Conversation: The conversation between human and AI assistant.
[|Human|] I FELL AND FRACTURED MY HUMERUS BONE, THE CT SCAN SHOWS 4 BREAKS. THE BREAKS DID NOT GO INTO THE JOINT, (BALL AND SOCKET) BUT THEY ARE RIGHT AT THE TOP WHERE THE BONE JOINS THE ROTOR CUFF. THE DR STRONGLY RECOMENDS SURGERY TO PUT IN A TITANIUM PLATE AND SCREWS TO ENABLE BETTER HEALING. HE SAYS IT WILL HEAL WITHOUT THE SURGERY BUT THE CHANCES OF RECOVERING FULL RANGE OF MOTION IS MUCH LESS WITHOUT SURGERY.
[|AI|]  your doctor has a correct evaluation, upper end four part fractures require internal fixation. Depending on age group, and condition of bone (whether osteoporosis and old age) nature of surgery and modality is decided. Inolder age group a reverse shoulder joint replacement or shoulder replacement is done if rotator function is good, especially the latter surgery method, if it is weak then reverse one is done. In younger healthier subjects, titanium screw plating is done after accurately positioning the fracture parts, Some surgeons use a long plate with more than 5 screws for additional strength. Results are good and satisfactory. But assessment of rotator cuff strength prior to surgery is a must to decide, which your surgeon has already proposed Best wishes