Proximal humeral fractures:
Typically described as nondisplaced, displaced, and/or fracture/dislocation
Account for 5% of all fractures
Increased incidence with age
4:1 female to male
Pain, swelling, and tenderness
Difficulty in initiating active motion
Arm often closely held against chest
Shortening of the extremity
Crepitus may be present
Avoid excessive movement of the arm, which may produce further neurovascular injury.
Immobilize with sling and swath and transport.
Rapid transport in the presence of neu...
Open fractures for operative management and parenteral antibiotic therapy
Fractures associated with vascular compromise
Displaced fractures that cannot be treated ...
All humeral fractures should have diligent neurovascular exams:
Neurovascular exam should be repeated after manipulation.
Radial nerve injuries are the most common deficits seen in h...
Cavigilia H, Garrido CP, Palazzi FF, et al. Pediatric fractures of the humerus. Clin Orthop Rel Res. 2005;432:49–56.
Green A, Norris TR. Proximal humerus fractures and gle...
812.01 Closed fracture of surgical neck of humerus
812.02 Closed fracture of anatomical neck of humerus
812.20 Closed fracture of unspecified part of humerus
812.03 Closed fracture of greater t...
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