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prox humeral fx with arm/hand weakness

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A case for residents:

68 yo female presented with 12 day-old proximal humeral fx. Ortho saw pt 1 week post-injury, ordered CT, and followed-up yesterday. Humeral head has comminuted fx and dislocated. He wants to take her to surgery today, but wants to know the neurological state of the arm, as the humeral head is sitting in the vicinity of the brachial plexus and she has arm weakness.

Right arm is diffusely ecchymotic and edematous. PT is morbidly obese, BMI 45. She has no appreciable...

prox humeral fx with arm/hand weakness

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