Abstract

Proximal epiphyseal injuries of the humerus are comparatively rare in children. We experienced eleven cases in the past ten years, for which we investigated the length of both humerus and the functional disorders of four patients at the final follow-up.The epiphyseal injury of all eleven patients were type II Salter-Harris, and the grade of displacement of four patients was Neer-Horowitz grade II, three were grade III (N-H), and four were grade IV (N-H).We measured the neck-shaft angle of the humerus radiologically for nine patients. The neck-shaft angle improved in observable periods. In children, epiphyseal injuries display marked remodeling, so functional prognosis is good.In the four patients the we checked, all had no functional disorders, but all had limb-length inequality radiologically. We consider moderate reduction to be necessary for the prevention of limb-length inequality.

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