J Bone Joint Surg Br. 1991 Mar;73(2):295-8.

Four-part valgus impacted fractures of the proximal humerus.

Jakob RP, Miniaci A, Anson PS, Jaberg H, Osterwalder A, Ganz R.

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Inselspital, Berne, Switzerland.

Abstract

There 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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Four-part valgus impacted fractures of the proximal humerus.

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