Proximal humeral fracture

Case contributed by Frank Gaillard


Fall while gardening 6 days ago. Unable to move arm.

Patient Data

Age: 75 years
Gender: Female

Surgical neck of humerus fracture is demonstrated with an additional fracture separating the greater tuberosity. There is only minor displacement with moderate impaction and angulation (~30 degrees), with the glenohumeral joint remaining enlocated. Degenerative change of the acromioclavicular joint is noted.

Annotated image

The three fragments to this fracture are visible on the AP view: humeral head (red), humeral shaft (blue) and greater tuberosity (yellow). These are minimally displaced and only mildly angulated. 

Case Discussion

Typical appearances of a minimally displaced proximal humeral fracture involving not only the surgical neck but also the greater tuberosity. This illustrates the importance of understanding the Neer classification. This would be considered a one-part fracture, as although both a greater tuberosity and surgical neck of humerus fracture are present neither are significantly displaced (<1cm) nor are they significantly angulated (<45 degrees).

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.