Proximal Humerus Fracture in 60F Musician

HPI

A 60 year-old, right hand dominant female presented with right shoulder pain and swelling after falling off her bicycle. She denied any numbness or tingling in the right upper extremity. She denied prior shoulder issues. She is very active and is also a professional musician. She has been taking NSAIDs and Tylenol since her injury.

PMH

Bicuspid aortic valve s/p aortic valve replacement Prior pulmonary embolism Hypertension

PE

Examination of the shoulder demonstrated diffuse swelling and ecchymosis around the shoulder. There was intact skin without abrasions or open wounds. Intact and symmetrical sensation in the axillary, musculocutaneous, radial, median and ulnar nerve distributions. Motor function intact in the musculocutaneous, radial, AIN, PIN and ulnar nerve distributions. Fingers were warm and well perfused with normal capillary refill. 2+ radial pulse.