Sections View Full Chapter Figures Tables Videos Full Chapter Figures Tables Videos Supplementary Content ++ Proximal humeral fracture ++ 812.00 Fracture of unspecified part of upper end of humerus closed812.01 Fracture of surgical neck of humerus closed812.02 Fracture of anatomical neck of humerus closed812.03 Fracture of greater tuberosity of humerus closed812.09 Other closed fractures of upper end of humerus812.10 Fracture of unspecified part of upper end of humerus open812.11 Fracture of surgical neck of humerus open812.12 Fracture of anatomical neck of humerus open812.13 Fracture of greater tuberosity of humerus open812.19 Other open fractures of upper end of humerus ++ S42.209A Unspecified fracture of upper end of unspecified humerus, initial encounter for closed fractureS42.209B 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 fractureS42.213B Unspecified displaced fracture of surgical neck of unspecified humerus, initial encounter for open fractureS42.216A Unspecified nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for closed fractureS42.216B Unspecified nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for open fractureS42.253A Displaced fracture of greater tuberosity of unspecified humerus, initial encounter for closed fractureS42.253B Displaced fracture of greater tuberosity of unspecified humerus, initial encounter for open fractureS42.256A Nondisplaced fracture of greater tuberosity of unspecified humerus, initial encounter for closed fractureS42.256B Nondisplaced fracture of greater tuberosity of unspecified humerus, initial encounter for open fractureS42.293A Other displaced fracture of upper end of unspecified humerus, initial encounter for closed fractureS42.293B Other displaced fracture of upper end of unspecified humerus, initial encounter for open fractureS42.295A Other nondisplaced fracture of upper end of left humerus, initial encounter for closed fractureS42.296A Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for closed fracturefor open fractureS42.296B Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for open fracture ++ 4G: Impaired Joint Mobility, Muscle Performance, and Range of Motion Associated With Fracture +++ Description ++ FractureAny defect in continuity of the proximal humerusDisplaced (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) +++ Essentials of Diagnosis ++ Diagnosis is usually made by clinical examinationMay not be a fracture but a dislocation, an acromioclavicular (AC) sprain, or a rotator cuff strain +++ General Considerations ++ Account for 5% of all fractures +++ Demographics ++ Occur primarily in older patients +++ Signs and Symptoms ++ Pain Point tendernessEdemaEcchymosisLoss of general functionLoss of active mobilityMuscle guarding with passive movement +++ Functional Implications ++ Patient will present with involved upper extremity (UE) in position of protection: shoulder adduction and ... Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth