Following xray is of 67 years old man who fell in bathroom. He presented in the out patient department three days after the injury with complaint of pain and swelling in the upper part of the arm. There was substantial bruising on the arm and swelling was noted.
The xray revealed comminuted fracture of upper end of humerus.
The patient was advised closed reduction and internal fixation using an interlock nail but patient refused for surgery.
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x ray of comminuted # prox. humerus does not show shoulder jt in ap view.it is better to fix with lcp plate
Dr Arun Pal Singh Reply:
February 20th, 2010 at 1:40 pm
Dr Shailesh! Good to have you here.
Yes! from xray alone it seems that LCP is better option. But soft tissues of the patient were very bruised and there was a lot of risk associated with open surgery.
That swayed the decision. Thanks for your input