Neer Classification 

There are different kinds of fracture that we usually encounter with especially the proximal humeral fractures. The proximal humeral fracture can be diagnosed by the neer classification where it could be determined by a certain degree of fracture and angle of the bone fracture itself. Most of the fractures are minimally displaced or non-displaced and can be managed conservatively with the immobolizations and early motions of the bones itself. Most of these fractures depend on certain degree of medical detail and attention where it goes through the patient history, detail clinical exam, precision x-rays test and details of CT and MRI scans to ensure that the fracture of the bones are not serious and could be attended to through medical examinations.

There are different kinds of examination, test, evaluation and even process of knowing the degree of the bone fracture. Firstly would be the clinical examination where it would maintain a high index of arterial injuries especially among the elderly itself. The radiographic evaluation is more of accurate diagnosis and treatment where x-rays, CT and MRI scan is used and plays an important part in detecting the parts that are crucial and have potential problems with the arterial and bone injuries. The classification system high blood pressure chart is divided into the codman observation where it combines the 4 segments that is the articular surface, humeral shaft, greater tuberosity and lesser tuberosity. The AO classification is more of 3 categories where it is based o the severity of injury and like hood of the injury

The neer classification system is one of the observations where it includes four segments and rates the displacement and vascular isolation to greater tuberosity, lesser tuberosity, humeral head and shaft. A fracture is displaces where more than a 1 cm of displacement and the 45 degree angle of the bone fragment would be part of one of the category itself. Muscle pulls cause displacement. The supraspinatus and infraspinatus pull the greater tuberosity superiorly and the subscapularis pulls the lesser tuberosity medially, while the pectoralis major adducts the shaft medially. The two parts fracture involves in any of the 4 parts and include partly the 1 fragment that is displaced where the three part fractures includes fracture on the neck, greater tuberosity or lesser and the four part fractures are surgical neck and both tuberosities. An orthopaedic surgeon can also use a still further simplified version of the Neer classification system, in which the direction of dislocation is less important and isolated anatomic neck fractures are not included. It is important the Neer classification is being used as it is more detail and it has better understanding and scans on the bones itself where it could detect the part and fractured areas with certain degree of fracture and bones problems where it could be part of the clinical aspect and areas of attention where it c0uld be detected and could be diagnose early for important matters.