Humeral head fracture (ADULT)
Patient Presents with Painful shoulder secondary to a fall (No hx dislocation)
Isolated humeral head tenderness on palpation
X-ray of shoulder demonstartes a fracture
Closed 1 part fracture
Closed simple 1 part non-displaced fracture to the humeral head involving either:
- Anatomical neck
- Surgical neck
- Lesser tuberosity
- Greater tuberosity
Place patient in a high arm single loop collar and cuff
Arrange NPC follow up for 1 week
Provide and discuss with patient with the Humeral Head advice leaflet
Prescribe appropriate anaglesia
All other injuries to the proximal humerus
- 2 or 3 part humeral head fracture
- Fracture dislocation
- Displaced fracture
- Axillary Nerve disruption
- Open #
- Other clinical concerns
Contact trauma on call 1222 for advice and treat as advised