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Most proximal humerus fractures are stable and can be treated without surgery. [8] Typical non-operative treatment consists of shoulder immobilization with a sling. Close follow-up and weekly x-rays are recommended in order to ensure that the fracture is healing and maintaining good alignment.
One example of a commonly used regional anesthetic is an interscalene brachial plexus block and it has been used in a number of shoulder procedures including instability repairs, proximal humeral prosthetic replacements, total shoulder arthroplasties, anterior acromioplasties, rotator cuff repairs, and operative treatment of humeral fractures. [24]
The cause of a humerus fracture is usually physical trauma such as a fall. [1] Other causes include conditions such as cancer in the bone. [2] Types include proximal humeral fractures, humeral shaft fractures, and distal humeral fractures. [1] [2] Diagnosis is generally confirmed by X-rays. [2]
This fracture pattern is relatively rare in adults, but is the most common type of elbow fracture in children. [1] In children, many of these fractures are non-displaced and can be treated with casting. Some are angulated or displaced and are best treated with surgery.
A fracture in this area is most likely to cause damage to the axillary nerve and posterior circumflex humeral artery. Damage to the axillary nerve affects function of the teres minor and deltoid muscles, resulting in loss of abduction of arm (from 15-90 degrees), weak flexion, extension, and rotation of shoulder as well as loss of sensation of ...
Studies generally use the x-ray appearance of the arm to determine how displaced a fracture is. The definition of ‘displaced fractures' are variable, with anything from 2mm to more than 15mm; [4] however x-rays on which this assessment is made are known to be hugely misleading with fractures showing little displacement having >10mm displacement using CT scans.
Signs and symptoms of a dislocation or rotator cuff tear such as: . Significant pain, which can sometimes be felt past the shoulder, along the arm.; Inability to move the arm from its current position, particularly in positions with the arm reaching away from the body and with the top of the arm twisted toward the back.
It is vulnerable to injury with fractures of the humeral shaft as it lies in very close proximity to the bone (it descends within the spiral groove on the posterior aspect of the humerus). Characteristic findings following injury will be as a result of radial nerve palsy (e.g. weakness of wrist/finger extension and sensory loss over the dorsum ...