What does this research mean for the field?

In pediatric patients with acute proximal humerus fractures, fracture displacement greater than 42%, age over 12 years, and a non-fall injury mechanism are independent predictors for surgical treatment. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

Systematically characterize pediatric proximal humerus fractures to determine which clinical and radiographic variables guide the decision for surgical versus nonsurgical treatment.

September 3, 2026Emergency RadiologyOpen Access

Clinical and radiographic findings that impact treatment: a study of 418 proximal humerus fractures

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Authors

JFJulián Forero-MillánChildren's Hospital of Philadelphia WLWondwossen T. Lerebo VPVandan PatelChildren's Hospital of Philadelphia

Discussion

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Implication

Retrospective comparative study reveals fracture displacement, older age, and non-fall injury predict surgery in pediatric proximal humerus fractures, indicating key radiographic triage cutoffs.

Key Points

Systematically characterize pediatric proximal humerus fractures to determine which clinical and radiographic variables guide the decision for surgical versus nonsurgical treatment.
Reviewed pre-treatment radiographs and clinical records from 418 pediatric patients (< 18 years) treated for proximal humerus fractures between 2014 and 2024.
Evaluated demographics, injury mechanisms, skeletal maturity, physeal involvement, maximum fracture displacement, and angulation.
Identified diagnostic cutoffs via receiver operating characteristic (ROC) curves with the Youden index and performed multivariable logistic regression to identify independent predictors of surgical intervention.
Among 418 pediatric patients, 10.0% received surgical treatment and 14.0% presented with physeal involvement, with an overall median fracture displacement of 24% (IQR, 12%–53%) and median angulation of 14° (IQR, 8°–23°).
Independent predictors of surgery on adjusted multivariable analysis were fracture displacement > 42% (OR: 13.3, 95% CI: 4.2–41.7, P < 0.01), age > 12 years (OR: 7.2, 95% CI: 2.2–24.1, P < 0.01), and a non-fall injury mechanism (OR: 6.3, 95% CI: 2.4–16.7, P < 0.01).

Cite This Study

Forero-Millán et al. (2026) studied this question.

synapsesocial.com/papers/6a99352e636c6408cfa7d294 https://doi.org/10.1007/s10140-026-02534-7

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September 3, 2026Emergency RadiologyOpen Access

Clinical and radiographic findings that impact treatment: a study of 418 proximal humerus fractures

View Full Paper

Ask AI

Bookmark

Authors

JFJulián Forero-MillánChildren's Hospital of Philadelphia WLWondwossen T. Lerebo VPVandan PatelChildren's Hospital of Philadelphia

Discussion

Member takes

Implication

Retrospective comparative study reveals fracture displacement, older age, and non-fall injury predict surgery in pediatric proximal humerus fractures, indicating key radiographic triage cutoffs.

Key Points

Systematically characterize pediatric proximal humerus fractures to determine which clinical and radiographic variables guide the decision for surgical versus nonsurgical treatment.
Reviewed pre-treatment radiographs and clinical records from 418 pediatric patients (< 18 years) treated for proximal humerus fractures between 2014 and 2024.
Evaluated demographics, injury mechanisms, skeletal maturity, physeal involvement, maximum fracture displacement, and angulation.
Identified diagnostic cutoffs via receiver operating characteristic (ROC) curves with the Youden index and performed multivariable logistic regression to identify independent predictors of surgical intervention.
Among 418 pediatric patients, 10.0% received surgical treatment and 14.0% presented with physeal involvement, with an overall median fracture displacement of 24% (IQR, 12%–53%) and median angulation of 14° (IQR, 8°–23°).
Independent predictors of surgery on adjusted multivariable analysis were fracture displacement > 42% (OR: 13.3, 95% CI: 4.2–41.7, P < 0.01), age > 12 years (OR: 7.2, 95% CI: 2.2–24.1, P < 0.01), and a non-fall injury mechanism (OR: 6.3, 95% CI: 2.4–16.7, P < 0.01).

Cite This Study

Forero-Millán et al. (2026) studied this question.

synapsesocial.com/papers/6a99352e636c6408cfa7d294 https://doi.org/10.1007/s10140-026-02534-7

Also Consider

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