ToureVashon
This user is a student editor in UCSF_School_of_Medicine/WikiMed_Fall_2018_UCSF_SOM_(Fall_2018) . |
Outline=
editComplications
edit- Axillary nerve injury
- Rotator cuff injury
- Avascular Necrosis of the humeral head
- Malunion/Nonunion
- Less frequent: Axillary artery, brachial plexus, pneumothorax, Myositis ossificans, osteonecrosis
Treatment
editThere are both non-surgical and surgical options for treatment of PHF. The recommended treatment is decided based on fracture stability as determined with imaging and clinical exam.
Non-Surgical
editMost PHFs are stable and can be treated without surgery. Typical non-operative treatment consists of shoudler immobilization, most commonly with a sling. Close follow-up with a physician and weekly x-rays are required in order to ensure that the fracture is healing and maintaining good alignment.
Passive range of motion exercises for the shoulder can be done when pain has subsided. This can be done with or without the assistance of a physical therapist.
When properly indicated, non-surgical treatment options for proximal humerus fractures have good outcomes in terms of fracture healing and restoration of arm function.
Surgical
editSurgical treatment options for unstable proximal humerus fractures include closed reduction with percutaneous pinning (CRPP), open reduction with internal fixation (ORIF), intramedullary rod rixation, shoulder replacement, and reverse shoulder replacement. (RG)
Prevention
editOsteoporosis screening/management
Special populations
editChildren
editElderly
edit
Welcome
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– the WikiProject Medicine team Doc James (talk · contribs · email) 01:20, 11 December 2018 (UTC)