Gaebler Christian, McQueen Margaret M, Court-Brown Charles M
Royal Infirmary of Edinburgh, Lauriston Place, Edinburgh EH3 9YW, Scotland.
Acta Orthop Scand. 2003 Oct;74(5):580-5. doi: 10.1080/00016470310017992.
We analyzed 507 consecutive minimally displaced proximal humeral fractures and showed that, if the AO classification is used, there is variation in the incidence of minimally displaced fractures in the different AO sub-groups. Patients with Type A minimally displaced fractures are significantly younger than those with Type B or C fractures. 376 patients were followed for 1 year and 88% achieved excellent or good results with nonoperative management. Age was the main determinant of outcome, according to the Neer score and the time taken to return to activities of daily living. Subjectively, older patients felt that the results of treatment were better than the objective measurement of gleno-humeral function would indicate. Many patients with fair or poor results had co-morbidities that prevented a good result. The length of the physiotherapy course affected the outcome at 1 year.
我们分析了507例连续性肱骨近端轻微移位骨折病例，结果显示，若采用AO分类法，不同AO亚组中轻微移位骨折的发生率存在差异。A型轻微移位骨折患者比B型或C型骨折患者明显年轻。376例患者接受了为期1年的随访，88%的患者通过非手术治疗获得了优或良的结果。根据Neer评分以及恢复日常生活活动所需时间，年龄是结果的主要决定因素。主观上，老年患者感觉治疗结果优于肩关节功能的客观测量结果所显示的情况。许多结果为一般或较差的患者存在合并症，这妨碍了获得良好结果。物理治疗疗程的长短影响了1年时的结果。
