![]() Some fracture configurations require surgical fixation to restore normal anatomy and facilitate the best possible recovery while others might be better treated with partial or total joint replacement. A lot of theses fractures can be treated non operative with sling immobilisation and physiotherapy. The possibilities of injuries to the proximal humerus are plentiful and correct diagnosis with adequate imaging studies is imperative in order to make the right management decision. These are humeral head, anatomical and surgical neck, greater and lesser tuberosity. X-ray, CT scan and MRI scan are used for imaging. The physical examinations often reveals deformity, swelling and bruising. The injury or accident history will give the first clue. How is proximal humerus fracture diagnosed? In the younger population theses injuries are often expressions of a hight energy trauma. Direct trauma to the shoulder as well as shoulder dislocations can also cause proximal humerus fracture. A fall on the outstretched arm is the most common mechanism of injury and happens frequently in the older population where bone softening (osteoporosis) is present. ‘Proximal’ means close to the centre of the body and therefore the proximal humerus forms part of the shoulder joint. The humerus is the upper arm bone and the third largest in the human body. Pain and inability to move the arm next to swelling are symptoms of proximal humerus fracture. What are the symptoms of proximal humerus fracture? This is a straight forward referral process and Dr Rhau is often able to see you on short notice. Should you happen to be at Greenslopes Private Hospital Emergency Centre ask your treating doctor to notify us. ![]() Please feel free to get in touch (07 3394 4073) and we will endeavour to look after you acutely. Regardless, you might find yourself in an emergency department, suffering from pain and information overload and need some guidance and care. There are several possible fracture configurations and depending on the fracture site and type, your injury can be treated conservatively or might require surgical fixation. The head of the humerus is the ball part of the shoulder joint, which is a ‘balland-socket’ joint. I had an accident and broken the head of my humerus (proximal humerus)
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