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Review Question - QID 216813

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QID 216813 (Type "216813" in App Search)
A 66-year-old female sustained an injury to her dominant shoulder after falling down the stairs. She is diagnosed with a proximal humerus fracture. On examination there is discoloration of the arm and tenderness to palpation about the shoulder, but she is neurovascularly intact. Which of the following factors is the greatest predictor of humeral head ischemia (Hertel criteria) in this patient?