What is the Neer classification?
What is the Neer classification?
The concept of the Neer classification is dividing the proximal humerus into 4 segments (humeral head, greater tuberosity, lesser tuberosity, and humeral shaft) and classifying the proximal humeral fractures by the number of displaced segments.
What is a 4 part proximal humerus fracture?
4-PART FRACTURE: This is when the proximal humerus is broken into four pieces. We also commonly see this fracture pattern, and it typically involves a fracture of the greater tuberosity, lesser tuberosity, and the surgical neck.
What is a 3 part surgical neck fracture?
Three-Part Fractures With a three-part fracture, one tuberosity is displaced and the surgical neck fracture is displaced. The remaining tuberosity is attached, which produces a rotational deformity.
What is Neer fracture?
The Neer system divides the proximal humerus into four parts and considers not the fracture line, but the displacement as being significant in terms of classification. The four parts are the humeral head, the greater tuberosity, the lesser tuberosity and the humeral shaft. Displacement is on a per-part basis.
How does a proximal humerus fracture heal?
Most proximal humerus fractures can be treated without surgery. The broken bone will take 3 to 4 months to heal. During this time, you will need to perform exercises to regain range of motion, strength, and return to normal activities.
What is proximal humerus fracture?
A proximal humerus fracture is a partial or complete break in the upper arm bone (humerus) near or in the shoulder. Anatomy and Symptoms. The proximal area of the humerus is the portion near the arm’s attachment to the body.
What is the Neer classification of humeral fractures?
The Neer classification of proximal humeral fractures is probably the most frequently used system along with the AO classification of proximal humeral fractures. The terminology and factors which influence the classification are essential for the utility of radiological reports of proximal humeral fractures.
What are the different types of clavicle fractures?
Fractures involving middle third of the clavicle are classified as Group 1. These are the most commonly encountered types, accounting for approximately 80% of injuries (Figure 8 and 9). Fractures that involve the portion of the clavicle lateral to the CCL correspond to Group II fractures.
What are the treatment options for proximal humerus fracture?
Proximal Humerus Fracture treatment is based on the Neer classification and displacement of the parts: Sling immobilization or swathe for comfort Early shoulder motion at 7 to 10 days consisting of pendulum exercises and passive range of motion. Early radiographic follow-up to detect loss of fracture reduction.
What are the four parts of the humerus?
The four parts are: 1 humeral head. 2 greater tuberosity. 3 lesser tuberosity. 4 humeral shaft.
