الفهرس 
Review of literature
Clinical PresentationOnly 14 pages are availabe for public view
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Abstract
Surgical treatment is often advocated for unstable or severely displaced proximal humerus fractures in older children. The purpose of this study was to assess early clinical, radiographic results and complications of percutaneous pinning used to treat these fractures.
Twenty cases of skeletally immature patients who underwent surgical reduction and percutaneous pinning of proximal humerus fractures were reviewed. Radiographs were assessed for maximum angular deformity and Neer- Horowitz classification on preoperative, immediate postoperative and final follow-up radiographs.
There was no impact of age, sex, side of injury, preoperative Neer- Horowitz classification or preoperative maximum angulation on union or subsequent complications. Patients treated with percutaneous pinning achieved significant improvements in both range of motion and functional activity.
percutaneous pinning technique is effective at stabilizing severely displaced proximal humerus fractures in pediatric population. The complication rate was considered minimal.