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12 Cards in this Set

  • Front
  • Back
What treatment for minimally displaced proximal humerus fracture
results in the best outcome?
Early physical therapy and motion
Outcomes have been shown to be significantly worse if what associated injury is present?
Rotator cuff tear
What are the two components of the general treatment algorithm for a two—part surgical neck fracture?
Reduce
Assess stability
If unstable after reduction, what are the three treatment options?
Closed reduction and percutaneous pinning (CRPP)
lntramedullaiy (IM) nailing
Open reduction and internal fixation (ORIF)
What two structures are especially at risk with CRPP?
Axillary nerve
Posterior humeral circumflex artery
What condition is a relative contraindication to use of an IM nail?
Osteoporosis
For a four-part proximal humerus fracture, which structure must be
protected with ORIF?
Anterior humeral circumflex artery
Why?
Minimize risk of avascular necrosis
What is the treatment for avascular necrosis with collapse?
Hemiarthroplasty
If treating a four-part fracture with a hemiarthroplasty, should cement be used or not?
Yes
What two factors have been shown to be associated with good surgical outcomes?
Early surgery (<14 days)
Anatomic reduction of tuberosity (10 mm below superior surface of head)
What salvage option exists if tuberosity nonunion develops?
Reverse shoulder prosthesis