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A proximal humerus fracture is a break of the upper part of the bone of the arm . [3] Symptoms include pain, swelling, and a decreased ability to move the shoulder . [ 1 ] Complications may include axillary nerve or axillary artery injury.
Proximal fractures are classified into one of four types of fractures based on the displacement of the greater tubercle, the lesser tubercle, the surgical neck, and the anatomical neck, which are the four parts of the proximal humerus, with fracture displacement being defined as at least one centimeter of separation or an angulation greater ...
The native humerus and scapula bones are prepared using precise machining to accommodate their respective implants. At the end of the procedure, the subscapularis muscle is typically repaired, although some surgeons advocate not repairing this muscle due to the excess tension placed on it by the altered mechanics of the reverse shoulder design.
A fracture in this area is most likely to cause damage to the axillary nerve and posterior circumflex humeral artery. Damage to the axillary nerve affects function of the teres minor and deltoid muscles, resulting in loss of abduction of arm (from 15-90 degrees), weak flexion, extension, and rotation of shoulder as well as loss of sensation of ...
Surgery is occasionally needed for certain clavicle fractures, especially for disunions. [citation needed] Fracture of the neck of the humerus is usually treated with a sling or shoulder immobilizer. If the bones are out of position, surgery may be necessary to reset them. Exercises are also part of restoring shoulder strength and motion.
Some fractures, however, cannot be held in a satisfactory position by this method, and require some additional form of fixation. This is the usual situation with all displaced fractures of the first metacarpal and of the proximal phalanges of the hand, and of about two thirds of fractures of the distal end of the radius. Percutaneous pinning is ...
Scapular fracture; Arm fracture. Humerus fracture (fracture of upper arm) Supracondylar fracture; Holstein-Lewis fracture – a fracture of the distal third of the humerus resulting in entrapment of the radial nerve; Forearm fracture. Ulnar fracture. Monteggia fracture – a fracture of the proximal third of the ulna with the dislocation of the ...
The first action is flexion of the humerus, as in throwing a ball underhand, and in lifting a child. Secondly, it adducts the humerus, as when flapping the arms. Thirdly, it rotates the humerus medially, as occurs when arm-wrestling. Fourthly the pectoralis major is also responsible for keeping the arm attached to the trunk of the body. [7] [8]
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