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Proximal Humeral Fractures

Background

  • Accounts for 4-5% of all fractures
  • Often missed when co-existing with multiple injuries
  • Fractures in young people - violent trauma
  • Fractures in elderly people - minor trauma
  • Can occur in both children and adults

Classification

Neer's classification

  • Group 1 – All fractures with minimal displacement and minimal angulation (displacement  <1cm, angulation < 45 degrees)
  • Group 2 – Fractures through the anatomical neck with displacement >1cm. Can be complicated by AVN of the humeral head
  • Group 3 – Fractures of the surgical neck with significant displacement and / or severely angulated fragments. Can be complicated by axillary nerve damage
  • Group 4 – Fractures of the greater tuberosity displaced by the pull of the supraspinatus tendon. Can be complicated by impingement syndrome
  • Group 5 – Fractures of the lesser tuberosity
  • Group 6 – Fracture-dislocations


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Humeral Shaft Fractures
Proximal Humeral Fractures
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