Shoulder Surgery - Humerus Fracture Repair

Shoulder surgery & humerus fracture repair presented by Dr. Alejandro Badia.
Four-part proximal humeral fractures require surgical intervention. However, they can be difficult to diagnose in radiological images. Despite the shortcomings of the currently available imaging techniques, fracture displacement remains an important principle in guiding management. As a result, increasing emphasis has been placed on the use of Neer's criteria in intraoperative decision making. Patients with four-part fractures with valgus impaction of the head fragment should be treated with limited open reduction and minimal internal fixation, as the blood supply to the humeral head is better preserved than with other fracture patterns and the potential for osteonecrosis is less.