Surgical versus conservative treatmentfor Neer´s type II and III proximal humerous fracture

Jabbar Rashid Abed, Abdul

	Surgical versus conservative treatmentfor Neer´s type II and III proximal humerous fracture
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 28, Issue 4, 2015, Pages 196-201
Author
Abdul Jabbar Rashid Abed
Abstract
Background: Proximal fractures of the humerus constitute 5-8% of all fractures although more than 80% of these heal without surgical intervention, the rate of nonunion vary between 1% and 23% in displaced non impacted fractures of the surgical neck. The most commonly used classification for these fractures is Neer´s classification. The aim of treatment is to attain a painless functional shoulder. Objectives: To compare the results of surgical versus conservative treatment of fracture neck of humorous Neer´s types II & III regarding functional outcome. Patients and methods; Prospective study including 40 patients having fracture proximal humerous Neer`s type II& III attending Al-Yermouk teaching hospital from Nov 1st 2011 to Nov 1st 2013. Twenty patients were treated surgically and twenty were treated conservatively, all the patients were subjected to early physiotherapy and followed up at 3 months then functional evaluation of shoulder was done using Constant's Scoring System; Results: The study sample included 40 patients; we got better results regarding pain, strength, range of motion and daily life activities in surgical treatment than conservative treatment. Conclusion: Early operative management with adequate reduction and early physiotherapy is worth trial to gain early functional outcome.
Keywords
Fracture proximal humerus; Constant score; Internal fixation

Statistics Article View: 202 PDF Download: 95