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Hand & Upper Limb
intermediate
X-Type

Proximal Humerus Fractures

Shoulder Trauma

A 72-year-old osteoporotic woman falls on her outstretched hand and presents with a painful, swollen right shoulder. Radiographs show a four-part proximal humerus fracture with displacement of the greater tuberosity, lesser tuberosity, and articular segment. CT scan confirms head-splitting component and poor bone quality. Regarding proximal humerus fractures:

Mark each as TRUE or FALSE

A

The Neer classification divides the proximal humerus into four parts: anatomical head, greater tuber...

B

The blood supply to the humeral head primarily enters via the arcuate artery (anterior humeral circu...

C

Four-part fractures have a low rate of AVN and excellent outcomes with ORIF in elderly patients; pla...

D

Treatment selection depends on patient age, functional demand, bone quality, fracture pattern, and b...

E

Complications of proximal humerus fractures include avascular necrosis of the humeral head (risk inc...

Answer the questions to see explanations

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