Duparc J, Largier A
Rev Chir Orthop Reparatrice Appar Mot. 1976 Jan-Feb;62(1):91-110.
30 cases have been collected and treated by the authors. They classify the anatomical types according to the direction and nature of the fracture line. The treatment is more difficult when the fracture is intra-capsular than when it is extra capsular, that is metaphysial or below the tuberosities. A particular type was described, called "vertical fracture" by the authors. The major complication was a persistent joint stiffness, commonly bound to an avascular necrosis of the humeral head, especially in intra-capsular fractures. An orthopaedic reduction should always be attempted when the fracture is impacted. In the other cases, the treatment should be surgical aiming at obtaining a reduction of the dislocation and fixation of the fracture. The opportunity of an early arthroplasty in intra-capsular, comminuted fractures with extruded capital fragments is discussed.
作者已收集并治疗了30例病例。他们根据骨折线的方向和性质对解剖类型进行分类。囊内骨折的治疗比囊外骨折（即干骺端或结节以下骨折）更困难。作者描述了一种特殊类型，称为“垂直骨折”。主要并发症是持续的关节僵硬，通常与肱骨头缺血性坏死有关，尤其是在囊内骨折中。当骨折嵌插时，应始终尝试进行骨科复位。在其他情况下，治疗应采取手术方式，旨在实现脱位复位和骨折固定。讨论了对于伴有股骨头碎片挤出的囊内粉碎性骨折早期进行关节置换术的时机。
