Abstract

Fractures of the upper end of the humerus are common, they represent about 5% of all fractures, and their frequency of occurrence increases to more than 1 0% beyond 65 years where they are the third cause of osteoporotic fractures of members after the fractures of the upper end of the femur and wrist. We studied the anatomical and functional results of conservative surgical treatment of these fractures, and this through a retrospective study of 24 cases of upper end of humerus fractures treated surgically in the department of orthopedic surgery B CHU MED VI Marrakech between January 2012 and December 2015 with a mean of 11 months.

The middle age of patients was 44 years with a male predominance (67%). A radiograph of the shoulder front and profile was done in all patients and allowed us to diagnose and identify the anatomical type according to Neer and duparc classification. Postoperative immobilization was necessary in all patients (between one and three weeks) followed by functional rehabilitation.

We noted as complications: one case of superficial wound infection, one case of secondary displacement, 2 cases of malunion and one case of shoulder stiffness. The functional results (Constant score) were good to excellent in 76 %. Anatomical judged cases showed 88 % of cases. The overall results were influenced by patient age, fracture type, surgical technique, and anatomical result and also by the quality of rehabilitation. Overall, we can say that our results are very satisfactory but we cannot draw conclusions because of the small number of our series and low recoil.