کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4075298 | 1267035 | 2009 | 10 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: The three-dimensional anatomy of proximal humeral fractures The three-dimensional anatomy of proximal humeral fractures](/preview/png/4075298.png)
HypothesisThree-dimensional (3D) computed tomography (CT) reconstructions have the potential to convey the anatomy of proximal humeral fractures more realistically than do standard 2D images.Material and methodsProximal humeral fractures in 248 adult patients were examined prospectively using 3D CT reconstructions. To our knowledge, this represents the largest reported series of such fractures examined by this method.ResultsOf 248 fractures examined by a 3D classification system, 14% were of the 2 Part type, 36% were 3 Part, 21% were Shield fractures, 13% were isolated tuberosity injuries, and 16% were fracture dislocations.ConclusionsThis study led to a modification of the Neer classification system. The frequency of each type of injury in this new classification is presented and a technique for viewing 3D images is suggested which maximizes their usefulness.Level of evidenceLevel 2; Clinical, observational, and prospective.
Journal: Journal of Shoulder and Elbow Surgery - Volume 18, Issue 4, July–August 2009, Pages 535–544