Medical history (history of illness) is an important component in the diagnosis of humerus fracture (fracture of the humerus).Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). Do you have any pain? Where is the pain localized? Did you have a fall? What was the accident process? Vegetative anamnesis incl. nutritional anamnesis Self … Humerus Fracture: Medical History
Injuries, poisonings, and other sequelae of external causes (S00-T98). Contusio (contusion)
The following are the most important diseases or complications that may be contributed to by a humerus fracture (humeral fracture): Skin and subcutaneous (L00-L99). Hypertrophic scarring (bulging scars). Infectious and parasitic diseases (A00-B99). Infection of the wound Musculoskeletal system and connective tissue (M00-M99) Osteoarthritis Pseudarthrosis (false joint) Psyche – nervous system (F00-F99; G00-G99) Vascular injuries … Humerus Fracture: Complications
According to the ICD-10, humerus fracture can be classified as follows: Fracture of the proximal (“leaning toward the body”) end of the humerus (S42.2) Fractura tuberculi majoris (The head is flanked by two bony prominences (tuberculum majus = major and tuberculum minus = minor)). Fractura colli anatomici (synonym: subcapital humerus fracture, i.e., the intra- or … Humerus Fracture: Classification
The following symptoms and complaints may indicate a humerus fracture (upper arm fracture): Pain in the upper arm, shoulder joint Swelling, deformity Painful restriction of movement up to complete loss of function (pseudoparalysis) Malposition of the bones Hematoma (bruise) in: Upper arm Armpit Chest wall
Pathogenesis (development of disease) Humeral head fracture/proximal humerus fracture commonly occurs in a fall on the shoulder or extended arm. The most common proximal humerus fracture (PHF) fracture morphology. Is the classic 2-segment fracture in the area of the collum chirurgicum after low-energy trauma. The collum chirurgicum is the surgically significant “predetermined fracture site” of … Humerus Fracture: Causes
General measures In the vast majority of cases, the humeral fracture can be treated conservatively with a Gilchrist or Desault dressing (immobilization for 2-3 weeks) because of the high potential for spontaneous correction: <10 years: Dislocation (displacement) by socket width. Shortening up to 2 cm Frontal plane up to 60° varus (if at bones or … Humerus Fracture: Therapy
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Soft tissue damage: bruise marks, hematoma (bruise), abrasion, sores in fracture area (open fracture) Malposition Previous damage, scars Palpation (palpation), as far as possible. If necessary, as far as … Humerus Fracture: Examination
Laboratory diagnosis – taking into account age and concomitant diseases – is required if surgical action is to be taken.
Mandatory medical device diagnostics. X-ray of the humerus or humeral joint in 2 planes: Upper arm a.p. (anterior-posterior; beam path: anterior to posterior) in the following position: humerus in supination position and slightly angled away from the body; humerus must be imaged with both joints laterally Fracture sonography (ultrasound of bone fractures) to visualize pathologies … Humerus Fracture: Diagnostic Tests
In approximately 20% of cases, surgical therapy is required (see also under further notes). 1st order, depending on the exact form of the fracture. Osteosynthesis – surgical procedure to treat fractures (broken bones) and other bone injuries (e.g., epiphysiolyses) to quickly restore full function. This is done by implants (by means of insertion of force … Humerus Fracture: Surgical Therapy