Fracture of the proximal humerus in an elderly patient is best treated by?: (A) K-wire fixation, (B) Open reduction internal fixation, (C) Cuff and sling only, (D) Manual reduction and Slab application
Answer is B. Fracture Proximal Humerus MC fracture in osteoporotic postmenopausal women Classification of fracture - Neer classification Complications - Axillary nerve injury, Shoulder stiffness & Malunion, AVN of the humeral head Treatment Undisplaced - Immobilization in a sling (Cuff & Collar or Triangular sling) x 4 weeksDisplaced & Unstable - Closed reduction & internal fixation with percutaneous pinning or nailing(Refer: Watson Jones Textbook of Ohopedics & Trauma, 6thedition, pg no: 536-538)