Ebola!

Sorry.  It's all I've been thinking about for a while, and I worried it might have slipped off your radar.  There is no ebola here.  Don't panic.  
However, there is an interesting xray from the results session today.


This gent had a fall onto his right shoulder, and has pain on movement in most directions.  What do you think?  And does it need anything doing?

Yes, that's right, a cheeky little undisplaced fracture of the greater tuberosity.  Its's where two of the four rotator cuff muscles insert (Supra-and infraspinatus) and so you classically do it landing on an outstretched arm where their action is opposed, although it can be from a direct blow.  Most, like this one, are undisplaced, with only 2% or so knocked off properly.  and they heal pretty well.  So does it matter?  Well, your patient will want to know that their shoulder will take a few more weeks to settle down, and that they will be weak when it comes to **duction (if you're not sure what your rotator cuff muscles do, read this)