surgical neck fracture
surgical neck fractureA fracture that affects the surgical neck of the humerus, which affects two groups of patients:
(1) Young patients, usually male, typically due to high velocity trauma, often accompanied by impaction of the bony fragments. The bone quality is usually good, with thick cortices and dense cancellous structure which responds well to various surgical techniques, including open reduction and internal fixation.
(2) Elderly patients, more often female, following minor trauma due to fall from height. The bone quality is usually poor with thin cortices and porous cancellous bone, which may be accompanied by medical comorbidity and often responds poorly to treatment.
Stabilisation of surgical neck fractures is indicated for multiple trauma, displaced unstable fractures, when accompanied by other upper extremity fractures, and when accompanied by vascular injury.