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An important lesson in assessing neurovascular involvement in proximal humeral fractures: the presence of neuropathic pain in a dysvascular limb

Proximal humerus fracture is a common upper limb fracture with an incidence of around 5%.12,13,20 It is often a result of a high-energy injury in the younger population; in the elderly, it is often due to a trivial fall.6,10 The proximity of the infraclavicular plexus and the brachial artery (the brachial bundle) to the fracture site can result in a variety of possible neurovascular presentations, making the injury uniquely challenging.22 Hence, clinicians should maintain a high index of suspicion for neurovascular compromise complicating even a simple proximal humerus fracture.
Source: Journal of Shoulder and Elbow Surgery - Category: Orthopaedics Authors: Tags: Case report Source Type: research

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