Fracture, shoulder

• Proximal humeral fracture

• 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

• 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

• 4G: Impaired Joint Mobility, Muscle Performance, and Range of Motion Associated With Fracture

Description

• 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)

Essentials of Diagnosis

• Diagnosis is usually made by clinical examination
• May 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 tenderness
• Edema
• Ecchymosis
• Loss of general function
• Loss of active mobility
• Muscle guarding with passive movement

Functional Implications

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