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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Proximal Humerus Fracture Treatment

Shoulder Trauma

A 72-year-old woman presents after falling onto her outstretched hand. She has significant shoulder pain and swelling. Radiographs reveal a four-part proximal humerus fracture with head-splitting component. CT scan confirms displacement of the greater tuberosity, lesser tuberosity, and humeral shaft with disruption of the medial calcar. There is pre-existing rotator cuff arthropathy on the contralateral shoulder. Regarding proximal humerus fractures:

Mark each as TRUE or FALSE

A

The Neer classification is based on the number of displaced parts (greater tuberosity, lesser tubero...

B

Humeral head blood supply: the anterior humeral circumflex artery gives the arcuate artery (ascendin...

C

All proximal humerus fractures require surgical treatment; the Neer classification defines displacem...

D

Treatment options: non-operative management (sling, early mobilization) for minimally displaced frac...

E

RTSA advantages in proximal humerus fractures: does not depend on rotator cuff healing for function;...

Answer the questions to see explanations

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