Thomas P. Goss, MD
In 1970, Dr. Charles Neer introduced his four-segment classification scheme for proximal humeral fractures. This enhanced the understanding of these fractures and has made their surgical management more successful. The classification scheme is based on the degree of displacement of the four major segments.
Dr. Goss has developed open surgical management procedures for two- and three-part proximal humeral fractures as defined by Dr. Neer's classification scheme. These procedures create a stable fixation construct which counteracts forces tending to cause displacement. This insures proper healing, allows institution of an early and aggressive physiotherapy program, and helps to achieve an optimal functional result.
In this segment, Dr. Goss demonstrates these procedures for two-part fractures involving the greater tuberosity, two-part fractures involving the surgical neck, and three-part fractures involving the greater tuberosity and the surgical neck. He explains the biomechanical principles upon which these fixation constructs are based. In addition, he discusses his postoperative physiotherapy rehabilitation program.
- Flatow EL, et al. Open reduction and internal fixation of two-part displaced fractures of the greater tuberosity of the proximal part of the humerus J Bone Joint Surg 1991;73A:1213-8
- Hawkins RJ, et al. The three-part fracture of the proximal part of the humerus J Bone Joint Surg 1986;68A:1410-4
- Total Run Time: 23:09 minutes
- Catalog Number: 2509
- VJO Publication Date: December, 1995