Outline=

Complications

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

There 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

Most 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

Surgical 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

Osteoporosis screening/management

Special populations

Children

Elderly

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– the WikiProject Medicine team Doc James (talk · contribs · email) 01:20, 11 December 2018 (UTC)[reply]