Proximal humerus fracture - Revision history

Danbot: Add peer-reviewed reference

2026-03-22T10:16:13Z

Add peer-reviewed reference

← Revisión anterior		Revisión del 10:16 22 mar 2026
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	''This page is for <u>adult</u> patients; for pediatric patients see [[proximal humerus fracture (peds)]]''		''This page is for <u>adult</u> patients; for pediatric patients see [[proximal humerus fracture (peds)]]''
	==Background==		==Background==
	*Typically occur in elderly osteoporotic patients from FOOSH mechanism		*Typically occur in elderly osteoporotic patients from FOOSH mechanism<ref>Court-Brown CM, et al. The epidemiology of proximal humeral fractures. Acta Orthop Scand. 2001;72(4):365-371. PMID 11580125</ref>
	*Must rule-out axillary and [[brachial plexus injury\|brachial plexus neurovascular injuries]]		*Must rule-out axillary and [[brachial plexus injury\|brachial plexus neurovascular injuries]]
	**45% have nerve injury (axillary most common)		**45% have nerve injury (axillary most common)

Rossdonaldson1 at 21:55, 13 June 2020

2020-06-13T21:55:00Z

← Revisión anterior		Revisión del 21:55 13 jun 2020
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	''This page is for <u>adult</u> patients; for pediatric patients see [[proximal humerus fracture (peds)]]''		''This page is for <u>adult</u> patients; for pediatric patients see [[proximal humerus fracture (peds)]]''
	==Background==		==Background==
	~~[[File:Prox humerus fracture.jpeg\|thumbnail]]~~
	*Typically occur in elderly osteoporotic patients from FOOSH mechanism		*Typically occur in elderly osteoporotic patients from FOOSH mechanism
	*Must rule-out axillary and [[brachial plexus injury\|brachial plexus neurovascular injuries]]		*Must rule-out axillary and [[brachial plexus injury\|brachial plexus neurovascular injuries]]
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	==Evaluation==		==Evaluation==
	[[File:Proximal humerus fracture.png\|thumb\|Proximal humerus fracture]]		[[File:Proximal humerus fracture.png\|thumb\|Proximal humerus fracture]]
			[[File:Prox humerus fracture.jpeg\|thumbnail]]
	*AP, lateral, and axillary radiographs		*AP, lateral, and axillary radiographs
	*Fracture of articular surface suggested by pseudosubluxation:		*Fracture of articular surface suggested by pseudosubluxation:

ClaireLewis at 18:50, 28 September 2019

2019-09-28T18:50:18Z

← Revisión anterior		Revisión del 18:50 28 sep 2019
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	[[File:Prox humerus fracture.jpeg\|thumbnail]]		[[File:Prox humerus fracture.jpeg\|thumbnail]]
	*Typically occur in elderly osteoporotic patients from FOOSH mechanism		*Typically occur in elderly osteoporotic patients from FOOSH mechanism
	*Must rule-out axillary and brachial plexus neurovascular injuries		*Must rule-out axillary and [[brachial plexus injury\|brachial plexus neurovascular injuries]]
	**45% have nerve injury (axillary most common)		**45% have nerve injury (axillary most common)
	*Greater tuberosity fracture suggests rotator cuff tear		*Greater tuberosity fracture suggests [[rotator cuff tear]]
	*Lesser tuberosity fracture suggests posterior shoulder dislocation		*Lesser tuberosity fracture suggests [[posterior shoulder dislocation]]

	==Clinical Features==		==Clinical Features==
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	==Complications==		==Complications==
	*Nerve injury		*Nerve injury
	**Axillary nerve injury (up to 58%)		**[[axillary neuropathy\|Axillary nerve injury]] (up to 58%)
	**Suprascapular nerve (up to 48%)		**Suprascapular nerve (up to 48%)
	*Avascular Necrosis risk factors		*Avascular Necrosis risk factors

Rossdonaldson1 at 07:02, 18 September 2019

2019-09-18T07:02:08Z

← Revisión anterior		Revisión del 07:02 18 sep 2019
Línea 1:		Línea 1:
	''This page is for <u>adult</u> patients; for pediatric patients see [[~~Proximal~~ humerus fracture (peds)]]''		''This page is for <u>adult</u> patients; for pediatric patients see [[proximal humerus fracture (peds)]]''
	==Background==		==Background==
	[[File:Prox humerus fracture.jpeg\|thumbnail]]		[[File:Prox humerus fracture.jpeg\|thumbnail]]

Rossdonaldson1 at 07:01, 18 September 2019

2019-09-18T07:01:56Z

← Revisión anterior		Revisión del 07:01 18 sep 2019
Línea 1:		Línea 1:
			''This page is for <u>adult</u> patients; for pediatric patients see [[Proximal humerus fracture (peds)]]''
	==Background==		==Background==
	[[File:Prox humerus fracture.jpeg\|thumbnail]]		[[File:Prox humerus fracture.jpeg\|thumbnail]]

Rossdonaldson1: /* Specific Management */

2019-09-18T03:00:21Z

Specific Management

← Revisión anterior		Revisión del 03:00 18 sep 2019
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	===Specific Management===		===Specific Management===
	**Ortho consult in the ED		*Ortho consult in the ED
	**Elderly patient with comminution, multiple fractures, or poor bone might be candidates for hemiarthroplasty		*Elderly patient with comminution, multiple fractures, or poor bone might be candidates for hemiarthroplasty
	**Improved outcomes if surgery within 14 days		*Improved outcomes if surgery within 14 days
	{{Proximal Humerus shaft fracture splint}}		{{Proximal Humerus shaft fracture splint}}

Rossdonaldson1: /* Management */

2019-09-18T03:00:07Z

Management

← Revisión anterior		Revisión del 03:00 18 sep 2019
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	==Management==		==Management==
			{{General Fracture Management}}

			===Specific Management===
	**Ortho consult in the ED		**Ortho consult in the ED
	**Elderly patient with comminution, multiple fractures, or poor bone might be candidates for hemiarthroplasty		**Elderly patient with comminution, multiple fractures, or poor bone might be candidates for hemiarthroplasty
	**Improved outcomes if surgery within 14 days		**Improved outcomes if surgery within 14 days
	{{~~Template:~~Proximal Humerus shaft fracture splint}}		{{Proximal Humerus shaft fracture splint}}

	==Disposition==		==Disposition==

Rossdonaldson1 at 06:08, 10 May 2019

2019-05-10T06:08:08Z

← Revisión anterior		Revisión del 06:08 10 may 2019
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	==Background==		==Background==
	[[File:~~Proximal~~ humerus fracture.~~png~~\|~~thumb\|Proximal humerus fracture~~]]		[[File:Prox humerus fracture.jpeg\|thumbnail]]
	*Typically occur in elderly osteoporotic patients from FOOSH mechanism		*Typically occur in elderly osteoporotic patients from FOOSH mechanism
	*Must rule-out axillary and brachial plexus neurovascular injuries		*Must rule-out axillary and brachial plexus neurovascular injuries
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	*Greater tuberosity fracture suggests rotator cuff tear		*Greater tuberosity fracture suggests rotator cuff tear
	*Lesser tuberosity fracture suggests posterior shoulder dislocation		*Lesser tuberosity fracture suggests posterior shoulder dislocation
	~~[[File:Prox humerus fracture.jpeg\|thumbnail]]~~

	==Clinical Features==		==Clinical Features==
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Proximal arm fracture DDX}}		{{Proximal arm fracture DDX}}

	{{Shoulder DDX}}		{{Shoulder DDX}}

	==Evaluation==		==Evaluation==
			[[File:Proximal humerus fracture.png\|thumb\|Proximal humerus fracture]]
	*AP, lateral, and axillary radiographs		*AP, lateral, and axillary radiographs
	*Fracture of articular surface suggested by pseudosubluxation:		*Fracture of articular surface suggested by pseudosubluxation:

Rossdonaldson1 at 06:07, 10 May 2019

2019-05-10T06:07:27Z

← Revisión anterior		Revisión del 06:07 10 may 2019
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:Proximal humerus fracture.png\|thumb\|Proximal humerus fracture]]
	*Typically occur in elderly osteoporotic patients from FOOSH mechanism		*Typically occur in elderly osteoporotic patients from FOOSH mechanism
	*Must rule-out axillary and brachial plexus neurovascular injuries		*Must rule-out axillary and brachial plexus neurovascular injuries
Línea 17:		Línea 18:

	==Evaluation==		==Evaluation==
	~~[[File:Proximal humerus fracture.png\|thumb\|Proximal humerus fracture]]~~
	*AP, lateral, and axillary radiographs		*AP, lateral, and axillary radiographs
	*Fracture of articular surface suggested by pseudosubluxation:		*Fracture of articular surface suggested by pseudosubluxation:

Rossdonaldson1: /* Disposition */

2019-05-10T06:06:49Z

Disposition

← Revisión anterior		Revisión del 06:06 10 may 2019
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	==Disposition==		==Disposition==
	*Outpatient		*Outpatient management if closed and distally neurovascularly intact

	===Specialty Care===		===Specialty Care===