Anatomical characteristics of proximal humeral fractures and treatment of.docVIP

 PAGE \* MERGEFORMAT 4 Anatomical characteristics of proximal humeral fractures and treatment of Author: Yellow crystal, Jin Hongbin, WANG Zhi-bin, fei PANG Gui Root [Keywords:] anatomical characteristics of proximal humeral fractures Proximal humeral fractures is a common injury in recent years, the incidence continues to rise, there are reports that in the next 30 years, its incidence will increase three-fold [1]. Right proximal humerus with the use of anatomical knowledge and familiarity contribute to the clinical classification, to guide the right choice for internal fixation and prosthetic replacement use. In different parts of the blood supply and bone mass the situation is an important factor in prognosis. Anatomy of a proximal humerus fracture classification 1970, Neer and Codman according to the basic anatomical features of the proximal humerus fractures of the classification of the proximal humeral anatomy is divided into four basic parts: the humeral head, large nodules, small nodules, humeral shaft. Arrived in only determined by the muscle for each direction of fracture displacement, after taking into account associated with the dislocation, compression deformity and head splitting, which together form the Neer classification. One of the frequent humeral pectoralis major distraction to the medial displacement; large nodules by the teres minor, Kong on the muscle, pull back the top of the post under the muscle displacement; humeral head by the arrival of small nodules and head stop The subscapularis muscle pull forward lateral rotation [2] (Figure 1). The most common fracture type 2 fractures, the fracture line at the surgical neck level. Three fractures, humeral head and the small nodule as a whole, large nodules and the backbone of separation. With the violence and injury in elderly patients with osteoporosis increased four fracture is gradually increased, four blocks were displaced fractures (articular surface displacement can occur