"Proximal" refers to being close to your body, and "humeral" refers to the arm bone known as the humerus. The Supracondylar fracture of the humerus is the fracture of distal end of humerus just above the elbow joint. The treatment objective in proximal humerus fractures is to allow bone and soft tissue healing in a normal anatomical position to maximise function of the upper extremity. Many patients with proximal humerus fractures have osteoporosis and have poor neuromuscular control mechanisms. A proximal humerus fracture is when the bone is broken at or near the top, by the shoulder. Radiographic features. A supportive sling followed by early rehabilitation and have good functional outcomes. Proximal humeral fracture. Abstract The occurrence of proximal humerus fractures will continue to rise with the increasing elderly population. Extension and Internal Rotation not performed until 6 weeks 4. Bony healing occurs usually within 6 to 8 weeks in adults 3. The purpose of this study is to review recent evidence and provide updated recommendations for treating proximal humerus fractures in the elderly. Neer divides the proximal humerus into four “parts”; the anatomical neck, the greater tuberosity, the lesser tuberosity and the surgical neck.

A proximal humerus fracture is typically categorised using the Neer System which looks at the number of fracture “parts” and the level of “displacement” of these parts.

The evaluation and management of these injuries is often controversial.

Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). Proximal Humerus Fractures.

. Proximal humerus fracture rates will continue to increase with the aging population 5-7,58 and the concomitant rise in osteoporosis. Proximal Humerus fracture Shoulder 7 Fracture Care Team: Shared Care Plan Conquest Hospital Casting Department 01424 757566 Conquest Hospital Fracture Clinic Reception 01424 758104 Eastbourne DGH Fracture Clinic Reception 01323 414981 Hospital switchboard 0300 131 4500 Proximal humerus fracture rehabilitation.

A proximal humeral fracture is a broken bone that occurs near your shoulder joint.

Proximal humerus fractures are common in the elderly.

Non-Operative Proximal Humeral Fracture Rehabilitation Protocol General Principles: 1. Spiral fracture: helical fracture path usually in the diaphysis of long bones; Comminuted fracture: more than two parts; Incomplete fracture: does not cross the bone completely (usually encountered in children) Bowing fracture: an incomplete bone fracture of the long … Indirect forces transmitted through the proximal humerus and shoulder are the cause of most fractures. 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. Authors: Hodgson S. References: Clin Orthop Relat Res. Humeral fractures can be classified into three types, depending on which part of the bone is broken. The humerus is the long bone that sits between the shoulder and the elbow. A proximal humeral fracture can be a painful injury that limits your ability to move your arm and shoulder.

Jump to:navigation, search. Plain films are usually sufficient to characterize proximal humeral fractures, and thus to determine management. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Proximal Humerus Fracture is often seen in elderly population 1 and post-menopausal female. A humerus fracture is the medical term for a break in the bone of the upper arm. 2006 Jan;442:131-8. Most fractures are minimally displaced and stable, so surgical fixation is not required. Non-displaced means less than 1cm of displacement and less than 45° of angulation 2.

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The distal end of humerus comprises of both articular and non-articular structures. 50 These fractures can cause prolonged and severe disability and often are underestimated when compared with hip fractures. The transverse section of shaft of humerus is somewhat circular in shape which gets more flattered as it descends down to meet distal end of humerus.

REHABILITATION GUIDELINES FOR PROXIMAL HUMERUS FRACTURE - ORIF PHASE I (1-3 WEEKS) DATES: Appointments • Begin physical therapy at 1 week post op, 2 x/week • Follow up with MD 10-14 days post op. These forces may be compressive, tension, torsion or bending.

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