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Case Report
Conservative Treatment of Valgus Impacted Four-Part Fracture of the Proximal Humerus: A Case Report
Moon Chan Kim, M.D., Jae Lim Cho, M.D., Ph.D., Hung Tae Chung, M.D., Ph.D., Dong Jun Kim, M.D., In Bo Kim, M.D.
Journal of the Korean Fracture Society 2011;24(1):96-99.
DOI: https://doi.org/10.12671/jkfs.2011.24.1.96
Published online: January 21, 2011

Department of Orthopedic Surgery, Busan Bumin Hospital, Busan, Korea.

Address reprint requests to: Dong Jun Kim, M.D. Department of Orthopedic Surgery, Busan Bumin Hospital, 380-4, Deokcheon 1-dong, Buk-gu, Busan 616-819, Korea. Tel: 82-51-330-3000·Fax: 82-51-330-3242, supracon@hanmail.net
• Received: December 22, 2010   • Accepted: December 29, 2010

Copyright © 2011 The Korean Fracture Society

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  • For valgus impacted four part fracture of the proximal humerus, surgical stabilization and early mobilization of the joint can produce the best clinical outcomes. But, we have experienced a case of conservative treatment and gained good clinical results. We have reported this case and included a review of the relevant literatures.
  • 1. Brooks CH, Revell WJ, Heatley FW. Vascularity of the humeral head after proximal humeral fractures. An anatomical cadaver study. J Bone Joint Surg Br, 1993;75:132-136.ArticlePDF
  • 2. Harvie P, El-Guindi M. Four-part valgus impacted proximal humeral fracture presenting three months after injury in a young patient: open reduction and internal fixation with triple osteotomy and bone graft augmentation. J Shoulder Elbow Surg, 2009;18:e4-e8.Article
  • 3. Iannotti JP, Ramsey ML, Williams GR, Warner JJ. Nonprosthetic management of proximal humerus fractures. Instr Course Lect, 2004;53:403-416.
  • 4. Jakob RP, Kristiansen T, Mayo K, Ganz R, Muller ME. Bateman JE, Welsh RP. Classification and aspects of treatment of fractures of the proximal humerus. In: Surgery of the shoulder, 1984;1st ed. St Louis, Mosby. 330-343.
  • 5. Jakob RP, Miniaci A, Anson PS, Jaberg H, Osterwalder A, Ganz R. Four-part valgus impacted fractures of the proximal humerus. J Bone Joint Surg Br, 1991;73:295-298.ArticlePDF
  • 6. Magovern B, Ramsey ML. Percutaneous fixation of proximal humerus fractures. Orthop Clin North Am, 2008;39:405-416.Article
  • 7. Resch H, Beck E, Bayley I. Reconstruction of the valgus-impacted humeral head fracture. J Shoulder Elbow Surg, 1995;4:73-80.
  • 8. Resch H, Povacz P, Fröhlich R, Wambacher M. Percutaneous fixation of three- and four-part fractures of the proximal humerus. J Bone Joint Surg Br, 1997;79:295-300.Article
  • 9. Robinson CM, Page RS. Severely impacted valgus proximal humeral fractures. Results of operative treatment. J Bone Joint Surg Am, 2003;85:1647-1655.
  • 10. Sanchez-Sotelo J. Proximal humerus fractures. Clin Anat, 2006;19:588-598.Article
Fig. 1
(A) Initial shoulder AP radiograph, (B) shoulder outlet view & (C, D) three Dimensional CT of a 55-year-old-female patient show valgus impacted four part fracture of the proximal humerus.
jkfs-24-96-g001.jpg
Fig. 2
(A) Final radiographs & (B) three Dimensional CT taken after 10 months show malunion of proximal humerus fracture.
jkfs-24-96-g002.jpg
Fig. 3
At 10 months follow up, photographs show nearly full range of motion of right shoulder.
jkfs-24-96-g003.jpg

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        Conservative Treatment of Valgus Impacted Four-Part Fracture of the Proximal Humerus: A Case Report
        J Korean Fract Soc. 2011;24(1):96-99.   Published online January 31, 2011
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      Conservative Treatment of Valgus Impacted Four-Part Fracture of the Proximal Humerus: A Case Report
      Image Image Image
      Fig. 1 (A) Initial shoulder AP radiograph, (B) shoulder outlet view & (C, D) three Dimensional CT of a 55-year-old-female patient show valgus impacted four part fracture of the proximal humerus.
      Fig. 2 (A) Final radiographs & (B) three Dimensional CT taken after 10 months show malunion of proximal humerus fracture.
      Fig. 3 At 10 months follow up, photographs show nearly full range of motion of right shoulder.
      Conservative Treatment of Valgus Impacted Four-Part Fracture of the Proximal Humerus: A Case Report

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