A humerus fracture is an injury to the bone of the upper arm. The upper arm bone, the humerus, connects the shoulder to the elbow.
TYPES OF HUMERUS FRACTURE:
-bending force produces transverse fracture of the shaft;
-torsion force will result in a spiral fracture;
-combination of bending and torsion produce oblique fracture with or without a butterfly fragments.
-compression forces will fracture either proximal or distal ends of humerus
A humerus can be considered a prototype fracture occurring in all patterns:
Need to rule out radial nerve palsy, noting function of the ECRL/ECRB, EDC, ECU, EIP, and EPL;
Anteroposterior and lateral radiographs should be obtained first. These should be taken at 90° angles to each other. To obtain these radiographs, move the patient rather than rotate the injured limb through the fracture site. The shoulder and elbow should be included on each radiograph. Traction radiographs may be helpful with comminuted or severely displaced fractures, and comparison radiographs of the contralateral side may be helpful for determining preoperative length.
Computed tomography (CT) scanning is rarely indicated.
Non Operative Treatment of Humeral Shaft Fracture:
note that these injuries are often very painful and that good initial immobilization is required; long arm splint needs to be applied from shoulder to wrist to fully immobilize the extremity;
although rate of union is generally high with non operative treatment, incidence of mild malunion is high;
can be used for most closed humeral shaft fracture;
in most cases, cast braces are applied at 10-12 days following injury;
forces displacing the fracture:
may produce fracture distraction & may increase risk of nonunion;
Indications for Operative Treatment:
– unacceptable fracture position following closed reduction;
– new onset radial nerve palsy following closed reduction;
– multi-trauma patients;
– open humeral fractures;
– segmental humeral fractures;
– floating elbow or ipsilateral arm injuries;
– internal fixation should be reserved for fractures with inadequate reduction or patients with multiple trauma;
PHYSIOLINE’S SPECIALISED PHYSIOTHERAPY HAS VITAL ROLE TO PLAY
At Physioline, all the members of the rehabilitation team work together so as to provide proper care and the therapy in order to:
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