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Defined as fracture occurring at or proximal to the surgical neck It is the commonest fracture affecting the shoulder girdle in adults. Proximal humeral fracture 80% of all humeral fractures. In pts above the age of 65 years, proximal humeral fractures are the 2nd most frequent upper extremity fractures ANATOMY - The proximal humerus is retroverted 35 to 40 degrees relative to the epicondylar axis. Most common is fall onto outstretched upper extremity from a standing height, in older & osteoporotic woman. Younger pts present following high energy trauma with significant soft tissue injury. Less common with excessive shoulder abduction, direct trauma, electric shock and seizures r seizures
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Sample Fracture Care
- Compound Fracture Treated With Open Reduction Then Internal Fixation
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