Popkin Charles A, Levine William N, Ahmad Christopher S
J Am Acad Orthop Surg. 2015 Feb;23(2):77-86. doi: 10.5435/JAAOS-D-14-00033.
In the pediatric population, sports participation, falls, and motor vehicle accidents can result in proximal humerus fractures. Because the proximal humeral growth plate is responsible for up to 80% of the growth of the humerus, the remodeling of these fractures in children is tremendous. Most of these injuries can be treated with a sling or hanging arm cast, although older children with decreased remodeling capacity may require surgery. Special considerations should be taken for management of proximal humerus fractures that occur in the context of Little League shoulder, lesser tuerosity avulsion fractures, fracture-dislocations, birth fractures, and fractures associated with cysts. Most pediatric patients with proximal humerus fractures have favorable results, and complications are infrequent.
在儿科人群中，参与体育运动、跌倒和机动车事故都可能导致肱骨近端骨折。由于肱骨近端生长板对肱骨生长的贡献率高达80%，儿童这些骨折的重塑能力非常强。这些损伤大多可用吊带或悬垂石膏治疗，不过重塑能力下降的大龄儿童可能需要手术治疗。对于在小联盟肩、小结节撕脱骨折、骨折脱位、产伤骨折以及与囊肿相关的骨折等情况下发生的肱骨近端骨折，治疗时应给予特殊考虑。大多数肱骨近端骨折的儿科患者预后良好，并发症并不常见。
