Shoulder Trauma
A 72-year-old woman presents after a fall on her outstretched hand. She has a painful, swollen right shoulder. Radiographs show a four-part proximal humerus fracture with displacement of the head, greater tuberosity, and lesser tuberosity fragments. The humeral head appears medialized and has no contact with the glenoid. She is an active, independent woman who lives alone. Regarding proximal humerus fracture management:
Mark each as TRUE or FALSE
The Neer classification divides the proximal humerus into four parts (head, greater tuberosity, less...
Blood supply to the humeral head comes primarily from the arcuate artery (branch of ascending branch...
All four-part fractures require hemiarthroplasty; ORIF never achieves acceptable results for displac...
Surgical options include: ORIF (locking plates for 2-3 part fractures with adequate bone quality), h...
Key complications include: AVN (risk increases with 4-part fractures, head-split, and medial calcar ...
Answer the questions to see explanations
Click T (True) or F (False) for each option