Fracture of the Shoulder Blade
Fractures of the proximal humerus are common, accounting for 5% of all fractures. These fractures tend to occur in older patients who are osteoporotic.
Cause
The most common mechanism for these fractures is a fall on the outstretched hand from a standing height. In younger patients, high-energy trauma is the cause of injury.
Symptoms
The most common symptoms of a proximal fracture include:
- Extreme pain when you move the arm
- Swelling around the back of the shoulder
- Inability to move the shoulder
- A grinding sensation when the arm/shoulder is moved
- An obvious deformity of the shoulder area
Diagnosis
Physical Examination & Patient History
During your first visit, your doctor will talk to you about your symptoms and medical history. During the physical examination, your doctor will check all the structures of your injury, and compare them to your non-injured anatomy. Â Most injuries can be diagnosed with a thorough physical examination.
Imaging Tests
Imaging Tests Other tests which may help your doctor confirm your diagnosis include:
X-rays. Although they will not show any injury, x-rays can show whether the injury is associated with a broken bone.
Magnetic resonance imaging (MRI) scan. If your injury requires an MRI, this study is utilized to create a better image of soft tissues injuries. However, an MRI may not be required for your particular injury circumstance and will be ordered based on a thorough examination by your Peninsula Bone & Joint Clinic Orthopedic physician.
Treatment Options
Non-Surgical
Most fractures of the proximal humerus can be treated without surgery if the bone fragments are not shifted out of position (displaced).Â
Surgical
If the fragments are shifted out of position, surgery is usually required. Surgery usually involves fixation of the fracture fragments with plates, screws, or pins or it involves shoulder replacement.
Peninsula Bone & Joint Clinic
The Orthopaedic physicians at Peninsula Bone & Joint Clinic provide comprehensive services to all members of the family.
Make An Appointment