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Treatment

Many treatment methods have been described through the years. In general, the choice of the treatment for a proximal humerus fracture should be based on the type of the fracture, presence of concurrent injuries, age and activity level of the patient, the presence and nature of comorbid medical conditions, and potential outcomes of specific treatment […]

Clinical Evaluation-Radiographic Evaluation

Accurate radiographic evaluation of the fracture of the proximal humerus is essential for diagnosis and treatment. The trauma series is still the standard initial method for evaluating proximal humeral fracture. This consists of anteroposterior (AP) view of the scapula, a lateral, Y-view of the scapula, and axillary view. This series allows evaluation of the fracture […]

Acute Injuries: Shoulder Fractures and Acromioclavicular and Sternoclavicular Joint Injuries

Key Points

The most common cause of a proximal humerus fracture is a fall on outstretched hands from a standing position. Another mechanism of injury is excessive rotation while the arm is abducted. Although fracture of the proximal humerus significantly limits function of the upper extremity, careful neurovas cular examination of the entire upper extremity […]

Shoulder Dislocation

Basics Description The shoulder joint has the greatest ROM of all joints in the body and, thus, is at high risk for dislocations. Shoulder joint stability depends on various dynamic and static anatomical restraints. Dynamic restraints include: Tendon of the long head of the biceps Scapular stabilizers Rotator cuff muscles and tendons Static restraints […]