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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.
Types include proximal humeral fractures, humeral shaft fractures, and distal humeral fractures. [1] [2] Diagnosis is generally confirmed by X-rays. [2] A CT scan may be done in proximal fractures to gather further details. [2] Treatment options may include a sling, splint, brace, or surgery. [1]
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 ...
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.
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.
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 ...
Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
The key guidelines for adults also apply to older adults. In addition, the following key guidelines are just for older adults: As part of their weekly physical activity, older adults should do multicomponent physical activity that includes balance training as well as aerobic and muscle strengthening activities.