TO STUDY THE EPIDEMIOLOGY OF DISPLACED AND UNSTABLE PROXIMAL HUMERUS FRACTURES IN ELDERLY

Dr. Rajesh Kishan Ambulgekar; Dr Vishal Ramesh Shewale

Volume : X, Issue : VIII, August - 2020

TO STUDY THE EPIDEMIOLOGY OF DISPLACED AND UNSTABLE PROXIMAL HUMERUS FRACTURES IN ELDERLY

Dr. Rajesh Kishan Ambulgekar, Dr Vishal Ramesh Shewale

Abstract :

BACKGROUND: Proximal humeral fractures, most often occur in the aged people whose bones are osteoporotic. The problem with fractures of proximal humerus is difficulty in attaining a good anatomical reduction by closed reduction. Proximal humeral fractures that occur in elderly are mostly displaced and unstable. AIMS: To assess the epidemiology of displaced and unstable proximal humerus fractures in elderly. RESULTS: Most of the patients (18, 54.54%), were from the age group 51–60 years. 16 (48.48%) were males and 17 (51.51%) females. 16 (48.48%) had right side and 17 (51.51%) left side affected. The mode of injury was self–fall in 25 cases (75.75%), road traffic accidents (RTA) in 7 cases (21.21%). 2 parts type of fracture was seen in 12 cases (36.36%), 3 parts type of fracture in 15 cases (45.45%), 4 parts type of fracture in 6 cases (18.18%). Associated injuries were seen in 10 (30.30%) cases. Right distal radius fracture and facial injury were seen in 2 (6.06%) cases each and we had 1 case each of head injury, left acetabulum fracture, left clavicle fracture, left eye contusion, left fibula midshaft fracture, left supracondylar fracture. CONCLUSION: Proximal humerus fracture (PHF) commonly occurs in people over the age of 50 due to osteoporotic bones. Incidence of PHF increasing as a result of increased rate of fall in elderly and road traffic accidents in middle aged population.