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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Acute proximal humeral fractures in adults
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Acute proximal humeral fractures in adults

机译：成人急性近端肱骨骨折

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Abstract Study Design Clinical commentary. Introduction Proximal humeral fractures (PHF) are the third most common fracture in the elderly with an increased incidence expected in the coming years with the aging population, causing an important burden to the healthcare system. The management of PHF is challenging due to its complexity and the wide variety of fractures and treatment options. Purpose The objective of this clinical commentary is to update the available evidence on clinical presentation, classification, imaging, medical treatment, and rehabilitation of acute PHF. Methods/Results/Discussion N/A for clinical commentary. Conclusions The first step to a successful management of PHF is the clinical and radiographic examination of the shoulder, which enables the physician to classify the fracture and choose the appropriate treatment option. The Neer and OA classifications are commonly used and are based on the identification of the fractured parts of the humerus, as well as the displacement of the fragments. In case of non-displaced or minimally displaced fractures, a conservative treatment, consisting of initial immobilization and a rehabilitation program will be chosen. Displaced or unstable fractures will be managed operatively. Different surgical options exist and will vary according to the fracture type, patient's age, and functional needs, followed by rehabilitation. Level of Evidence 5.
机译：抽象研究设计临床评论。引言近端肱骨骨折（PHF）是老年人的第三次常见的骨折，在未来几年随着老龄化人口预期的发病率增加，导致医疗保健系统的重要负担。由于其复杂性和各种裂缝和治疗方案，PHF的管理是挑战。目的本临床评论的目的是更新关于临床介绍，分类，成像，医疗和急性PHF康复的可用证据。方法/结果/讨论N / A用于临床评论。结论成功管理PHF的第一步是肩部的临床和放射线检查，使医生能够对骨折进行分类并选择合适的治疗方案。常用的NEE和OA分类，并基于肱骨骨折部分的识别，以及片段的位移。在非流离失所或最小位移的骨折的情况下，将选择由初始固定化和康复计划组成的保守治疗。将可操作地管理流离失所或不稳定的骨折。存在不同的手术选择，并根据骨折类型，患者的年龄和功能需求而变化，然后是康复。证据水平5。

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