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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2017, Number 4

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Rev Esp Med Quir 2017; 22 (4)

Results of conservative treatment management in proximal humeral metaphyseal fractures in children

García-Ramírez VF, Mora-Ríos FG, Mejía-Rohenes C, Claro-Hernández JC, Pérez-Solares A

Language: Spanish
References: 17
Page: 162-170
PDF size: 442.12 Kb.


ABSTRACT

Background: Metaphyseal proximal humeral fractures are lack of bone continuity below the humeral surgical neck region. They represent up to 27% of all fractures in the pediatric population and 0 5% to 3 5% occur in the proximal metaphyseal region. Several authors report a benign course in conservative treatment in patients younger than 13 years.
Objective: To report the results of conservative treatment in metaphyseal fractures of proximal humerus in pediatric patients treated at the General Regional Hospital Ignacio Zaragoza of the ISSSTE.
Material and Method: Descriptive, ambispective, and cross-sectional study. Patients diagnosed with metaphyseal fracture of the proximal humerus in a pediatric population younger than 13 years and with conservative treatment with splint placement or closed reduction and splint placement were reviewed systematically, and functional evaluation using the Quick DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire and clinical evaluation were performed at the Regional General Ignacio Zaragoza Hospital, from January 1, 2007 to January 1, 2015.
Results: 57 patients were enrolled, 52.7% of whom were children (30 patients), while 47.3% were girls (27 patients). The results were satisfactory in patients younger than 12 years; from the age of 13, the risk of a higher incapacitating percentage increased.
Conclusion: Good radiological and clinical results were obtained with conservative management. Our results serve to guide conservative treatment of proximal humeral metaphyseal fractures in the pediatric population with criteria of age, percentage of displacement and bone angulation


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