Proximal humerus fractures comprise 4% to 5% of all fractures seen in emergency departments and represent the most common humerus fracture.1 75% of all proximal humerus fractures occur in pa-tients older than age 60 years.2 It is the second most common upper-extremity fracture and the third most common fracture, after hip fractures and distal radial fractures, in patients who are older than sixty-five years of age.3 The increased incidence in the older population is thought to be related to osteoporosis. The 2:1 female-to-male ratio is likely related to issues of bone density.4
Majority of proximal humeral fractures are either undisplaced or minimally displaced and can be treated with sling immobilization and physical therapy, but approximately
In addition Allen could not raise his arms against gravity, had flaccid lower extremities, and was without triceps or wrist extensor reflexes, and other muscle stretch reflexes were absent. If the fracture was at C4-5 Allen would not be able to shrug his shoulders and if the fracture was at C7 he could extend his flexed arms.
Closer to the origin of the body. In this case the fracture at the proximal diaphysis means the part of the shaft closer to the origin of the humerus (the shoulder)
Dodgers’ pitcher Alex Wood had hoped to return to play soon, but the recovery process will take longer than he had hoped. Wood suffered an elbow impingement in late May, and was on the 60-day disabled list, making him eligible to potentially return to play on July 30. Unfortunately, after playing two innings of a simulated game at Dodger Stadium on July 17, it was determined that Wood’s injured elbow will require surgery. The surgery will put him out of commission for roughly eight weeks, which would put him at returning to rotation ideally in about mid-September.
In July 2015 there was a proposal issued for a new Comprehensive Care for Joint Replacement program. This proposal is designed to establish bundled payments fir total hip and knee replacements. The program for Comprehensive Care for Joint Replacement (CCJR) is a crucial development for Medicare and Medicaid holders.
The right humerus shows evidence of a transverse fracture, unknown if ante or post mortem, with teeth marks from scavengers. The right radius and ulna appear normal, with minimal damage from weathering and scavengers.
According to Kacprowicz (2017), “in order to properly diagnose and treat any injury to the UCL, a comprehensive understanding of the functional anatomy and biomechanics of the UCL in overhead throwing sports is imperative.” The anterior bundle of the UCL is particularly susceptible to injury. The study by Awh (2010) reports that, “These injuries are often associated with those of the flexor pronator muscle-tendon unit, a stabilizer at the medial elbow. Strains and/or fatigue of the dynamic stabilizers may cause increased tears of the UCL.” The posterior bundle of the UCL is not as vulnerable for injury since it does not play a large role in the overhead throwing motion.
Patients that experience hip fractures will die within a year. Many of these fractures are due to immobility according to assessment and Management of Clinical Problems (1788). Many falls occur in the older adult population and usually age over 60. Hip fractures not only happen with falls but also can come from blunt trauma to the hip, car accident, disease like osteoporosis and obesity can all be a major concern to hip fractures. The video talks about the common hip joint site are dislocation. Hip fracture may involve both vascular and bony damage to the body. Hip fractures are determined by atomic location of the fracture. These common fractures occur at the head of the femur, neck and greater trochanter. Over my twenty years of health care experience I have witness patients going through some difficult physical therapy. Many patients do not bounce back and many give up because the rehab is so
There are a very small amount of easy treatments possible for this injury. Depending on the type of labral tear and intensity of symptoms, one may need surgery. Most tears, both shoulder and hip, do not depend upon surgery, but patients that obtain
The clinical signs of this fracture are swelling and pain in the scaphoid region, tenderness in the “anatomical snuffbox”, pain on axial compression, pain while pronating the hand, and painful pinch grip2. Radiological diagnosis consists of a scaphoid series of X-rays: Anterior-Posterior, lateral, semipronated and semisupinated views2. In cases of so-called "occult" fractures, the fracture is not visible on the radiographs, if the clinical signs are highly suggestive of fracture a 2 week period of cast immobilization is recommended, followed by a repeat X-ray series2. If further investigation is required, CT and MRI scans can also be implemented.
Balci, A., Basara, I., Çekdemir, E. Y., Tetik, F., Aktas, G., Acarer, A., & ... Acarer, A. (2015). Wrist fractures: Sensitivity of radiography, prevalence, and patterns in MDCT. Emergency Radiology, 22(3), 251-256. doi:10.1007/s10140-014-1278-1
The shoulder joint is the most mobile joint of the body moving in three planes and around three axes (Lippert, 2011). The shoulder joint is made up of a synovial ball and socket articulation between the large head of the humerus, and the small glenoid cavity of the scapula, making it one of the least stable joints and more prone to injuries (Lippert, 2011). The stability of this joint highly relies on its ligaments, tendons, glenoid labrum and its muscles (Lippert, 2011). Although these structures maintain the stability of the shoulder joint, it is prone to many injuries and pathologies such as a labral tear.
more common anterior dislocation, but the shaft of the humerus is parallel to the spine
The primary cause of a fracture is trauma from car accidents, sports injuries and falls. The trauma may be a direct blow to the bone or an indirect force from muscle contractions or pulling on the bone. Other factors that may contribute to fractures include: vigorous exercise, malnutrition, genetic factors, and osteoporosis. The most common cause of a distal radius fracture is falling onto an outstretched arm (Ignatavicius & Workman, 2013). “Wrist fractures of the distal radius are common and may present special problems for the surgeon and therapist. There are several categories of distal radius fractures, but the Colles fracture of the distal radius is the most common injury to the wrist and may result in limitations in wrist flexion and extension, as well as forearm pronation and supination, resulting from the involvement of the distal radioulnar joint” (Early, p.613).
These injuries costed over $10 billion. Hip fractures are the most common injury in seniors over the age of 70 resulting from a fall. They can be fatal and very costly. Many of those who do not die from this injury end up in nursing homes. These injuries are not the only ones that can originate from a fall however. Other common injuries are broken arms, shoulders, legs, ribs, and even pelvis. Seniors take longer to heal from these injuries than others due to slower healing and weaker bones that comes with age. Overall, these injuries are costly and can reduce life expectancy. Those who are lucky enough to not suffer an injury suffer physiologic impacts. This causes them to become extra cautious all the time and they can no longer do as many things as they used to. Also, if a senior has experienced a fall before, they are more likely to experience another one in their lifetime.
The most commonly used reconstructive techniques after proximal humeral resection include osteoarticular allografts , allograft- or autograft-prosthesis composites.(7)