Details

Autor(en) / Beteiligte

• Li, Bo
• Chang, Shimin
• Hu, Sunjun
• Du, Shouchao
• Xiong, Wenfeng

Titel

Research progress on valgus impacted proximal humeral fractures

Ist Teil von

• Zhongguo xiu fu chong jian wai ke za zhi, 2024-01, Vol.38 (1), p.107-112

Ort / Verlag

China

Erscheinungsjahr

2024

Quelle

MEDLINE

Beschreibungen/Notizen

• To review the advancement made in the understanding of valgus impacted proximal humeral fracture (PHF). The domestic and foreign literature about the valgus impacted PHF was extensively reviewed and the definition, classification, pathological features, and treatment of valgus impacted PHFs were summarized. PHF with a neck shaft angle ≥160° is recognized as a valgus impacted PHF characterized by the preservation of the medial epiphyseal region of the humeral head, which contributes to maintenance of the medial periosteum's integrity after fracture and reduces the occurrence of avascular necrosis. Therefore, the valgus impacted PHF has a better prognosis when compared to other complex PHFs. The Neer classification designates it as a three- or four-part fracture, while the AO/Association for the Study of Internal Fixation (AO/ASIF) categorizes it as type C (C1.1). In the management of the valgus impacted PHF, the selection between conservative and surgical approaches is contingent upon the patient's age and the