What is the treatment for a proximal humerus fracture?
Proximal humerus fractures may be treated nonoperatively with an initial period of immobilization followed by early motion. Initial immobilization may be achieved with a sling, a shoulder immobilizer, or a sling with an accompanying swathe. These devices provide varying degrees of constraint.
Which proximal humerus fractures should be pinned treatment in skeletally immature patients?
Absolute indications for surgical treatment of proximal humerus fractures in skeletally immature patients include open fractures, tenting of the skin (impeding open fracture), associated neurovascular injury, and intra-articular displacement.
How are proximal humerus fractures treated nonoperatively?
most proximal humerus fractures can be treated nonoperatively including minimally displaced surgical and anatomic neck fractures greater tuberosity fracture displaced < 5mm >5mm displacement will result in impingement with loss of abduction and external rotation
What should I do after a humerus fracture?
The rehabilitation differs slightly from nonoperative treatment, with no splints or cast. The patient is usually given a sling for comfort and arm support. Elbow exercises may be started immediately after surgery, while shoulder exercises may be delayed for a few weeks based on the fracture pattern.
What are the symptoms of a humerus fracture?
Symptoms vary depending on the specific type of fracture but may include: Deformity — “It does not look right.” What is the treatment for a humerus fracture? Most fractures of the proximal humerus can be treated without surgery if the bone fragments are not shifted out of position (displaced).
How old do you have to be to have a humeral fracture?
The proximal humeral physis remains open until approximately 16-19 years of age. (Neer, 1965) Proximal humeral fractures are 3-4 times more likely to occur in boys than girls. Most fractures are the result of a fall onto the shoulder or from a direct blow to the proximal arm.