Proximal Humerus shaft fracture || upper 1/3rd – Clinical features, Mechanism, Diagnosis, Treatment, and Complications.

1. Clinical features :

1. Pain.
2. Swelling.
3. Structural deformity.

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2. Mechanism :

1. RTA/Road traffic accidents.
2. Fall on outstretched hand.
3. Direct trauma.

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3. Diagnosis :

1. X-Ray – To see the fracture type.
2. CT scan – If the fracture is not clear in Xray.
3. MRI – To see any vascular injury.

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4. Treatment :

A. Non-Operative :

1. Hanging cast.
2. Coaptation splint.
3. Shoulder spica cast.
4. Shoulder brace.
5. Thoracobrachial immobilisation.

B. Surgical methods :

1. Open reduction and plate fixation.
2. Flexible nails.
3. Interlocking nails.
4. External fixation.

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5. Complications :

1. Malunion and nonunion.
2. Radial nerve injury.
3. Vascular injury.

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