Proximal Humerus Fracture Classification
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A1 Extra-articular unifocal fracture, tuberosity
- For subdivision see AO Classification.
- A1.1=greater tuberosity fx, Nondisplaced (<5mm displacement): Sling, start PT within 2 wks for passive ROM only. Start strengthening, active ROM after fracture union is evident.
- A1.2=greater tuberosity fx Displaced (displaced >5mm): CRPP vs ORIF (Flatow JBJS 73A 73:1213;1991).
- A1.3=with GH dislocation: GH joint should be reduced ASAP. Greater tuberosity fractures are then treated based on the amount of displacement seen on post-reduction xrays.
- See also Greater Tuberosity fracture.
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A2 Extra-articular unifocal fracture, impacted metaphyseal
- For subdivision see AO Classification.
- <66% translation: sling, start PT within 2 wks for passive ROM only. Start strengthening, active ROM after fracture union is evident.
- >66% translation: CRPP vs ORIF
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A3 Extra-articular unifocal fracture, non-impacted metaphyseal
- For subdivision see AO Classification.
- <66% translation: sling, start PT within 2 wks for passive ROM only. Start strengthening, active ROM after fracture union is evident.
- >66% translation:CRPP vs ORIF
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B1 Extra-articular bifocal fracture, with metaphyseal impaction
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B2 Extra-articular Bifocal fracture, without metaphyseal impaction
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B3 Extra-articular bifocal fracture, with GH dislocation
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C1 Articular fracture, with slight displacement
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C2 Articular fracture, impacted with marked displacement
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C3 Articular fracture, with GH dislocation
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