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Salter-Harris Type II Proximal Humerus Injuries: Our Experience With a New External Fixator

Lollino, Nicola MD*; Assom, Marco MD; Fumero, Sergio MD*; Collura, Maurizio MD*; Merolla, Giovanni MD

Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e31829ddaa0

Proximal humeral fractures in the pediatric population are commonly treated conservatively. When there is an indication for surgery, percutaneous pinning is considered to be the elective choice. We report our experience with a new external fixator that reduces the risk of pin migration and permits an early rehabilitation. The range of motion was completely restored in all patients and no pain or discomfort was detected at follow-up. According to the literature, a small varus malunion at the first x-ray control can be tolerated in the pediatric population because of the remodeling ability of the bone. We conclude that this system provides a good stability and healing of Salter-Harris type II proximal humerus injuries.

Author Information

*“E. Agnelli” Hospital, ASL TO3, Pinerolo

“Mauriziano” Hospital, Turin

“Cervesi” Hospital, Cattolica, Rimini, Italy

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Nicola Lollino, MD, “E.Agnelli” Hospital, ASL TO3, Via Chiesa di Miradolo 22/A, San Secondo di Pinerolo (To), Pinerolo, Turin 10060, Italy. E-mail:

© 2013 by Lippincott Williams & Wilkins