - 508.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General