Last summer, I broke my humorous.

I was stupidly trying to outride one of my super athletic colleagues mountain biking

when I fell off my bike in a sort of Superman position off the front of my bike,

landed on my right side with my shoulder fully flex forward, and then couldn't move my shoulder.

I had a three-part fracture, a surgical neck fracture, and a fracture that took the greater

tuberosity right off the humoral head.

At the time, I thought, okay, it takes about eight weeks for the fracture to heal, and then a few

weeks of physio, and I'll be back to mountain biking.

Well, I'm now seven months out

and I just finished physio. I was doing 30 minutes of exercises every day for seven months.

I haven't gotten back to mountain biking yet and still I have pain sometimes. Now, the reason

I'm telling you about this, so the reason I'm telling you about this is because

I think it's really important for us to tell our patients what to expect in terms of recovery

from these injuries and to explain to them that it requires serious dedication to daily exercises

for good outcomes. In this part two of shoulder injuries, commonly missed and mismanaged shoulder injuries,

we're first going to cover proximal humerus fractures and then get deep into the list of occult

shoulder injuries, the injuries that have apparently normal looking x-rays.

Welcome to the Emergency Medicine Cases podcast with your host, Dr. Anton Hellman,

bringing you Canada's brightest minds in emergency medicine from EMC Studios in Toronto.

We're going to start off with Dr. Dancer explaining a bit why it takes so long for proximal humorous fractures to heal, like in my case, and why surgery

is often no better than conservative management.

It's not that common that we operate on these injuries, but that isn't an endorsement that

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