15) Shoulder Fx's Flashcards
1
Q
What is the most common UE fx?
A
Shoulder
2
Q
What does incidence of shoulder fx incr w/?
A
Age
3
Q
A shoulder fx in what location has a poor prognosis & why?
A
Anatomic Neck–>Fx in that location disrupts the blood supply from the ascending branch of the circumflex artery
4
Q
Why does fx of the surgical neck of the fx have a better prognosis?
A
Blood supply isn’t disrupted
5
Q
What does non-op management of shoulder fx’s include?
A
Sling & early mobilization starting 7-10 days post-fx
6
Q
What does operative management of shoulder fx’s include?
A
- Pinning
- Tension bands
- Hemiarthroplasty (prox humerus replacement)
- TSR
- Reverse TSR
7
Q
TSR
A
Replace the glenoid & humeral head
8
Q
Reverse TSR
A
Switch the morphology of the jt to incr stability & allow for early movement
9
Q
What is post-shoulder rehab dependent on?
A
- Pt’s age
- Bone quality
- Fx pattern
10
Q
A