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Proximal Humerus Fractures

Neer classification (parts displaced >1 cm or >45°): guides management. Non‑operative for minimally displaced; ORIF (locking plate) for displaced 2–3 part; hemiarthroplasty/RSA for unreconstructable 3–4 part or head‑split in elderly. Assess vascularity: medial hinge, calcar length; tuberosity integrity crucial for outcomes. Complications: AVN, stiffness, tuberosity nonunion/malposition, screw perforation.

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Neer classification (parts displaced >1 cm or >45°): guides management. Non‑operative for minimally displaced; ORIF (locking plate) for displaced 2–3 part; hemiarthroplasty/RSA for unreconstructable 3–4 part or head‑split in elderly. Assess vascularity: medial hinge, calcar length; tuberosity integrity crucial for outcomes. Complications: AVN, stiffness, tuberosity nonunion/malposition, screw perforation.
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Question 1

Which classification system is most commonly used for proximal humerus fractures?

Question 2

What is the management for a minimally displaced proximal humerus fracture?

Question 3

Which of the following is a common complication of proximal humerus fractures?

Question 4

In the Neer classification, what defines a two-part fracture?

Question 5

What is the role of the axillary nerve in proximal humerus fractures?

Question 6

Which surgical intervention is indicated for a severely comminuted proximal humerus fracture in an elderly patient?

Question 7

What is the main blood supply to the humeral head?

Question 8

In the assessment of proximal humerus fractures, what is critical for determining surgical management?

Question 9

What is the indication for ORIF with a locking plate in proximal humerus fractures?

Question 10

Which imaging modality is particularly useful in evaluating complex proximal humerus fractures?