Proximal Humerus Fracture
A proximal humerus fracture is a break in the upper end of the upper arm bone near the shoulder. It is a common fracture in elderly individuals that often happens as a result from a ground level fall. It can also occur as a result of high energy injuries such as motor vehicle collisions. Depending on the type of fracture and displacement of the bones, a proximal humerus fracture might be treated with or without surgery. Lying flat with this injury often exacerbates pain, therefore, if able to sleep in a more upright position this will often provide less discomfort than a recumbent position. When surgery is needed, it may consist of placing pins through the skin, placing a plate and screws, or removing a portion of the broken bone and replacing it with a metal prosthesis analogous to a hip replacement. Whether treated surgically or nonsurgically, shoulder stiffness is extremely common following this injury. Often, physical therapy is prescribed during the healing process to help regain motion.
Collar Bone (Clavicle) Fracture
Fractures of the collar bone (clavicle) are very common and usually occur from a fall or from a direct impact to the clavicle itself. Historically, nearly all clavicle fractures were thought of in the same way as fractures that were best treated non-surgically. As orthopaedic knowledge, techniques, and implants have improved, however, we know that some patients do better when their clavicle fracture is fixed surgically.
When clavicle fractures are treated non-surgically, there will most often be a bump that forms under the skin and will remain there forever. Good healing rates can be obtained with nonsurgical treatments in certain types of clavicle fractures. When healing occurs with the clavicle in a shortened position, endurance strength to the arm can decrease. Surgery for clavicle fractures usually entails placing a plate and screws to hold the bones in the proper position as the fractured ends heal back together.
Fracture locations:
Hip fracture (proximal femur fracture)
Thigh fracture (femur shaft fracture)
Knee fracture (distal femur, patella, and tibial plateau fractures)
Shin fracture (tibial shaft fracture)
Ankle fracture (including pilon fracture)
Shoulder fracture (proximal humerus, and clavicle fractures)