Author(s): <p>Seyyed Morteza Kazemi, Siamak Shabani, Mehdi Aarabi, Meysam Panahi, Sahab-Sadat Tabatabaei and Seyyed-Mohsen Hosseininejad*</p>
The management of proximal humerus fractures includes a wide range of non-operative, reconstructive and prosthetic replacement options in adults. Around 80% to 90% of cases with proximal humeral fractures could be managed non-operatively.
The treatment of elderly patients and those with displaced three or four part fractures remains uncertain. The decision of whether surgical treatment is indicated is based on four key factors: age, bone quality, fracture pattern and timing of surgery.
The combination of a clinical history, examination findings and radiographic studies has a decisive role in management [1,2]. Good outcomes are highly dependent upon appropriate management decisions.
Figure 1: Initial presentation of a 74-year-old female with right proximal humeral fracture
Figure 2: Shoulder X-ray of the patients after closed reduction and manipulation
As our case was an old 74 year old female with co-morbid conditions and low bone quality, we decided to non-operatively approach her with closed reduction and manipulation under fluoroscopy in the operating room; the reduction was acceptable and patient was discharged on 3rd admitted day with abduction pillow and asked to return for follow-up visit next week.
