Fraturas do Úmero Proximal

Study Notes

Proximal Humerus Fractures

Proximal humerus fractures are common injuries often seen in elderly patients due to falls. These fractures occur when the upper part of the arm bone (humerus) breaks near the shoulder joint. In this section, we will discuss the classification, causes, symptoms, diagnosis, and treatment options associated with proximal humeral fractures.

Classification

Humeral fractures can be classified based on their morphology:

Two-part fracture
Three-part fracture
Four-part fracture

The three-part fracture is the most common type.

Causes

Age and osteoporosis increase the risk of proximal humerus fractures after a fall from standing height. Risk factors may also include low socioeconomic status and female sex.

Symptoms

Symptoms of proximal humerus fractures can include pain, swelling, loss of mobility, and deformity.

Diagnosis

Diagnostic imaging tests such as X-ray radiography can confirm a suspected proximal humerus fracture.

Treatment Options

Treatment options for proximal humerus fractures depend on the patient's age, general health, and individual needs:

Nonoperative Management

Nonoperative management involves immobilizing the affected limb using a sling for several weeks, followed by physical therapy to restore range of motion and strength.

Surgical Management

Surgical interventions might include arthroscopic fixation, total shoulder replacement, or hemiarthroplasty.

Rehabilitation

No matter the chosen treatment option, rehabilitation plays a crucial role in regaining functional ability and reducing complications.

Description

Este quiz aborda as classificações, causas, sintomas, diagnóstico e opções de tratamento associadas às fraturas do úmero proximal, com foco nas lesões comuns em pacientes idosos após quedas. Explora-se a tipologia das fraturas, fatores de risco como idade e osteoporose, sintomas como dor e inchaço, além das opções de manejo não operatório, cirúrgico e reabilitação.