Proximal Humerus Fractures Diagnosis And Decision Making Proximal humerus fractures – leave it, fix it or replace it? courtesy: prof uma srikumaran, director of shoulder surgery, johns hopkins school of medicine, baltimore, usa. post views: 13,135. Proximal humerus fractures. proximal humerus fractures are common fractures often seen in older patients with osteoporotic bone following a ground level fall on an outstretched arm. diagnosis is made with orthogonal radiographs of the shoulder.
Proximal Humerus Fractures From Non Operative To Reverse Vast majority. high energy trauma in younger population. 3 main loading modes: compressive – humeral head impacts at glenoid. bending – angular forces at surgical neck. tension – rotator cuff pulling on greater and less tuberosities. fall on outstretched hand. valgus impacted proximal humerus fracture. A proximal humerus fracture occurs when the ball, of the ball and socket shoulder joint, is broken. the fracture is actually at the top of the arm bone (the humerus). most proximal humerus fractures are non displaced (not out of position), but about 15 20 percent of these fractures are displaced, and these may require more invasive treatment. Proximal humerus fractures (phf) account for 5 6% of all adult fractures[1]. there is increasing recognition given in regard to managing these fractures in the setting of elderly, low energy falls as these events are contributing to the global impact of direct and indirect costs of osteoporosis and fragility fractures. moreover, as the general population continues to age and an increasing. Microsoft word non operative proximal humeral fx.doc. updated march 2014. 750 e terra cotta ave, suite c crystal lake, il 60014 (815) 455 0800. crystallakeortho .
Practical Tips And Techniques For Optimal Management Of Proximal Proximal humerus fractures (phf) account for 5 6% of all adult fractures[1]. there is increasing recognition given in regard to managing these fractures in the setting of elderly, low energy falls as these events are contributing to the global impact of direct and indirect costs of osteoporosis and fragility fractures. moreover, as the general population continues to age and an increasing. Microsoft word non operative proximal humeral fx.doc. updated march 2014. 750 e terra cotta ave, suite c crystal lake, il 60014 (815) 455 0800. crystallakeortho . Blood supply of the proximal humerus anterior humeral circumflex artery and it’s ascending branch with it’s terminal branch – blood supply depends on the metaphyseal extension to humeral head – if the extension >8 9mm, medial hinge is not displaced, or valgus impacted fracture – indicates blood supply is present. 2) arthroplasty. Figure 1: a patient with a proximal humerus fracture. front and side pictures show the swelling and bruising down the arm. figure 2: skeleton model showing the proximal humerus and three other bones of the shoulder. figure 3: x ray of a normal shoulder. the shoulder joint is between part of the scapula or shoulder blade (blue line) and the.
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