Percutaneous Pinning in Unstable Two-parts Fracture of Surgical Neck in Humerus

Journal of the Korean Shoulder and Elbow Society 2000;3(1):26-32.
Published online June 30, 2000.

Jin-Young Park, M.D., Han-Jin Rho, M.D., and Myung-Ho Kim, M.D.

Department of Orthopedic Surgery, Dankook University College of Medicine, Chonan, Korea

상완골 불안정성 외과적 경부 이분 골절의 경피적 핀 삽입 고정술

박진영, 노한진, 김명호

단국대학교 의과대학 정형외과학교실

Abstract

Purpose
: The aim of this study is the assessment of the clinical outcomes after percutanous pinning of unstable two-parts fracture of surgical neck in humerus . Materials and Methods : This study was based on thirteen cases of non-comminuted unstable surgical neck fracture of humerus among 19 cases, which followed-up more than one year. Follow-up averaged 29 months. We treated with percutaneous pinning techniques and assessed clinical outcomes. Functional evaluation was performed using the standard method of research committee of American Shoulder and Elbow Surgeons(ASES). Results : Last follow-up ROM of shoulder joint were 142 degrees of forward elevation, 57 degrees of external rotation, 72 degrees of external rotation in 90 degrees abduction, and T8 of internal rotation. Pain scale was 1(range : 0∼3). ASES scores was 86.2(range : 63.3∼98.3). Patient satisfaction based on ASES were excellent in 6 cases, good in 5 cases, fair in 1 case, poor in 1 case. A case of fair result was caused by limitation of motion in shoulder joint and poor case was paraplegia patient after traffic accident. Conclusion : Percutaneous pinning is recommended for non-comminuted unstable fracture of surgical neck in humerus.

Key Words: Humerus, Surgical neck fracture, Percutaneous pinning