Trauma Case
A 72-year-old woman with known osteoporosis and type 2 diabetes presents after a low-energy fall at home, landing on her outstretched right hand. She complains of severe shoulder pain and inability to lift the arm. On examination, the shoulder is swollen with ecchymosis over the upper arm. Active and passive movements are markedly painful. Distal neurovascular examination is normal.
Plain radiographs (AP, scapular Y, and axillary views) show a 3-part fracture of the proximal humerus involving the surgical neck and greater tuberosity, with varus displacement of the humeral head.
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Analyze the mechanism of injury and explain how it correlates with the fracture pattern observed.
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Based on Neer’s classification, justify the fracture categorization and its prognostic significance.
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Evaluate the role of CT scan in this patient. Would it change management?
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Critically appraise non-operative versus operative management options in this patient, considering age, bone quality, and functional demand.
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Identify early and late complications specific to this fracture pattern and patient profile.