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Fracture of Proximal Humerus

Understanding, Diagnosing, and Treating Humerus Fractures

What is a Fracture of Proximal Humerus?

A fracture of the proximal humerus refers to a break in the upper part of the arm bone (humerus), close to the shoulder joint. This type of fracture often occurs due to high-energy trauma such as falls, car accidents, or sports injuries, especially in older adults with weakened bones due to osteoporosis. The fracture can involve one or more parts of the humerus, including the humeral head (ball), greater tuberosity (part of the shoulder), or the shaft of the humerus itself.

Dr. Abhinav Mishra, a shoulder and orthopedic expert, specializes in diagnosing and treating fractures of the proximal humerus, helping patients regain full function and mobility.

Symptoms of Proximal Humerus Fracture

  • Swelling and Bruising
  • Limited Range of Motion
  • Deformity
  • Tenderness

Causes of Proximal Humerus Fracture

Falls, Especially in Older Adults
  • A common cause of proximal humerus fractures is falling onto an outstretched arm, especially in elderly individuals whose bones may be more fragile due to osteoporosis.
  • The impact of the fall can lead to a break in the upper arm near the shoulder.
Sports Injuries
  • Contact sports, such as football, rugby, and hockey, or high-impact activities like cycling or skiing can result in traumatic falls or impacts leading to humeral fractures.
Motor Vehicle Accidents
  • The significant force from car accidents can lead to fractures of the shoulder region, including the proximal humerus.
Direct Trauma to the Shoulder
  • A direct blow to the shoulder, either from an accident or trauma, can cause the proximal part of the humerus to fracture.
Osteoporosis
  • In patients with osteoporosis, bones become weaker and more susceptible to fractures, even with less significant trauma.

Recovery & RehabilATreatment Options for Proximal Humerus Fractureitation

Non-Surgical Treatment
  • Rest and Immobilization: A sling or shoulder immobilizer is typically used to support the shoulder and prevent movement during the healing process.
  • Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation.
  • Physical Therapy: Once the initial pain subsides, physical therapy helps regain shoulder mobility and strength.
  • Ice and Elevation: Ice packs can reduce swelling and pain, especially during the initial phase of healing.
Surgical Treatment
  • Open Reduction and Internal Fixation (ORIF): In this procedure, the surgeon realigns the fractured bone pieces and secures them using screws, plates, or pins. This is often done when the bone is displaced or fragmented.
  • Humeral Head Replacement (Shoulder Replacement Surgery): In cases where the humeral head is severely damaged or shattered, a partial shoulder replacement may be necessary to restore shoulder function and alleviate pain.
  • Arthroscopic Surgery: For some fractures, arthroscopic (minimally invasive) surgery can be used to repair the fracture and minimize the size of incisions.
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