Proximal humeral fracture classification systems revisited

Journal of Shoulder and Elbow Surgery

Volumn 20, Issue 7, 2011, Pages 1125-1132

  Majed, Addie ^a   Macleod, Iain ^b   Bull, Anthony M J ^a   Zyto, Karol ^c   Resch, Herbert ^d   Hertel, Ralph ^e   Reilly, Peter ^a   Emery, Roger J H ^a  

^a IMPERIAL COLLEGE LONDON   (United Kingdom)

^b IMPERIAL COLLEGE HEALTHCARE NHS TRUST   (United Kingdom)

^c Sophiahemmet Hospital   (Sweden)

^d UNIVERSITY HOSPITAL INNSBRUCK   (Austria)

^e Lindenhofspital   (Switzerland)

Author keywords

Diagnostic Study; Fracture classifications; Interobserver and intraobserver reliability; Level III; Prototype modelling; Proximal humerus

Indexed keywords

ARTICLE; CLASSIFICATION; COMPUTED TOMOGRAPHY SCANNER; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC IMAGING; DIGITAL IMAGING AND COMMUNICATIONS IN MEDICINE; FRACTURE; HUMAN; HUMERUS; HUMERUS FRACTURE; MAJOR CLINICAL STUDY; MULTIDETECTOR COMPUTED TOMOGRAPHY; PRIORITY JOURNAL; RELIABILITY;

HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; OBSERVER VARIATION; REPRODUCIBILITY OF RESULTS; SHOULDER FRACTURES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 80053051703     PISSN: 10582746     EISSN: 15326500     Source Type: Journal    
DOI: 10.1016/j.jse.2011.01.020     Document Type: Article

References (28)

1. Bernstein J., Adler L.M., Blank J.E., Dalsey R.M., Williams G.R., Iannotti J.P. Evaluation of the Neer system of classification of proximal humeral fractures with computerized tomographic scans and plain radiographs. J Bone Joint Surg Am 1996, 78:1371-1375.
2. Brien H., Noftall F., MacMaster S., Cummings T., Landells C., Rockwood P. Neer's classification system: a critical appraisal. J Trauma 1995, 38:257-260.
3. Brorson S., Bagger J., Sylvest A., Hrøbjartsson A. Improved interobserver variation after training of doctors in the Neer system. A randomised trial. J Bone Joint Surg Br 2002, 84:950-954. 10.1302/0301-620X.84B7.13010.
4. Brunner A., Honigmann P., Treumann T., Babst R. The impact of stereo-visualisation of three-dimensional CT datasets on the inter- and intraobserver reliability of the AO/OTA and Neer classifications in the assessment of fractures of the proximal humerus. J Bone Joint Surg Br 2009, 91:766-771. 10.1302/0301-620X.91B6.22109.
5. Burstein A.H. Fracture classifications: do they work and are they useful?. J Bone Joint Surg Am 1993, 75:1743-1744.
6. Codman E.A. Fractures in relation to the subacromial bursa. The shoulder, rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa 1934, 313-331. Krieger Publishing, Malabar, FL. E.A. Codman (Ed.).
7. Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas 1960, 20:37-46.
8. Copeland S.A. Fractures of the proximal humerus. Curr Orthop 1995, 9:241-248.
9. Edelson G., Kelly I., Vigder F., Reis N.D. A three-dimensional classification for fractures of the proximal humerus. J Bone Joint Surg Br 2004, 86:413-425. 10.1302/0301-620X.86B3.14428.
10. Hertel R., Hempfing A., Stiehler M., Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg 2004, 13:427-433. 10.1016/j.jse.2004.01.034.
11. Jakob R., Kristiansen T., Mayo K., Ganz R., Müller M.E. Classification and aspects of treatment of fractures of the proximal humerus. Surgery of the houlder 1984, 330-343. BC Decker Inc, Philadelphia. J.E. Bateman, R.P. Welsh (Eds.).
12. Kannus P., Palvanen M., Niemi S., Parkkari J., Järvinen M., Vuori I. Osteoporotic fractures of the proximal humerus in elderly Finnish persons: sharp increase in 1970-1998 and alarming projections for the new millennium. Acta Orthop Scand 2000, 71:465-470.
13. Kristiansen B., Andersen U.L., Olsen C.A., Varmarken J.E. The Neer classification of fractures of the proximal humerus. An assessment of interobserver variation. Skeletal Radiol 1988, 17:420-422.
14. Landis J.R., Koch G.G. The measurement of observer agreement for categorical data. Biometrics 1977, 33:159-174.
15. Meyer D.C., Espinosa N., Hertel R. Combined fracture of the greater and lesser tuberosities with intact connection of the humeral head to the shaft. J Trauma 2006, 61:206-208. 10.1097/01.ta.0000224111.21436.7f.
16. Müller M.E., Nazarian S., Koch P., Schatzker J. The comprehensive classification of fractures of long bones 1990, Springer Verlag, Berlin, p. 120-1.
17. Neer C.S. Four-segment classification of proximal humeral fractures: purpose and reliable use. J Shoulder Elbow Surg 2002, 11:389-400. 10.1067/mse.2002.124346.
18. Neer C.S. Displaced proximal humeral fractures, part II. Treatment of three-part and four-part displacement. J Bone Joint Surg Am 1970, 52:1090-1103.
19. Neer C.S. Displaced proximal humeral fractures, part I. Classification and evaluation. J Bone Joint Surg Am 1970, 52:1077-1089.
20. Rockwood C.A. Fracture classification systems: do they work and are they useful?. J Bone Joint Surg Am 1994, 76:790. [correspondence].
21. Sallay P.I., Pedowitz R.A., Mallon W.J., Vandemark R.M., Dalton J.D., Speer K.P. Reliability and reproducibility of radiographic interpretation of proximal humeral fracture pathoanatomy. J Shoulder Elbow Surg 1997, 6:60-69.
22. Shrader M.W., Sanchez-Sotelo J., Sperling J.W., Rowland C.M., Cofield R.H. Understanding proximal humerus fractures: image analysis, classification, and treatment. J Shoulder Elbow Surg 2005, 14:497-505. 10.1016/j.jse.2005.02.014.
23. Sidor M.L., Zuckerman J.D., Lyon T., Koval K., Cuomo F., Schoenberg N. The Neer classification system for proximal humeral fractures: an assessment of interobserver reliability and intraobserver reproducibility. J Bone Joint Surg Am 1993, 75:1745-1750.
24. Siebenrock K.A., Gerber C. The reproducibility of classification of fractures of the proximal end of the humerus. J Bone Joint Surg Am 1993, 75:1751-1755.
25. Sjödén G.O., Movin T., Güntner P., Aspelin P., Ahrengart L., Ersmark H., et al. Poor reproducibility of classification of proximal humeral fractures: additional CT of minor value. Acta Orthop Scand 1997, 68:239-242.
26. Sjöden G.O., Movin T., Aspelin P., Güntner P., Shalabi A. 3D-radiographic analysis does not improve the Neer and AO classifications of proximal humeral fractures. Acta Orthop Scand 1999, 70:325-328.
27. Stimson B. A manual of fractures and dislocations 1947, Lea & Febiger, Philadelphia. 2nd ed.
28. Tamai K., Hamada J., Ohno W., Saotome K. Surgical anatomy of multipart fractures of the proximal humerus. J Shoulder Elbow Surg 2002, 11:421-427. 10.1067/mse.2002.126101.