Severely displaced proximal humeral epiphyseal fractures

Matthew B. Dobbs, Scott L. Luhmann, J. Eric Gordon, William B. Strecker, Perry L. Schoenecker

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73 Scopus citations


The purpose of this study was to document the late outcome of a group of patients with Neer grade III/IV proximal humeral physeal fractures who were treated with reduction of the fracture and maintenance of reduction until fracture consolidation. A total of 28 patients treated between 1984 and 1999 at a large children's hospital were included in this study. Nineteen of the 28 patients were 15 years or older (range 5-16 y). All patients were treated in the operating room with closed reduction followed by immobilization (n = 3), closed reduction and pin fixation (n = 20), open reduction and screw fixation (n = 3), or open reduction and pin fixation (n = 2). Postoperatively, all had Neer grade I or II displacement, which was maintained until fracture union. No operative or postoperative complications occurred. At an average follow-up of 4 years, all patients had near-normal glenohumeral motion and excellent strength and uniformly reported regaining full preinjury functional use of the involved extremity. Achieving and maintaining reduction in Neer grade III/IV proximal humeral epiphyseal fractures can be safely performed and results in excellent long-term shoulder function. This is of particular significance in the older adolescent who has minimal remodeling potential.

Original languageEnglish
Pages (from-to)208-215
Number of pages8
JournalJournal of Pediatric Orthopaedics
Issue number2
StatePublished - 2003


  • Epiphyseal
  • Fracture
  • Proximal humerus


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