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[Late results of sub-capital humerus fracture in children]
Insights
Subcapital humeral fractures in children generally yield good long-term results. Most cases resolve with simple immobilization, though some require intervention like repositioning or osteosynthesis.
Area of Science:
- Orthopedic Surgery
- Pediatric Traumatology
Context:
- Subcapital humeral fractures are common pediatric injuries.
- Treatment outcomes require long-term evaluation.
Purpose:
- To evaluate the long-term results of treating pediatric subcapital humeral fractures.
- To discuss various treatment modalities for these fractures.
Summary:
- 56 children with subcapital humeral fractures were treated between 1980-1984.
- 42 patients were followed up for 5 years, all showing good outcomes.
- Treatment included simple immobilization, repositioning, osteosynthesis, and extension, with varying success rates.
Impact:
- Demonstrates favorable long-term prognosis for pediatric subcapital humeral fractures.
- Provides insights into the effectiveness of different treatment approaches.
- Informs clinical decision-making for pediatric fracture management.
Abstract:
From 1980 until 1984 56 children with a subcapital humeral fracture were treated at the Department of Paediatric Surgery in Zürich. 42 of them could be followed-up 5 years after the accident, all showed a good result. In 21 children a simple immobilisation was successful. 8 cases needed a reposition of the fracture in anaesthesia and immobilisation. 11 cases needed further procedures, in 7 of them an osteosynthesis was done, in 4 cases an extension was necessary to hold the fracture position. One patient was treated primarily by open reduction and pinning of the fracture, another one by an extension. Both patients had polytrauma. The paper presents our long-term results and the different modalities of treatment are discussed in the light of our own results.