Young T B, Wallace W A
J Bone Joint Surg Br. 1985 May;67(3):373-7. doi: 10.1302/0301-620X.67B3.3997943.
This paper reports a prospective study of 72 consecutive patients with fractures or fracture-dislocations of the upper end of the humerus, treated during 1981. Most were elderly and treatment was conservative. Of the 72 patients 64 were followed up for a period of six months. Observations were made on the type of fracture, the speed and pattern of recovery of shoulder movements, on the time of commencement of physiotherapy, and on its duration. We found that with conservative treatment alone, 94% of our patients had good or satisfactory results at six months from injury. The criteria for manipulation are discussed and the literature is reviewed.
本文报道了1981年期间对72例连续性肱骨上端骨折或骨折脱位患者进行的一项前瞻性研究。大多数患者为老年人，治疗方式为保守治疗。72例患者中有64例接受了为期6个月的随访。观察了骨折类型、肩部运动恢复的速度和模式、物理治疗开始的时间及其持续时间。我们发现，仅采用保守治疗，94%的患者在受伤后6个月时获得了良好或满意的结果。文中讨论了手法治疗的标准并对文献进行了综述。
