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Impacted valgus fractures of the proximal humerus Work performed in the Shoulder and Elbow Group, Hospital do Servidor Público Estadual de São Paulo, São Paulo, SP, Brazil.

Impacted valgus fractures of the proximal humerus are considered to be a special type fracture, since impaction of the humeral head on the metaphysis with maintenance of the posteromedial periosteum improves the prognosis regarding occurrences of avascular necrosis. This characteristic can also facilitate the reduction maneuver and increase the consolidation rate of these fractures, even in more complex cases. The studies included were obtained by searching the Bireme, Medline, PubMed, Cochrane Library and Google Scholar databases for those published between 1991 and 2013. The objective of this study was to identify the most common definitions, classifications and treatment methods used for these fractures in the orthopedic medical literature.

Humeral fractures; Shoulder fractures/classification; Fracture fixation; Humeral head/surgery


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