The Humerus is the upper arm bone between the shoulder and the elbow. The part of the Humerus closest to the shoulder is known as the 'Proximal Humerus'. The Proximal Humerus, or upper arm, is a common site for a fracture (accounting for around 5% of all fractures). Fractures to the Proximal Humerus generally occur within two distinct groups of people – elderly women and adolescents.
Most Proximal Humerus fractures are uncomplicated with a stable break that doesn't need any surgery. However, around 20% of upper arm breaks have complicated fracture lines and displaced fracture fragments that require surgery.
Treatment depends upon the exact fracture pattern, which should be considered together with patient age, general health and the functional demands that will be placed on the arm. Proximal Humeral fractures heal better with physiotherapist supervised rehabilitation. Range of motion exercises are started as early as the surgeon indicates that the fracture is stable, to prevent shoulder stiffness. Many people find that it's more comfortable to apply a Heat Pack to the shoulder and arm before doing the exercises. A Shoulder Support can also provide therapeutic heat.
Common Proximal Humeral Fracture signs & symptoms:
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