Дисертації з теми "Leg Fractures"
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Crowell, Harrison Philip. "Gait retraining for the reduction of lower extremity loading." Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 142 p, 2009. http://proquest.umi.com/pqdweb?did=1694575271&sid=7&Fmt=2&clientId=8331&RQT=309&VName=PQD.
Повний текст джерелаMukka, Sebastian. "Aspects on treatment of femoral neck fractures : studies on treatment methods, surgical approach and external validity." Doctoral thesis, Umeå universitet, Ortopedi, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-108269.
Повний текст джерелаLårbenshalsfrakturer (FNF) är en utmaning för dagens sjukvård och förknippad med hög mortalitet i den äldre befolkningen. FNF orsakas främst av lågenergitrauma efter fall i samma plan hos patienter med benskörhet. Total höftledsprotes (THA) har visat sig ge en bättre höftfunktion, livskvalitet med färre omoperationer hos äldre patienter än sluten reposition samt fixering med skruvar (IF) under de första två-fyra åren efter operation. Få studier har publicerats med långtidsuppföljning av THA jämfört med IF. Vid behandling av felställd FNF med halv höftledsplastik (HA) eller THA finns olika kirurgiska metoder (snittföring) för implantation av protesen. Majoriteten av ortopedkliniker i Sverige använder direkt lateral (DL) eller posteriolateral (PL) snittföring. PL har kopplats till en ökad risk för luxation av protesen (urledsvridning), vilket i sin tur genererat en högre risk för omoperation jämfört med DL. Få studier har utvärderat höftfunktion med avseende på snittföring. Detsamma gäller vilka radiologiska faktorer som påverkar risken förprotesluxation. Det finns olika typer av studiedesigner för utvärdering av medicinska och kirurgiska behandlingsmetoder. Studiedesignen med högst bevisvärde anses vara den randomiserade kontrollerade studien (RCT). För att en RCT skall hålla hög kvalitet krävs intern och extern validitet. Intern validitet syftar på ett korrekt studieupplägg som mäter det som avses och undviker påverkan av icke önskvärda faktorer. Extern validitet (EV) innebär att erhållna resultat från studien är generaliserbara och kan extrapoleras till andra grupper än den studerade. Det inga rapporter i ortopediska litteraturen med fokus på EV med patienter som drabbats av FNF. Studie I: Prospektiv randomiserad studie av 100 patienter med en felställd FNF jämförs THA med IF med avseende på höftfunktion och reoperationer. Uppföljning gjordes efter tre månader samt 1, 2, 4, 11 och 17 år. HHS som mått på höftfunktion var högre och andelen reoperationer lägre för patienter som behandlades med THA. Studie II: Prospektiv kohortstudie med 183 patienter med felställd FNF behandlade med HA och antingen DL eller PL. Vi fann ingen skillnad i patientrapporterad höftfunktion utvärderat med HHS och WOMAC efter 1 år men en ökad förekomst av hälta vid DL. Studie III: Retrospektiv kohortstudie av 373 patienter opererade med en cementerad bipolär HA och PL. Postoperativa röntgenbilder granskades avseende femoral offset (FO), postoperativ benlägdsskillnad (LLD) samt acetabulär Wibergvinkel och relaterades till återkommande protesluxationer. Detta relaterades till återkommande luxationer. Uppföljningstiden varierade mellan 6 månader och 7 år. Patienter med återkommande luxationer hade en minskad postoperativ global FO, förkortad LLD och grundare acetabulum på den opererade sidan jämfört med kontroller. Studie IV: Prospektiv kohortstudie av 840 patienter med felställd FNF där patienter som ingick i en RCT jämförs med de som inte gav sitt samtycke för deltagande eller ej inkluderats i screeningprocessen. De patienterna som inte gav sitt samtycke hade ökad dödlighet, men ingen skillnad i höftfunktion jämfört med deltagare. Slutsatser • Friska och kognitivt vitala äldre patienter med god höftfunktion innan en felställd lårbenshalsfraktur bör behandlas med total höftledsprotes. • DLsnittföring ger ett lika bra patientrapporterad höftfunktion men en ökad förekomst av hälta jämfört med PL snitt vid behandling med halvprotes på grund av en felställd lårbenshalsfraktur. • Ansträngning bör göras för att återställa benlängdsskillnad samtfemoral offset och därigenom minska risken för återkommande luxation. • Våra resultat tyder på att patienter som deltar i en randomiserad studie har lägre dödlighet än patienter som avböjt att delta samt de som missats i screeningprocessen. Det är viktigt att ta hänsyn till när extrapolerar studieresultat till ett hälso-och sjukvårdssystem. Detta bör vägas in i värderingen av studieresultatens externa validitet.
Famy, Carine. "Les termes d'échange entre blocs et fractures dans les simulateurs de réservoirs fracturés." Phd thesis, Toulouse, INPT, 2006. http://oatao.univ-toulouse.fr/7573/1/famy.pdf.
Повний текст джерелаFamy, Carine Quintard Michel. "Les termes d'échange entre blocs et fractures dans les simulateurs de réservoirs fracturés." Toulouse : INP Toulouse, 2008. http://ethesis.inp-toulouse.fr/archive/00000466.
Повний текст джерелаBonnard, Olivier. "Les fractures du calcaneum de l'adulte : à propos d'une série de 135 cas : travail du service d'orthopédie traumatologie du professeur Bousquet, CHRU Saint-Etienne." Saint-Etienne, 1990. http://www.theses.fr/1990STET6415.
Повний текст джерелаJrad, Rami. "Etude rétrospective d'un an de fractures des membres chez les enfants de moins de seize ans au C. H. G. De Perpignan." Montpellier 1, 1996. http://www.theses.fr/1996MON11024.
Повний текст джерелаRoubinet, Delphine. "Impact des structures géologiques sur les échanges entre fractures et matrice dans les milieux poreux fracturés." Phd thesis, Université Rennes 1, 2010. http://tel.archives-ouvertes.fr/tel-00567067.
Повний текст джерелаBen-Yamin, Robert. "Les fractures de l'odontoïde : pronostic et traitement, une étude clinique portant sur 71 cas." Bordeaux 2, 1989. http://www.theses.fr/1989BOR25188.
Повний текст джерелаMegy, Bernard. "Les fractures de l'extrémité inférieure du fémur : à propos de 139 observations : résultat fonctionnel et séquelles." Montpellier 1, 1988. http://www.theses.fr/1988MON11093.
Повний текст джерелаGarin, Christophe. "Attitude thérapeutique actuelle dans les fractures de la portion non dentée de la mandibule : à propos de 1157 cas." Bordeaux 2, 1991. http://www.theses.fr/1991BOR2M125.
Повний текст джерелаMartin, Bruno. "Les fractures de l'extrémité inférieure du fémur : à propos de 139 cas : étude générale et proposition d'une stratégie thérapeutique." Montpellier 1, 1988. http://www.theses.fr/1988MON11092.
Повний текст джерелаGuedj, Emmanuel. "Les fractures du sacrum par insuffisance osseuse." Montpellier 1, 1995. http://www.theses.fr/1995MON11050.
Повний текст джерелаFarenq, Christophe. "L'articulation radio-cubitale inférieure dans les fractures du poignet : à propos de 77 cas." Montpellier 1, 1992. http://www.theses.fr/1992MON11046.
Повний текст джерелаTachot, Bertrand. "Place du fixateur externe dans les traumatismes du bassin et les fractures du cotyle : à propos de 47 observations." Montpellier 1, 1992. http://www.theses.fr/1992MON11196.
Повний текст джерелаFarthouat, Philippe. "Les fractures des épines tibiales chez l'enfant : à propos de 27 cas." Bordeaux 2, 1989. http://www.theses.fr/1989BOR25131.
Повний текст джерелаCirera, Eva. "Evolució de les lesions en la gent gran. Espanya 2000-2010." Doctoral thesis, Universitat Pompeu Fabra, 2014. http://hdl.handle.net/10803/294997.
Повний текст джерелаTraumatic injuries in older people are a major public health problem, since they are one of the leading causes of morbidity in this age group. Studies of the incidence of injury and it trends among older people provide only a partial insight into the situation, since in most cases the data are limited to a single injury mechanism, such as the evolution of fall-related injuries, to specific injury types, such as hip fractures, or to injuries of a certain severity, such as those requiring hospitalization. The objectives of this thesis are to estimate the incidence of traumatic injuries among elderly individuals that were attended at hospitals in Spain, stratified by sex and age, as well as by severity and mechanism of injury. We also identify the most common injuries in older people, and finally analyse the evolution of their incidence over a period of eleven years. We conducted a descriptive study, using a cross-sectional or longitudinal design, depending on the objectives. The population study consists of individuals over 64 years of age who were resident in Spain between 2000 and 2010. Incidence rates were calculated using data provided by the National Hospital Discharge Register (NHDR) from the Spanish Institute of Health Information (Ministerio de Sanidad, Servicios Sociales e Igualdad), and the National Institute of Statistics. Cases were Spanish residents older than 64 years discharged from a Spanish hospital with a primary diagnosis of traumatic injury. Incidence trends were analysed using generalized linear models, assuming Poisson distribution and log link function for each dependent variable, and adjusting for overdispersion. The Annual Percent Change (APC) of the rate is computed from the estimated relative risk (RR) and its 95% confidence interval. The incidence of traumatic injuries attended at hospital is higher among women than men, and increases with age. A positive trend in incidence has been observed in recent years, especially in individuals over 75-80 years of age, and this increase is accentuated by age. Traffic injuries are the only injury type in which we observe a decline. Hip fractures are still the most common injury type, although in the case of individuals under 75 years, their incidence decreased significantly in women and remained stable in men throughout the study period. The effect of this decline has been counterbalanced by an increase in the incidence of other types of injury such as head injuries and fractures in the upper extremities. The results of this thesis allow us to identify two large groups within the population of older people, the elderly (up to 75-80 years) and the super-elderly (from this age onward). While hip fractures remain the most common injury type in all age groups, their decrease in incidence among elderly women along with the increase in frequency of fractures of the upper extremities and of traumatic brain injuries means that hip fractures are losing importance in this age group. In the case of super-elderly individuals, the increase
Boyer, Marc. "Intérêt du vissage de Herbert dans les fractures et les pseudarthroses du scaphoi͏̈de carpien : à propos de trente cas." Bordeaux 2, 1989. http://www.theses.fr/1989BOR25251.
Повний текст джерелаTurban, Gaël. "Les fractures du plancher de l'orbite et leur traitement chirurgical (à propos de 18 cas opérés et revue de la littérature)." Bordeaux 2, 1996. http://www.theses.fr/1996BOR2M113.
Повний текст джерелаLambilly, Charles de. "Apport des reconstructions tomodensitométriques tridimentionnelles dans les fractures de l'acetabulum." Bordeaux 2, 1992. http://www.theses.fr/1992BOR23009.
Повний текст джерелаDelmas, Thierry. "Les fractures de jambes chez le footballeur." Montpellier 1, 1993. http://www.theses.fr/1993MON11020.
Повний текст джерелаMalagoli, Sylvie Courtin. "Les fractures en deux temps du col fémoral : intérêt de l'ostéosynthèse préventive." Montpellier 1, 1989. http://www.theses.fr/1989MON11231.
Повний текст джерелаTRIPOTEAU, VINCENT. "Les fractures de scapula." Nantes, 1992. http://www.theses.fr/1992NANT132M.
Повний текст джерелаGIRARD, MARC. "Les fractures du penis." Nantes, 1992. http://www.theses.fr/1992NANT061M.
Повний текст джерелаZwart, Salmerón Marta. "Estudis de cohorts per validar un model de categorització del risc de fractura per fragilitat en població femenina espanyola en base a l’algoritme FRAX ® de la OMS. Les cohorts FRIDEX i FROCAT." Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/399848.
Повний текст джерелаThe usefulness of the FRAX tool from the World Health Organization to evaluate the 10-year fracture risk of patients has been shown in many international studies. In the Spanish female population it has been demonstrated that the tool has a a good discriminative ability to detect women who will suffer from a fragility fracture and it is at least equivalent to, if not slightly higher than the bone mineral density (BMD) model (T-score ≤ -2.5 standard deviations). However, it displays weaknesses in the overall concordance between predicted fracture probability and observed fracture incidence, with a tendency to underestimate the risk. To improve the main osteoporotic fracture risk predictive capability, some FRAX thresholds have been developped to identify people with risk of osteoporotic fracture in Spain, based on the stratification from the female FRIDEX cohort into 3 levels of FRAX risk ( without femoral neck (FN) T-score) (low risk <5%, intermediate ≥5 to <7.5% and high ≥7.5%) according to the fracture incidence observed in the cohort, which in turn are related with risk ranges traditionally considered to be low (<10%), intermediate (10-20%) and high risk (> 20%) in other epidemiological studies. The aim of this thesis was to validate the FRIDEX model in the Spanish female population using the FRAX main osteoporotic fracture risk thresholds to 10-year in the updated results of the FRIDEX cohort and in the general population (FROCAT cohort). Firstly, the work validates the discriminatory and predictive ability of the FRAX tool obtained in the preliminary analysis of the FRIDEX cohort, and this is important because from these cases the categorization in the three risk groups was developed. Secondly, it externally validates the FRIDEX model to discriminate fracture risk in women from the general population.
Tchoumou, Jean-Thierry. "Traitement des fractures à bascule postérieure de l'extrémité inférieure du radius selon les méthodes d'embrochage percutané : à propos de 47 cas chez la personne de 50 ans et plus." Montpellier 1, 1999. http://www.theses.fr/1999MON11048.
Повний текст джерелаMéheust, Yves. "Écoulements dans les Fractures Ouvertes." Phd thesis, Université Paris Sud - Paris XI, 2002. http://tel.archives-ouvertes.fr/tel-00008477.
Повний текст джерелаMéheust, Yves. "Ecoulements dans les fractures ouvertes." Paris 11, 2002. https://tel.archives-ouvertes.fr/tel-00008477v3.
Повний текст джерелаThe first part of this thesis addresses a study of the geometry of rough fractures that have been obtained through controlled fracturing of granite and sandstone blocks. The surfaces are recorded using a specially deviced profiler, which allows mechanical and optical measurement. The recordings are well described by an isotropic self-affine model. The persistence of the correlations is significantly smaller for sandstone than it is for granite. In a second part, we study how the flow through a rough fracture is influenced by the roughness of the fracture walls, when inertial effects can be neglected. An experimental setup allows to observe a significant dependence of the of the fracture permeability on the orientation of the effective pressure gradient. A numerical model confirms these observations, and allows to interpret this " hydraulic anisotropy " in terms of flow channeling. Channeling is controlled by large scale heterogeneities in the aperture field; the importance of theseheterogeneities is greatly dependent on the matching of the two walls at large scales. .
ZEI, MARIA. "Fractures dans les materiaux heterogenes." Lyon, École normale supérieure (sciences), 2001. http://www.theses.fr/2001ENSL0178.
Повний текст джерелаWatson, Hilary Joy. "Longitudinal study of recovery following diaphyseal fracture of the tibia or femur." Thesis, University of Edinburgh, 1988. http://hdl.handle.net/1842/19399.
Повний текст джерелаFigueiredo, Ubirajara M. "The application of micromovement on distraction osteogenesis." Thesis, University of Bristol, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.243678.
Повний текст джерелаDelolme, Laure. "Les complications neurologiques des fractures du sacrum par insuffisance osseuse : à propos de trois observations." Montpellier 1, 1998. http://www.theses.fr/1998MON11010.
Повний текст джерелаHastert, Véronique. "Les paralysies faciales après fracture du rocher : à propos de 35 cas." Lille 2, 1994. http://www.theses.fr/1994LIL2M012.
Повний текст джерелаToullec, Éric. "Les sequelles des fractures du calcaneum." Toulouse 3, 1991. http://www.theses.fr/1991TOU31560.
Повний текст джерелаMazeau, Philippe. "Vissage de Garden en triangulation dans les fracures cervicales vraies du col du fémur : à propos de 344 cas." Bordeaux 2, 1990. http://www.theses.fr/1990BOR23016.
Повний текст джерелаRousselin, Michel. "Apport des nouvelles techniques d'imagerie médicale dans les fractures de fatigue." Bordeaux 2, 1989. http://www.theses.fr/1989BOR25019.
Повний текст джерелаGiannakopoulou, Vaïa. "Modélisation de la réponse de fractures ou de zones fracturées pour des mesures électromagnétiques en puits et entre puits : cas où les fractures peuvent être à remplissage conducteur et/ou magnétique et d’orientations quelconques." Paris 6, 1995. http://www.theses.fr/1995PA066092.
Повний текст джерелаOrtega, Novillo Adrián. "Characterization of the translaminar cohesive law." Doctoral thesis, Universitat de Girona, 2017. http://hdl.handle.net/10803/406960.
Повний текст джерелаQuan un laminat compost de polímer reforçat amb fibres és sotmès a tracció o compressió, aquest desenvolupa una Zona de Procés de Fractura relativament gran, on mecanismes d'enduriment com ara l'esquerdament de la matriu, bridging i pull-out de fibres tenen lloc. La iniciació i propagació del dany estan ben definits des del punt de vista del model cohesiu, tot i que actualment encara no hi ha cap procediment estàndard per caracteritzar la Llei Cohesiva translaminar. La present tesi doctoral proposa un mètode invers per a l'obtenció de la Llei Cohesiva utilitzant únicament un assaig de la proveta Compact Tension. La metodologia proposada ha estat correlada amb resultats numèrics, i ha estat empleada satisfactòriament per a caracteritzar aquesta propietat en diversos laminats, tant a tracció com a compressió
VARGOZ, SOUBEYRAND FRANCOISE. "Les fractures de contrainte par insuffisance osseuse." Lyon 1, 1991. http://www.theses.fr/1991LYO1M233.
Повний текст джерелаDUPUY, MARIE-LINE BEATRICE. "Les fractures du sacrum par insuffisance osseuse." Aix-Marseille 2, 1993. http://www.theses.fr/1993AIX20169.
Повний текст джерелаChenal, Henri Marie Albert. "Les fractures de jambe en cote d'ivoire." Université Louis Pasteur (Strasbourg) (1971-2008), 1990. http://www.theses.fr/1990STR1M041.
Повний текст джерелаChapurlat, Roland D. "Les déterminants biologiques de la perte osseuse et des fractures dans l'ostéoporose." Lyon 1, 2000. http://www.theses.fr/2000LYO1T150.
Повний текст джерелаMatonti, Christophe. "Exploration géophysique des processus de fracturation et de réactivation dans les carbonates à l'échelle métrique." Thesis, Aix-Marseille, 2015. http://www.theses.fr/2015AIXM4744.
Повний текст джерелаThe aim of this work was to understand the relationships between deformations and diagenesis in carbonates. The relevant scale to study it may be the m to dkm scale which allows individualizing fracture, fault and matrix effects. This scale is under the seismic resolution, so few quantitative diagenetic and geophysical spatial data are available, mainly constrained to 1D borehole.Therefore, we selected 4 dkm scale outcrops displaying various heterogeneities and intensities of deformation and diagenesis. We developed a multidisciplinary/multiscale protocol including geophysics from cm to dkm scale along with structural diagenesis study and geochemical measurements on fractures cements. We found a strong scale effect between laboratory and outcrop Vp due to sedimentary, burial and structural heterogeneities that lead to different geostatistical patterns. Fractures have the strongest effect on Vp, being modulated by their cementation and can erase the initial facies acoustic signature. The fracture reactivation induce a 10% Vp directional anisotropy due to microscale changes in the fractures infillings characterized by multiple cementation, crushing and dissolution phases. In fault-zones the seismic anisotropy magnitude is amplified, leading to a strong directional rock shear weakening and a Vp decrease around the fault, caused by higher discontinuities aperture and brecciation. Geochemical data indicate that the Vp signature evolution is linked to different diagenetic fluids flow origins occurring during each deformation phase. This underlines the strong interplay between permeability evolution, structural diagenesis and geophysical signature in carbonates
Kerleau, Michel. "La fluoration des eaux de boisson et les fractures osseuses chez les personnes âgées : une étude prospective dans PAQUID." Bordeaux 2, 1995. http://www.theses.fr/1995BOR2M153.
Повний текст джерелаBAZALGETTE, LOIC. "Relations plissement/fracturation multi échelle dans les multicouches sédimentaires du domaine élastique/fragile :Accommodation discontinue de la courbure par la fracturation de petite échelle et par les articulations. Possibles implications dynamiques dans les écoulements des réservoirs." Phd thesis, Université Montpellier II - Sciences et Techniques du Languedoc, 2004. http://tel.archives-ouvertes.fr/tel-00007923.
Повний текст джерелаLes principaux résultats de ce travail sont les suivants :
- Une classification originale des relations entre plis et fractures est établie sur la base d'études comparatives de terrain. La cinématique et les origines mécaniques des différentes associations observées sont discutées, ainsi que de possibles implications au niveau de la dynamique dans les réservoirs plissés fracturés sont proposées.
- Le rôle prédominant de zones de fractures appelées articulations sur l'accommodation de la courbure des plis est démontré par de nombreuses études de terrain. Une typologie de ces zones de fractures est proposée sur la base d'exemples naturels et leur origine mécanique est discutée. L'origine mécanique de ces articulations est précisée dans une étude expérimentale. On utilise des multicouches de paraffine cassante, sollicités dans un dispositif de chargement original. Ce dispositif permet une étude paramétrique des conditions de chargement et de la structure du multicouche, tout en autorisant l'observation en continu de la déformation. Les paramètres les plus importants contrôlant la distribution des articulations et leur évolution géométrique sont la pression de confinement et la friction interfaciale dans le multicouche.
- On présente en outre une étude de cas intégrant l'ensemble des résultats et des concepts. Il s'agit de l'anticlinal de la Montagna della Majella (Italie), qui représente un analogue de réservoir plissé/fracturé.
- Des implications des résultats précédents aux problèmes des écoulements dans les réservoirs sont discutées.
Diaz, Lucien. "Les fractures de l'extrémité supérieure du fémur chez la personne âgée : à propos d'une étude de 205 entrées en moyen séjour au C.S.P.A. de Bellevue." Montpellier 1, 1990. http://www.theses.fr/1990MON11225.
Повний текст джерелаJURUS, MIREILLE PASCALE. "Les fractures cervicales du col femoral chez les hemodialyses chroniques." Lyon 1, 1989. http://www.theses.fr/1989LYO1M114.
Повний текст джерелаGavillet, Laurence. "Les fractures chez les ruminants : une étude rétrospective (1981-1991) /." [Bern] : [s.n.], 1993. http://www.ub.unibe.ch/content/bibliotheken_sammlungen/sondersammlungen/dissen_bestellformular/index_ger.html.
Повний текст джерелаJAFFE, MARC. "Les fractures trochanteriennes : a propos d'une serie de 348 fractures traitees par vis plaque de judet." Toulouse 3, 1993. http://www.theses.fr/1993TOU31508.
Повний текст джерелаKampfer, Günther. "PLIS ET FRACTURES D'EXTENSION DANS LES ROCHES STRATIFIÉES." Phd thesis, Ecole Normale Supérieure de Paris - ENS Paris, 2010. http://tel.archives-ouvertes.fr/tel-00564546.
Повний текст джерелаIsart, Torruella Anna. "Estudi dels patrons del desplaçament fracturari en les fractures del húmer proximal." Doctoral thesis, Universitat Autònoma de Barcelona, 2017. http://hdl.handle.net/10803/458627.
Повний текст джерелаCurrently, there is an increase in fractures of the proximal humerus mainly due to the increase in life expectancy, the greater survival of population aging more prevalent. This segment of the population has a higher number of fractures fragile and osteoporotic profile because these are usually more complex patterns. Interpreting the displacement of these fragments is needed to understand the fracture and to plan your treatment. The working hypothesis is that the rotation of the humeral head determines the displacement of the greater tuberosity. And the goals you want to determine the cut-off point after which the rotation of the humeral head determines the displacement of the greater tuberosity, to study the relationship of fracture or displacement of the tuberosity small to flip the humeral head and assess whether tuberosity moves cranially depending on the flip of the humeral head. This is a retrospective descriptive study that includes patients with fractures of the proximal humerus from 2010 to 2014, the criteria for inclusion and exclusion of the study. All of them are carried out X-ray anteroposterior and lateral shoulder trans-scapular following the protocol of the hospital with a CT of the proximal humerus fracture to analyze the movements of the four biggest fragments. It quantified the displacement of each of the four fragments in isolation and the posting of the remaining fragments and the calculated: cephalo - diaphyseal angle, the distance greater tuberosity - acromion, greater tuberosity distance - diaphysis, the distance greater tuberosity - head, the distance between the midpoint of the diaphysis and the midpoint of the head, the distance greater tuberosity - glenoid valued if the humeral head is shifted back - focused - above and if the greater tuberosity and tuberosity are broken small. The population studied and included in the work consists of 132 patients with fractures of the proximal humerus. It has been proven that the rotation of the humeral head determines the displacement of the greater tuberosity. And if the study determines the displacement of the greater tuberosity, but note that differentiates the position of the humeral head, tuberosity is displaced from a 1cm cephalo - diaphyseal angle of 152º. In cases where the humeral head is shifted back, and this angle is 156.5º where the humeral head is centred, the angle is 141.7º. Observing the relationship between small tuberosity and the humeral head rotation, we conclude that the fracture or displacement of the small tuberosity is not related to the rotation of the humeral head. While interpreting the results of a superior or cranial displacement tuberosity of the humeral head on the rotation, we have not found a significant relationship. With this study, we have seen that if we pay attention to X-rays performed at first when the patient with a fracture of the proximal humerus reaches the urgency with anteroposterior projection because we can calculate the cephalo - diaphyseal angle fracture and this measure could already predict the displacement of the greater tuberosity. These measures allow us to make an initial screening to since then, suspecting what treatment (conservative vs. surgical) would be the most optimal apply it to the patient without further additional examinations, and whether it would be a candidate to need a CT finish to complete the study if required surgery.