Abstract

VEGA-CAICEDO, Ricardo; PINEROS-RAMIREZ, Daniel Francisco  and  AMADOR-GUTIERREZ, José Armando. Epidemiological description and evaluation of the interesting outcomes of fractures of upper extremity of the humerus in a children's group. rev.fac.med. [online]. 2014, vol.62, n.3, pp.348-355. ISSN 0120-0011.  https://doi.org/10.15446/revfacmed.v62n3.39486.

Background. For the treatment of fractures of the proximal humerus in children is essential anatomical and biomechanical knowledge of the shoulder. Their treatment options and independent factors influence functional prognosis. Materials and methods. A case of patients with proximal humerus fractures in Bogota HOMI Foundation, for a period of five years, studying variables such as sex, age, mechanism of trauma, type and fracture classification, management, sequelae, deformities complications, radiological and functional assessment scale with quick-DASH. Results. From 73 patients, 71% were managed orthopedically. 66% of the surgically treated patients underwent closed reduction with percutaneous fixation. Osteosynthesis with two crossed nails was most often (55%) and other disposition of the nails, no differences were found in consolidation or complications. The quick-DASH valuation was less than 5% disability. Conclusion. Fractures of the proximal humerus in children have a benign course, the high remodeling potential at an early age and surgery is indicated in severe displacement strokes, open fractures and neurological damage. Closed reduction and percutaneous fixation decreases surgical risks, no differences in clinical, functional and radiological results in the number and location of nails used, and functional differences.

Keywords : Humerus; Fractures; Bone; Infection.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )