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Hand & Upper Limb
intermediate
X-Type

Proximal Humerus Fracture Classification

Shoulder Trauma

A 72-year-old woman with osteoporosis presents after a fall onto her outstretched hand. She has significant shoulder pain and swelling. Radiographs (AP, lateral, and axillary views) reveal a proximal humerus fracture with displacement of the greater tuberosity and the anatomical neck, with the humeral head remaining in the glenoid. Regarding proximal humerus fractures:

Mark each as TRUE or FALSE

A

Proximal humerus fractures are common in the elderly (osteoporotic), typically from low-energy falls...

B

Blood supply to the humeral head comes primarily from the anterior circumflex humeral artery via the...

C

Neer classification is based on two parts only; displacement criteria is greater than 5cm; most frac...

D

Treatment depends on fracture pattern, bone quality, and patient factors: non-operative (sling, earl...

E

Greater tuberosity fractures are important to reduce anatomically (displacement greater than 5mm aff...

Answer the questions to see explanations

Click T (True) or F (False) for each option