The Orthobullets Podcast Foundations⎪Trauma⎪Proximal Humerus Fractures
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Mar 27, 2025 Dive into the intricate world of proximal humerus fractures! Learn about their diagnosis and treatment, especially for the elderly. The discussion emphasizes the importance of tailored management strategies and best practices to enhance patient outcomes. Key clinical scenarios are explored, shedding light on effective approaches that frontline healthcare providers can adopt. Perfect for junior orthopaedic residents and ER physicians eager to strengthen their foundational knowledge!
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Epidemiology of Proximal Humerus Fractures
- Proximal humerus fractures represent 4-6% of all fractures.
- They are the third most common nonvertebral fracture in the elderly.
Causes of Proximal Humerus Fractures
- These fractures are often caused by low-energy falls in older patients with osteoporosis.
- High-energy trauma causes them in younger individuals, sometimes with soft tissue or nerve injuries.
Assessing Neurovascular Status
- Check for axillary nerve function via deltoid muscle and sensation tests.
- Don't rely solely on distal pulses due to potential collateral circulation masking arterial injury.