The Neer classification of fractures of the proximal humerus
β Scribed by Bjarne Kristiansen; Ulrich L. S. Andersen; Claus A. Olsen; Jens-Erik Varmarken
- Publisher
- Springer
- Year
- 1988
- Tongue
- English
- Weight
- 508 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0364-2348
No coin nor oath required. For personal study only.
β¦ Synopsis
The reliability of the Neer classification of proximal fractures of humerus was examined by determining the agreement between pairs of observers using weighted kappa statistics. Anteroposterior and lateral radiographs of 100 surgical neck fractures were grouped independently by four observers. A low degree of agreement was found, especially between the most inexperienced observer and the rest. Considering the therapeutic consequences of a correct classification, these fractures should be assessed by experienced orthopedic surgeons or radiologists.
π SIMILAR VOLUMES
Good results were obtained using a hook plate to fix bone in 18 cases of fracture of the proximal humerus in which the bone was greatly comminuted or dislocated The hook plate protects the fixed area against rotation, shear stress and flexion much better than other fixation methods.
Two cases of spiral fracture of the humerus, which occurred during arm wrestling, are reported. The possible mechanism is discussed. ## R~sum~. Les auteurs rapportent deux cas de fracture spiroMe de l'humdrus pendant un ~bras de fer(( sans complication neurologique. La frdquence de la fracture, l