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One Part Proximal Humeral Fracture

 

- See: Classification of Proximal Humeral Fractures: 

- Discussion: 
- by definition has less than 1 cm of displacement and less than 45 deg of fracture angulation; 
- ideally patients should be immobilized in a sling for no more than one week, and then should be started on supervised assisted passive shoulder ROM exercises and active wrist and elbow ROM exercises; 
- when not performing ROM exercises, patients are kept in a sling for 4-6 weeks; 
- once active motion is achieved patients should be started on deltoid and rotator cuff stengthening programs; 
- 75% of patients can expect to have a good to excellent result, and 10% will have a poor result; 
- patients with excellent results tend to start ROM exercises with 10-14 days of injury


Functional Outcome after Minimally Displaced Fractures of the Proximal Part of the Humerus.