What is a Neer fracture?

What is a Neer fracture?

The Neer system divides the proximal humerus into four parts and considers not the fracture line, but the displacement as being significant in terms of classification. The four parts are the humeral head, the greater tuberosity, the lesser tuberosity and the humeral shaft. Displacement is on a per-part basis.

What is a Neer 3 part fracture?

With a three-part fracture, one tuberosity is displaced and the surgical neck fracture is displaced. The remaining tuberosity is attached, which produces a rotational deformity.

What is a 3 part humerus fracture?

3-PART FRACTURE: This is when the proximal humerus is broken into three pieces, and there are then two fracture lines on x-ray. This most often involves the greater tuberosity and the surgical neck of the humerus.

What Neer classifications require surgery?

Neer Classification of Humeral Head Fractures

Classification Description
1 part Surgical neck, anatomic neck, lesser tuberosity or greater tuberosity
2 part Surgical neck, anatomic neck, lesser tuberosity or greater tuberosity
3 part Surgical neck and greater tuberosity or surgical neck and lesser tuberosity

How do you treat a proximal humerus fracture?

Most proximal humerus fractures can be treated without surgery. The broken bone will take 3 to 4 months to heal. During this time, you will need to perform exercises to regain range of motion, strength, and return to normal activities.

How do u break your humerus?

If you break your upper arm it is usually following a bad fall on to your elbow or shoulder or by something hitting it hard, such as being knocked down by a car. Falling on to your elbow or shoulder is likely to cause a broken upper arm (fractured humerus).

What part of the humerus is the most commonly fractured?

The most frequently fractured site of the humerus especially in elderly is the surgical neck which is an area of constriction distal to the tuberosities.

What is a Supracondylar?

Your child’s humerus is fractured (broken) near the elbow area, just above the joint. This is called a supracondylar (supra CON dy ler) humerus fracture. It is the most common type of elbow fracture and happens most often to children younger than 8 years old.

What is Holstein fracture?

Description. HolsteinLewis fracture: simple spiral fracture of the distal third of the shaft of humerus with distal bone fragment displaced and the proximal end deviated toward the radial side with an increased risk of acute radial nerve palsy.

How do you sleep with a broken humerus?

You should sleep upright, either in an arm chair, or sitting up in bed propped up on plenty of pillows. Your upper arm should be allowed to hang and not be rested on pillows which may force your shoulder upwards.

How long does humerus fracture take to heal?

The humerus is the long bone in your upper arm. When broken, it needs specialized care so that you can cope with the problems it brings. It will take a minimum of 12 weeks to heal. Patients may be on pain relief medications for a longer duration.

How long does a distal humerus fracture take to heal?

Total recovery time can take 6 months and most patients have very good range of motion and strength after the bone heals. The most common long term complications are joint stiffness, heterotopic bone formation and painful retained hardware or pain over the plates.

Where is the distal humerus located?

The distal humerus is the lower end of the humerus. It forms the upper part of the elbow and is the spool around which the forearm bends and straightens. The radial head is the knobby end of the radius where it meets the elbow.

Is humerus a long bone?

The humerus is a long bone which consists of a shaft (diaphysis) and two extremities (epiphysis). It is the longest bone of the upper extremity.

How would you classify a fracture of the left humerus at the proximal Diaphysis?

The Neer classification for proximal humerus fractures is based on 4 fracture parts: the greater tuberosity, the lesser tuberosity, the humeral head, and the humeral shaft. If any of the 4 segments is separated by more than 1 cm from its neighbor or is angulated more than 45, the fracture is said to be displaced.

Can you move your arm with a fractured humerus?

A fractured humerus or upper arm is extremely painful, and the patient may not be able to move their arm. Sometimes, the radial nerve (one of the main nerves in the arm) may be injured. This happens about 15% of the time.

How soon can you drive after a proximal humerus fracture?

On average most people return to driving around 4 weeks following surgery. If a ligament or tendon has been repaired, you need to wait until the tendon/ ligament has healed normally around 8-10 weeks with a graduated increase in activity. Returning to driving early after tendon surgery may compromise your outcome.

How do you rehab a broken humerus?

Your physical therapy treatment may include:

  1. Range of Motion Exercises. Due to their limited movement following a proximal humerus fracture, individuals lose their range of shoulder motion and may develop stiffness of the shoulder joint. …
  2. Strengthening Exercises. …
  3. Manual Therapy. …
  4. Modalities. …
  5. Functional Training.

How do you shower with a broken humerus?

What is the most painful bone to break?

Here’s a look at some of the bones that hurt the most to break:

How do you wear a sling for a broken humerus?

How to Wear Your Sling

  1. Gently pull the sling over your arm and elbow. …
  2. Reach around your neck and grab the strap behind your elbow. …
  3. Tighten the straps so your hand and forearm are elevated above the level of your elbow. …
  4. Fasten the strap with the Velcro fasteners.

When is surgery needed for fractured humerus?

Surgeons may recommend an operation to fix the broken humerus if it is broken into many pieces, if the bones are far apart, if the bone sticks out through the skin, or if the nerves or blood vessels are injured.

How much blood can you lose from a humerus fracture?

Results: Average blood loss was 284 mL, and the transfusion rate was 14.5% for all proximal humeral fractures. Shoulder arthroplasty was associated with higher blood loss (353 mL, P < . 01) and a higher blood transfusion rate (27.3%, P < .

What is a olecranon fracture?

An olecranon fracture is a break in the pointy bone of your elbow that sticks out when you bend your arm, which is actually the end of the ulna.

How long does supracondylar fracture last?

Recovery time for this injury typically includes three to four weeks in a long arm cast, after which we will remove the cast and take a new x-ray.

What is Capitellum?

The capitellum, also referred to as the capitulum, is the lateral part of the humeral condyle that articulates with the radial head.

What is green stick fracture?

A greenstick fracture is a crack or break on one side of a long bone in the arm or leg that does not extend all the way through the bone. Children are more likely to have greenstick fractures because their bones are softer and less brittle than an adult’s.

What is a floating elbow?

Floating elbow is an injury pattern involving a fracture of the humerus and a fracture of the radius and/or the ulna in the same extremity. This injury may be associated with an elbow dislocation in patients who sustain high-energy injuries (see the image below).

Is radial nerve palsy permanent?

Many patients with radial nerve palsy will see complete recovery or symptom relief after treatment. In some cases, complications may occur, including: Partial or complete loss of feeling in the hand: If the radial nerve doesn’t heal completely, numbness may be permanent.