Shoulder Fracture – Humerus Fracture

Fractures of the humerus are common and make up about 5% of all fractures, with 80% of them either undisplaced or just minimally displaced. More common in people who suffer from osteoporosis, it is common to have fractures arm on the same side. Damage to the nerve or circulatory system is possible from these fractures but not often seen. The public areas of the neck fractures of the humerus in the upper arm (fractured shoulder) and the central axis of the arm bone. A fall into the hands reaching out to the elbow or to the shoulder itself is the most common cause of a broken arm. Because a lot of arm muscles insert into the head of the humerus, when the injury occurred muscle action involved can replace the fragment and complicate management. 65 years is the peak incidence for this type of humerus fracture and if the younger patients suffering from fractures, the cause of which may involve a higher power such as traffic accidents or sports injuries. If the fracture occurs without significant power as the pathological cause cancer should be suspected.

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Shoulder Fracture – Humerus Fracture

Symptoms of Shoulder Fracture

On clinical examination pain will happen to the movement of the shoulder or elbow, there may be extensive bruising and swelling, the arm may appear short if the fracture is displaced in shaft fractures and there is very limited shoulder movement. humeral fracture of the radial nerve damage in the rare but more common in the shaft fracture, leading to “wrist drop” wrist extensor weakness and some finger and thumb movement.

Treatments of Shoulder Fracture

Shoulder Fracture initial management management is to limit the movement of patients and give them enough painkillers to make them comfortable. Fractures of the humerus can be managed conservatively if not displaced but if the greater tuberosity fracture injury to the rotator cuff should be considered, is more common in elderly people, wound with high power is involved and where there is a lot of movement. Typical treatment is a collar and cuff sling, allowing the elbow to hang in mid air and keep the humerus in line. Shaft fractures can be managed by humeral bracing. Fractures with three or four parts plus displacement often require surgical treatment with open reduction surgical fixation (ORIF) more often required in younger patients. In older people the humeral head can be replaced as a fracture may not heal or provide acceptable pain or movement outcome. Shaft fractures usually heal without surgery (plating or nailing) and maintained in a functional brace. Complications include frozen shoulder, avascular necrosis of the humeral head in a multi-part fractures and nerve injuries to the shaft fracture. Six to eight weeks is the typical healing time with the elderly often suffer a permanent reduction in shoulder movement. Physiotherapy Management of Fractures shoulder physio initially assess arm, asking patients about their pain level because it is so varied, checking arm swelling and bruising. The physiotherapist then checks the available range of motion, elbows and shoulders and hands. Every muscle weakness and sensory loss recorded as this may indicate nerve damage. If no surgery, followed by carrier and if the fracture is not too painful or heavy, early exercise started by the physiotherapist. Pendular exercise, the patient bends at the waist, which is important in the early stages because they allow movement of the shoulder joint without much force.

After three weeks of stage is reached the fracture will start to heal and auto-assisted exercises can be started, which helps patients affected with a wounded arm. It developed into a practice without assistance, move the arm above the head, behind the back and behind the neck. As an approach to the point of six weeks, the bone has healed effectively, physiotherapists would start patients exercise stronger involves gentle stretching at end range for increased mobility. Mobilization techniques for the shoulder joint and strengthening exercises using Theraband developed to increase muscle strength and joint range.

Need Consultation for Shoulder Fracture?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopaedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.

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