How many proximal screws are needed for a stable proximal humerus fracture fixation?
Conclusion: At least 7 screws would be optimal for proximal fragment fixation of proximal humerus fractures with medial comminution to minimize secondary varus collapse or fixation failure.
How do you fix a proximal humerus fracture?
Proximal humerus fractures can be fixed with plates and screws or joint replacement depending on the type of injury. Surgery usually takes 1-2 hours and can often be done on a “same day” or outpatient basis. Ideally, surgeons like to perform surgery within 1-2 weeks of injury.
How long does a broken humerus take to heal in kids?
Supracondylar humerus fractures often heal within 4 weeks from start of treatment (either surgery or casting). After your child has his or her cast removed, it may take 4 weeks for the child to be able to move the elbow normally. In rare cases, your child may require physical therapy to help regain strength and motion.
Do proximal humerus fractures need surgery?
General Treatment Most proximal humerus fractures can be treated without surgery. The broken bone will take 3 to 4 months to heal. During this time, you will need to perform exercises to regain range of motion, strength, and return to normal activities.
What is a common complication of a proximal humerus fracture?
Necrosis of the humeral head, infections and non-unions are among the most dangerous and difficult-to-treat complications of proximal humeral fractures.
How do you sleep with a broken proximal humerus?
You should sleep upright, either in an arm chair, or sitting up in bed propped up on plenty of pillows. Your upper arm should be allowed to hang and not be rested on pillows which may force your shoulder upwards. Hygiene.
How painful is a proximal humerus fracture?
A broken proximal humerus is generally very painful; patients develop significant bruising and swelling that can go into the chest as well as down the arm. Sometimes nerves are damaged at the same time and this can cause numbness and weakness in the arm and shoulder region.
How is proximal humerus treated?
Proximal humerus fractures may be treated nonoperatively with an initial period of immobilization followed by early motion. Initial immobilization may be achieved with a sling, a shoulder immobilizer, or a sling with an accompanying swathe. These devices provide varying degrees of constraint.
How long is physical therapy for a proximal humerus fracture?
Physical Therapy You may also be taught gentle pendulum exercises to help keep your shoulder mobile as it heals. Your healthcare provider will let you know if it is safe to perform these exercises. In four to six weeks, you may be ready to partake in active physical therapy.
What exercises can I do with a fractured humerus?
7 Exercises to Do After a Shoulder Fracture
- Pendulum. Bend over at the waist so your upper body and lower body form an “L” shape.
- Forward Flexion.
- Crossover Stretch.
- Wall Climb.
- External Rotation.
- Internal Rotation.
- Shoulder Shrug.
How long does it take to recover from a proximal humerus fracture?
Proximal humerus fractures typically require 6 to 8 weeks for the bone to heal, plus a period of rehabilitation of about 3 to 6 months. The goal of rehabilitation is to restore arm function and help you return to regular activities as soon as possible.