• J Bone Joint Surg Br · Mar 1991

    Four-part valgus impacted fractures of the proximal humerus.

    • R P Jakob, A Miniaci, P S Anson, H Jaberg, A Osterwalder, and R Ganz.
    • Inselspital, Berne, Switzerland.
    • J Bone Joint Surg Br. 1991 Mar 1; 73 (2): 295-8.

    AbstractThere is a specific type of displaced four-part fracture of the proximal humerus which consists of valgus impaction of the head fragment; this deserves special consideration because the rate of avascular necrosis is lower than that of other displaced four-part fractures. Using either closed reduction or limited open reduction and minimal internal fixation, 74% satisfactory results can be achieved in this injury.

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