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1. Shoulder anatomy

2. Shoulder anatomy

4. Humerus Anatomy

6. Humerus Anatomy

8. Humerus Anatomy

9. Humerus Anatomy

10. Shoulder anatomy

12. Shoulder stabilizer

14. Shoulder stabilizer

15. Humerus Fracture Deforming Force
• The supraspinatus (A) exerts a force
posteromedially.
• The infraspinatus and teres minor (B)
pull posteromedially and externally
rotate.
• The subscapularis (C) exerts an
anteromedially directed force on the
lesser tuberosity.
• The pectoralis major (D) internally
rotates and adducts
• the deltoid (E) pulls superiorly on the
metadiaphysis of the humerus..

17. Proximal Humerus Fracture
(brinker)
• Complication
• Nonunion
• Malunion
• Avascular necrosis
• Neurologic injury
• arthrodesis

19. Neer Classification

20. Non Operative Indication

21. Operative Indication

22. Operative Indication

23. Treatment by fracture type

24. Treatment by fracture type

25. Neer 4 part Treatment

26. Neer 4 part Treatment

27. Neer 4 part Treatment

28. Reverse
Hemi

29. Humeral Fracture ORIF

32. ORIF PHILOS

34. Neer 4 part Operative

36. PHYLOS OPERATIVE

37. PHYLOS OPERATIVE

38. PHYLOS OPERATIVE

39. PHYLOS OPERATIVE

40. PHYLOS fracture

42. PHYLOS Operative Treatment

43. GRAFTING