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  • Proximal humeral fracture

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  • 812.00 Fracture of unspecified part of upper end of humerus closed
  • 812.01 Fracture of surgical neck of humerus closed
  • 812.02 Fracture of anatomical neck of humerus closed
  • 812.03 Fracture of greater tuberosity of humerus closed
  • 812.09 Other closed fractures of upper end of humerus
  • 812.10 Fracture of unspecified part of upper end of humerus open
  • 812.11 Fracture of surgical neck of humerus open
  • 812.12 Fracture of anatomical neck of humerus open
  • 812.13 Fracture of greater tuberosity of humerus open
  • 812.19 Other open fractures of upper end of humerus

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  • S42.209A Unspecified fracture of upper end of unspecified humerus, initial encounter for closed fracture
  • S42.209B Unspecified fracture of upper end of unspecified humerus, initial encounter S42.213A Unspecified displaced fracture of surgical neck of unspecified humerus, initial encounter for closed fracture
  • S42.213B Unspecified displaced fracture of surgical neck of unspecified humerus, initial encounter for open fracture
  • S42.216A Unspecified nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for closed fracture
  • S42.216B Unspecified nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for open fracture
  • S42.253A Displaced fracture of greater tuberosity of unspecified humerus, initial encounter for closed fracture
  • S42.253B Displaced fracture of greater tuberosity of unspecified humerus, initial encounter for open fracture
  • S42.256A Nondisplaced fracture of greater tuberosity of unspecified humerus, initial encounter for closed fracture
  • S42.256B Nondisplaced fracture of greater tuberosity of unspecified humerus, initial encounter for open fracture
  • S42.293A Other displaced fracture of upper end of unspecified humerus, initial encounter for closed fracture
  • S42.293B Other displaced fracture of upper end of unspecified humerus, initial encounter for open fracture
  • S42.295A Other nondisplaced fracture of upper end of left humerus, initial encounter for closed fracture
  • S42.296A Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for closed fracture
  • for open fracture
  • S42.296B Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for open fracture

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Description

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  • Fracture
  • Any defect in continuity of the proximal humerus
  • Displaced (proximal humerus is moved on either side of the fracture) or nondisplaced (proximal humerus has not moved)
  • Closed (skin is intact) or open (skin is breached)

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Essentials of Diagnosis

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  • Diagnosis is usually made by clinical examination
  • May not be a fracture but a dislocation, an acromioclavicular (AC) sprain, or a rotator cuff strain

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General Considerations

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  • Account for 5% of all fractures

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Demographics

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  • Occur primarily in older patients

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Signs and Symptoms

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  • Pain
  • Point tenderness
  • Edema
  • Ecchymosis
  • Loss of general function
  • Loss of active mobility
  • Muscle guarding with passive movement

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Functional Implications

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  • Patient will present with involved upper extremity (UE) in position of protection: shoulder adduction and internal rotation and elbow flexion.
  • Patient ...

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