What classification is proximal humerus fracture?
The Neer fracture classification system provides a useful framework for clinical assessment of and research for proximal humerus fractures. This classification system has moderate interobserver reliability, and correlates to a large degree (albeit not perfectly) with complications and functional results.
What is Neer’s classification?
The concept of the Neer classification is dividing the proximal humerus into 4 segments (humeral head, greater tuberosity, lesser tuberosity, and humeral shaft) and classifying the proximal humeral fractures by the number of displaced segments.
What is proximal right humerus?
The humerus is a long bone of the upper limb, which extends from the shoulder to the elbow. The proximal aspect of the humerus articulates with the glenoid fossa of the scapula, forming the glenohumeral joint.
What is the proximal humerus located?
The humerus is a long bone located in the upper arm, between the shoulder joint and elbow joint. The proximal humerus connects to the shoulder through the glenoid fossa of the scapula, forming the glenohumeral joint. The distal humerus articulates at the elbow to the radius and ulna in the forearm.
What are the main parts of the humerus?
The humerus is a long bone which consists of a shaft (diaphysis) and two extremities (epiphysis). It is the longest bone of the upper extremity.
What is a 3 part proximal humerus fracture?
3-PART FRACTURE: This is when the proximal humerus is broken into three pieces, and there are then two fracture lines on x-ray. This most often involves the greater tuberosity and the surgical neck of the humerus.
How painful is a humerus fracture?
Humerus fractures are a very painful injury, and patients may need to take pain relief medications regularly as prescribed by the doctor. The fractured portion may hurt intensely, swell, and feel stiff. Stiffness may continue well after the fracture has healed.
How long does it take a proximal humerus fracture to heal?
Proximal humerus fractures typically require 6 to 8 weeks for the bone to heal, plus a period of rehabilitation of about 3 to 6 months. The goal of rehabilitation is to restore arm function and help you return to regular activities as soon as possible.
Can a humerus fracture heal without surgery?
Most fractures of the proximal humerus can be treated without surgery if the bone fragments are not shifted out of position (displaced). If the fragments are shifted out of position, surgery is often performed to allow earlier mobility.
What is the description of a proximal humerus fracture?
Description: Proximal humerus fractures include fractures involving the proximal humeral physis and metaphysis. Fractures involving the proximal humeral physis are categorized by the Salter Harris classification system and fractures of the metaphysis are described by the amount of angulation and displacement at the fracture site.
How big is the proximal humeral articular surface?
The proximal humeral articular surface is a segment of a sphere that measures from 37 to 57 mm in diameter [ 5 ]. The average neck angle is 130°. The humeral head average offset from the shaft is 3 mm posterior and 7 mm medial.
How are proximal humeral fractures treated in children?
The treatment of pediatric proximal humeral fractures is based upon age and expected remodeling with growth. Almost any fracture in preadolescent patients can be managed without surgery, given the tremendous healing and remodeling potential as well as the range of motion of the shoulder joint which can compensate for malunion.
How old do you have to be to have a humeral fracture?
The proximal humeral physis remains open until approximately 16-19 years of age. (Neer, 1965) Proximal humeral fractures are 3-4 times more likely to occur in boys than girls. Most fractures are the result of a fall onto the shoulder or from a direct blow to the proximal arm.