PROXIMAL HUMERAL FRACTURES Flashcards
1
Q
Mechanism
A
Low-energy falls - osteoporotic elderly
High-energy trauma - young individuals
2
Q
Complications
A
Axillary Nerve Injury
Arterial Injury - most often at the surgical neck - ant. & post. humeral circumflex a.?
3
Q
Symptoms
A
Pain and swelling
Decreased ROM
4
Q
Physical Exam
A
Extensive ecchymosis of chest, arm and forearm
Check axillary nerve (function of deltoid & lateral shoulder sensation)
5
Q
X-RAY
A
Shoulder 3V: AP, scapular Y, axillary
6
Q
Acute Management Management (non-dislocated)
A
Sling immobilization
Referral to Ortho