(Shoulder fracture)

Proximal humeral fractures are proximal to the surgical humeral neck (Major anatomical landmarks of the proximal humerus). Most are minimally displaced and angulated. The diagnosis is made by plain films or sometimes CT. Most of these fractures can be treated with a sling, a wrapping and early mobilization.

Proximal humerus fractures are particularly common in the elderly. Some patients have axillary nerve damage (reduction of sensation over the middle deltoids) or damage of the axillary artery. After only a few days of immobilization can already develop contractures, especially in the elderly.

Proximal humeral fractures are proximal to the surgical humeral neck (Major anatomical landmarks of the proximal humerus). Most are minimally displaced and angulated. The diagnosis is made by plain films or sometimes CT. Most of these fractures can be treated with a sling, a wrapping and early mobilization. Proximal humerus fractures are particularly common in the elderly. Some patients have axillary nerve damage (reduction of sensation over the middle deltoids) or damage of the axillary artery. After only a few days of immobilization can already develop contractures, especially in the elderly. Significant anatomical landmarks of the proximal humerus Surgical neck of the humerus is fractured. Etiology Most of these fractures resulting from a fall on an outstretched arm; more rarely a direct blow is involved. Classification fractures are classified by the number of parts arising; a part was as essential anatomical structure, the offset relative to its normal anatomical position (> 1 cm) or angled (> 45 °), defines The 4 most significant anatomical structures of the proximal humerus are anatomical neck surgical neck greater tuberosity lesser tuberosity if z , B. No structures were displaced or angled, the fraction has a part. If a structure is angled or moved, the fracture has 2 parts of (one or 2-component fractures of the proximal humerus.). Almost 80% of proximal humerus fractures have only a part; they are usually stable and are held together by the joint capsule, rotator cuff and / or periosteum. Fractures with ? 3 parts are rare. Mono- or 2-component fractures of the proximal humerus. If no structures displaced or angled, the fraction has a part. If a structure is angled or moved, the fracture has two parts. Symptoms and complaints The shoulder and the upper arm are painful and swollen; Patients find it difficult to raise their arm. Diagnostic X-ray CT Occasionally, radiographs should include at least the following Humeruskopffraktur MIRIAM Mas?o / SCIENCE PHOTO LIBRARY var model = {thumbnailUrl ‘/-/media/manual/professional/images/m3301294_humeral_head_fracture_x-rays_science_photo_library_high_de.jpg?la=de&thn=0&mw=350’, imageUrl ‘/-/media/manual/professional/images/m3301294_humeral_head_fracture_x-rays_science_photo_library_high_de.jpg?la=de&thn=0’, title: ‘Humeruskopffraktur’ description: ‘ u003Ca id = “v37898280 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDiese non-displaced fracture is a one-part fracture u003c / p u003e u003c / div u003e. ‘credits’ MIRIAM Maslo / SCIENCE PHOTO LIBRARY’

Health Life Media Team

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