Proximal Humerus Fractures

Proximal Humeral Fractures

Proximal humeral region of the body?

The proximal humerus, the arm bone called the humerus forming the upper tip of the shoulder joint.


Proximal humerus fractures seen how often, and how?

Fractures of the proximal humerus, accounted for 5% of all fractures. Young patients, traffic accidents, falls from heights, is the high-energy trauma, such as gunshot wounds. Proximal humerus fractures in the elderly population, the traumas and fractures observed in the home is as simple as walking down the falls.

What are the findings of proximal humeral fractures?

Often patients following trauma inability to shoulder pain and shoulder movements, arm unable to perform or present with very difficulty complaint. Patients with hands on her arms securing other work to prevent movement.

How to put the diagnosis of proximal humerus fractures?

Physical examination, diagnostic radiological diagnosis of proximal humerus fractures sets made. However, the amount of decomposition of fracture and fragmentation, which is important in choosing treatment angulation. For this reason, many patients make treatment decisions of the shoulder joint is made by computed tomography in the display.


How are the treatment of proximal humerus fractures?

Treatment of proximal humeral fractures vary greatly. Separation of the fracture fragments or broken part of more than 1 cm above the angulation of 45 degrees and require surgical treatment to show. Treatment can be summarized as follows:

1 – Never show the decomposition of unstable fractures are treated with a sling.

2 – Minimal showing the decomposition of unstable fractures, closed reduction and wire / screws are treated with diligence.

3 – shows the decomposition occurring in two or three separate parts under the age of 45 four-part fractures and fractures are treated with open surgery, with the detection method.

4 – 4-part fractures in elderly patients, delayed fractures, so that tumoral fractures, avascular necrosis of the humeral head prosthesis proximal humerus fractures are treated with evolving.



About the author

Prof.Dr. Seref Aktas