PROXIMAL HUMERAL FRACTURES Flashcards

1
Q

Mechanism

A

Low-energy falls - osteoporotic elderly
High-energy trauma - young individuals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Complications

A

Axillary Nerve Injury
Arterial Injury - most often at the surgical neck - ant. & post. humeral circumflex a.?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Symptoms

A

Pain and swelling
Decreased ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Physical Exam

A

Extensive ecchymosis of chest, arm and forearm
Check axillary nerve (function of deltoid & lateral shoulder sensation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

X-RAY

A

Shoulder 3V: AP, scapular Y, axillary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Acute Management Management (non-dislocated)

A

Sling immobilization
Referral to Ortho

How well did you know this?
1
Not at all
2
3
4
5
Perfectly