In 80% of fractures of the proximal humerus one can expect a good result, because they are generally non-displaced, stable and allow early mobilization. However, the other 110% of these present not only problems with reduction and adequate fixation but also the risk of humeral head necrosis and painful shoulder-ankylosis. The management of these difficult humeral fractures can be facilitated, and the prognosis for a good result increased by adherence to the guidelines of the fracture classification of C.S. Neer and by the use of minimal osteosynthesis.
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Jakob, R. P., & Ganz, R. (1982). PROXIMALE HUMERUSFRAKTUREN. Helvetica Chirurgica Acta, 48(5), 595–610. https://doi.org/10.1055/s-2006-944980