Upper Limb Trauma
A 68-year-old woman with osteoporosis presents after a fall onto her outstretched hand. She has severe shoulder pain, swelling, and inability to move her arm. Radiographs show a proximal humerus fracture with displacement of the greater tuberosity superiorly by 8mm, the humeral head in valgus position, and the surgical neck is impacted. The lesser tuberosity remains attached to the head. Regarding proximal humerus fractures:
Mark each as TRUE or FALSE
The Neer classification is based on four parts (humeral head, greater tuberosity, lesser tuberosity,...
Greater tuberosity fractures may occur in isolation or with anterior shoulder dislocations; displace...
Two-part fractures have the best blood supply and lowest AVN risk; three-part and four-part fracture...
Valgus-impacted four-part fractures have better AVN rates (less than 20%) than classic four-part fra...
Treatment options include non-operative management (sling immobilization for minimally displaced fra...
Answer the questions to see explanations
Click T (True) or F (False) for each option