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Article
January 30, 1932

FRACTURES OF THE UPPER END OF THE HUMERUS: AN END-RESULT STUDY WHICH SHOWS THE ADVANTAGE OF EARLY ACTIVE MOTION

JAMA. 1932;98(5):367-373. doi:10.1001/jama.1932.02730310007002
Abstract

Fracture of the upper end of the humerus is a common injury and accounts for about 2.2 per cent of all bony injuries.1 It includes definite clinical types, and, when properly treated, good results can be obtained in the great majority of cases. It is my purpose in this article to present an analysis of ninety-six cases of injuries to the upper end of the humerus (table 1), to discuss their treatment, and to show the advantage in certain cases of a simple form of fixation and the importance of early active motion. These cases include only those fractures at or above the level of the surgical neck of the humerus. Fractures occurring at or below the insertion of the internal rotators of the arm present special problems and are essentially shaft fractures.

The data which are used here were gathered from the records of the fracture service at

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