Journal of Urgent Care Medicine

Urgent Care Recognition and Management of Proximal Humerus Fractures

Urgent Message: Proximal humerus fractures most commonly occur in older patients after a fall and can be sentinel events that offer an opportunity to identify undiagnosed medical conditions or unsafe home environments. Lauren Schuermann, MS4; Shivani Kothari, MS4; W. Bradley Strauch, MD Citation: Schuermann L, Kothari S, Strauch B. Urgent Care Recognition and Management of Proximal Humerus Fractures. J Urgent Care Med. 2024; 19(2): 13-19 Questions for the Clinician at the Bedside Clinical Scenario A …

Man with blow to shoulder

This x-ray was taken on a man with a direct blow to his anterior shoulder. View the image taken (Figure 1) and consider what your diagnosis would be.

21-year-old man with a blow to his right shoulder

This x-ray was taken on a 21-year-old man with a blow to his right shoulder. View the image taken (Figure 1) and consider what your diagnosis would be.

28-year-old male with pain in shoulder after fall

The patient, a 28-year-old male, presented with pain in his left shoulder after a fall. View the image taken (Figure 1) and consider what your diagnosis would be.

76-year-old male presented after blow to right shoulder

The patient, a 76-year-old male, presented after a blow to his right shoulder. View the image taken (Figure 1) and consider what your diagnosis would be.

22-year-old suffers fall onto right shoulder

This otherwise healthy 22-year-old patient fell and landed directly on the right shoulder. The presentation included marked local swelling and decreased range of motion. View the image taken and consider what your diagnosis would be.

26-year-old presents limited range of motion in shoulder

The patient, an otherwise-healthy 26-year-old, suffered a blow to the left shoulder and presented with a limited range of motion. View the image taken and consider what your diagnosis and next steps would be.

70-year-old experiencing shoulder pain

This 70-year-old patient presented with pain in the left shoulder. There was no history of trauma. View the image taken and consider what your diagnosis and next steps would be.

62-year-old experiencing progressive shoulder pain

The patient is a 62-year-old who presents with a primary complaint of right shoulder pain that developed over time. The patient denies any trauma and appears well. The history and examination are unremarkable. View the image taken and consider what your diagnosis and next steps would be.

19-year-old male experiencing pain in shoulder

The patient is a 19-year-old male who complains of pain after receiving a blow to the shoulder. His range of motion is limited due to pain; he is otherwise healthy. View the image and consider what your diagnosis and next steps would be.

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