Proximal Surgical Injury
1
Proximal Humeral Fracture Repair and Rehabilitation
Surgical Indications and Considerations
Anatomical Considerations: Numerous types of proximal humeral fractures can occur each of which have separate surgical indications and considerations. Proximal humeral fractures commonly occur along the physeal lines. Thus, fractures may involve the tubercles (greater and/or lesser), surgical neck, or anatomical neck of the humerus. The surgical neck lies between the tuberosities and the shaft while the anatomical neck is the junction between the humeral head and the tuberosities. Fortunately, surgical neck fractures are more common. Anatomical neck fractures typically have a less favorable prognosis due to their result in devascularization of the humeral head. …show more content…
Proximal Humerus. In Koval K, Zuckerman J, eds., Fractures in the
Elderly. Philadelphia, Lippincott-Raven 1998.
Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures.
Acta Orthop Scand. 2001;72:365-371.
Curwin S. Shoulder Injuries. In Zachazewski JE, Magee DJ, Quillen WS, eds. Athletic Injuries and Rehabilitation. Philadelphia, 1996, WB Saunders.
Goldman RT, Koval KJ, Cuomo F, Gallagher MA, Zuckerman JD. Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures. J Shoulder
Elbow Surg. 1995;4:81-86.
Green A, Izzi J. Isolated fractures of the greater tuberosity of the proximal humerus. J Shoulder
Elbow Surg. 2003;12:641-649.
Iannotti JP, Ramsey ML, Williams GR, Warner JP. Nonprosthetic management of proximal humeral fractures. J Bone Joint Surgery. 2003;8:1578-1593.
Neer CS. Four-segment classification of proximal humeral fractures: purpose and reliable use. J
Shoulder Elbow Surg. 2002;11:389-400.
Visser C, et al. Nerve lesions in proximal humeral fractures. J Shoulder Elbow Surg.
2001;10:421-427.
Zyto K, Wallace WA, Frostick SP, Preston BJ. Outcome after hemiarthroplasy for
Proximal Humeral Fracture Repair and Rehabilitation
Surgical Indications and Considerations
Anatomical Considerations: Numerous types of proximal humeral fractures can occur each of which have separate surgical indications and considerations. Proximal humeral fractures commonly occur along the physeal lines. Thus, fractures may involve the tubercles (greater and/or lesser), surgical neck, or anatomical neck of the humerus. The surgical neck lies between the tuberosities and the shaft while the anatomical neck is the junction between the humeral head and the tuberosities. Fortunately, surgical neck fractures are more common. Anatomical neck fractures typically have a less favorable prognosis due to their result in devascularization of the humeral head. …show more content…
Proximal Humerus. In Koval K, Zuckerman J, eds., Fractures in the
Elderly. Philadelphia, Lippincott-Raven 1998.
Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures.
Acta Orthop Scand. 2001;72:365-371.
Curwin S. Shoulder Injuries. In Zachazewski JE, Magee DJ, Quillen WS, eds. Athletic Injuries and Rehabilitation. Philadelphia, 1996, WB Saunders.
Goldman RT, Koval KJ, Cuomo F, Gallagher MA, Zuckerman JD. Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures. J Shoulder
Elbow Surg. 1995;4:81-86.
Green A, Izzi J. Isolated fractures of the greater tuberosity of the proximal humerus. J Shoulder
Elbow Surg. 2003;12:641-649.
Iannotti JP, Ramsey ML, Williams GR, Warner JP. Nonprosthetic management of proximal humeral fractures. J Bone Joint Surgery. 2003;8:1578-1593.
Neer CS. Four-segment classification of proximal humeral fractures: purpose and reliable use. J
Shoulder Elbow Surg. 2002;11:389-400.
Visser C, et al. Nerve lesions in proximal humeral fractures. J Shoulder Elbow Surg.
2001;10:421-427.
Zyto K, Wallace WA, Frostick SP, Preston BJ. Outcome after hemiarthroplasy for