[Fractures and physeal injuries of proximal humeral end in children.].

A total of 102 children and adolescents, 27 girls and 75 boys of the median age of 10.9 years, were treated for injuries to the proximal humerus at the PediatricTrauma Centre of the Clinic of Pediatric Surgery and Traumatology in Brno over the period of 1993-1997. A conservative approach was indicated in 51 cases (50%), percutaneous pinning after conservative reduction in 50 cases (49%) and an open surgical approach in one case (1%). In 97 patients the treatment results were evaluated as excellent, in 5 patients as good. No avascular necrosis of the caput humeri was recorded. The percutaneous pinning management is prefered because of the final management of the fracture by way of stabilizing the retention of fragments, substantially higher patient's convenience in SH II, Neer-Horowitz III, IV injury types and in fractures of the proximal humerus with a long fragment with displacements. Key words: proximal humeral end, fractures, physeal injuries, children, percutaneous pinning.