Proximal Humerus Fracture is often seen in elderly population 1 and post-menopausal female. A humerus fracture is a break in the large bone of your upper arm. Iyengar JJ, Devcic Z, Sproul RC, Feeley BT. Some of the symptoms of Proximal Humerus Fracture are immediate pain in the upper part of arm and shoulder following the … In most cases these fractures can be treated without surgery. Treatment depends on the type of fracture you have. You may need more than 1 x-ray, or another x-ray after several days have passed. An x-ray may show the type of fracture you have. A proximal humerus fracture is when the top part of the upper arm is broken. Surgeons may use nails, plates, and screws to secure pieces of bone together. A humerus fracture is a break of the humerus bone in the upper arm.
Around the world, this type of fracture remains a major challenge for treating surgeons. Launonen AP, Sumrein BO, Reito A, et al.
For minor fractures and biceps tears, nonsurgical treatment may be possible, especially for more elderly patients. A Proximal Humerus Fracture or Proximal Humerus Growth Plate Fracture in Children as stated is generally caused due to a fall on outstretched hands. A proximal humerus fracture usually occurs close to the shoulder joint and can be located at different levels with different fracture patterns: simple or comminuted. Injuries at the top of the shoulder are covered in the proximal humerus fracture section. REHABILITATION GUIDELINES FOR PROXIMAL HUMERUS FRACTURE (NON-OPERATIVE) PHASE I (1-3 WEEKS) DATES: Appointments No PT for 3 weeks, unless otherwise specified by MD Rehabilitation Goals • Modalities to control pain and swelling • Protect fracture site • Maintain ROM in surrounding joints • Prevent deconditioning Surgical Treatment for a Proximal Humerus Fracture. A humerus shaft fracture, on the other hand, is one that is localized at the mid portion of the upper arm. proximal humerus fracture treatment befor e 2004 (La nting, MacDermid et al. A proximal humerus fracture occurs near the shoulder and is most common in older adults with osteoporosis. If you have suffered from a traumatic injury that resulted in a proximal humerus fracture or a bicep tear (or both), then you may have additional injuries to these areas. There are several types of humerus fractures, depending on the location of the break. The cause of fracture is osteoporosis.The fracture is also observed in children mostly following fall and young adults following direct impact, which results in fracture. Fractures involving the proximal humeral physis are categorized by the Salter Harris classification system and fractures of the metaphysis are described by the amount of angulation and displacement at the fracture site. • Weekly radiographs and clinical assessment are performed for the first 3 weeks. In some cases, the broken proximal humerus must be surgically repaired or replaced. 20 08). If you have suffered from a traumatic injury that resulted in a proximal humerus fracture or a bicep tear (or both), then you may have additional injuries to these areas. Elbow, wrist, and hand mobilization begins immediately. How is a proximal humerus fracture diagnosed? Conservative treatment is the best option for elderly patients who present at his practice with proximal humerus fractures who have low functional demand and a fracture that is not reconstructable. As a result, the treating physician must understand the fracture pattern, the quality of the bone, other patient-related factors, and the expanding range of reconstructive options to achieve the best functional outcome and to minimize complications.