Traumatic Conditions (Fractures): Humeral Neck Fracture
The surgical neck of the humerus is so called because it is the area of the neck where fractures occur, rather than the anatomical neck. A fracture in this area may cause damage to the axillary nerve. This is often caused by a fall in a patient with osteoporotic bone.
Complex humeral neck fracture
The surgical neck fracture has resulted in complete separation of the fragments, with a greater tuberosity fracture. Not surprisingly the associated axillary nerve injury did not recover despite early surgery.
Giant cell tumour
Pathological fractures are fairly common at this site. This x-ray shows a likely giant cell tumour in an eight-year-old.
Bony metastasis
Here is a likely bony metastasis in a 65-year-old who sustained this fracture pulling on his socks.
How would you treat this fracture?
Most fractures can be managed in a collar and cuff unless, significant displacement, comminution or neurovascular injury.