Fractures

Question 1

Who are proximal humeral fractures usually found in and how do the happen?

Answer 1

• Commonly in the elderly
• Etiology: FOOSH

Question 2

What are the structures involved in a proximal humeral fracture?

Answer 2

Surgical humeral neck

Question 3

What complications can you see with proximal humeral fractures?

Answer 3

• Axillary artery damage: coldness and blanching, emergency referral, possible avascular necrosis
• Adhesive capsulitis from prolonged immobilization

Question 4

What is the cause of a clavicular fracture and where is the location of it?

Answer 4

• Etiology: compression mechanism through the long axis of the clavicle
• Location: weak spot at the S curve

Question 5

What are complications of clavicular fractures?

Answer 5

• Large displacement may require surgery
• Epiphyseal plate injury as it is the last bone to ossify at 18-25 years of age

Question 6

What specific test can you do for a clavicular fracture?

Answer 6

Olecranon - Manubrium Percussion test

Question 7

When do we usually begin PT with fracture cases?

Answer 7

Typically start PT when clinical union occurs between 4-8 weeks

Question 8

If there is pain after clinical union with a fracture is it from the bone?

Answer 8

Not typically

Question 9

What is the PT focus with fractures?

Answer 9

Focus on consequences of prolonged immobilization where every tissue is negatively influenced