<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-215X</journal-id>
<journal-title><![CDATA[Revista Cubana de Ortopedia y Traumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Ortop Traumatol]]></abbrev-journal-title>
<issn>0864-215X</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-215X2023000300007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fractura desplazada de húmero proximal]]></article-title>
<article-title xml:lang="en"><![CDATA[Displaced fracture of proximal humerus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes Garcés]]></surname>
<given-names><![CDATA[Angel Daisel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tarragona Reinoso]]></surname>
<given-names><![CDATA[Ricardo Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marrero Riverón]]></surname>
<given-names><![CDATA[Luis Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Científico Ortopédico &#8220;Frank País&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-215X2023000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-215X2023000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-215X2023000300007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Las fracturas de húmero proximal representan entre un 4-6 % de todas las fracturas y en algunos grupos poblacionales inciden en un 10 %. El manejo quirúrgico permite la cicatrización anatómica de los huesos y tejidos blandos; favorece la función de la extremidad y minimiza el riesgo.  Objetivo:  Evaluar los diferentes tipos de tratamiento para las fracturas de húmero proximal a partir de la presentación de cuatro casos.  Presentación de casos:  Los cuatros pacientes se evaluaron por la escala de Constant, independientemente de los procederse quirúrgicos. Tres de ellos tuvieron un seguimiento mínimo de seis meses y sobrepasaron los 80 puntos. El otro paciente se mantuvo en consulta durante tres meses y logró una puntuación por encima de 50.  Conclusiones:  El método quirúrgico debe permitir una fijación estable para la movilización temprana de la articulación. Al elegirlo debe tenerse en cuenta la edad, la geometría de la fractura, la calidad ósea y los criterios de Hertel.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Fractures of the proximal humerus represent 4 to 6% of all fractures and 10% in some population groups. Surgical management allows anatomical healing of bones and soft tissues; promotes limb function and minimizes risk.  Objective: To evaluate the different types of treatment for proximal humerus fractures from the presentation of four cases.  Case report: Four patients were evaluated by the Constant scale, regardless of the surgical procedure. Three of them had a minimum follow-up of six months and exceeded 80 points. The other patient was kept in consultation for three months and achieved a score above 50.  Conclusions: The surgical method should allow stable fixation for early joint mobilization. When choosing it, age, fracture geometry, bone quality and Hertel criteria must be taken into account.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fractura de húmero proximal]]></kwd>
<kwd lng="es"><![CDATA[test de Constant]]></kwd>
<kwd lng="es"><![CDATA[criterios de Hertel]]></kwd>
<kwd lng="en"><![CDATA[proximal humerus fracture]]></kwd>
<kwd lng="en"><![CDATA[Constant's test]]></kwd>
<kwd lng="en"><![CDATA[Hertel's criteria]]></kwd>
</kwd-group>
</article-meta>
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