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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 ...
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]
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.
Extension type of supracondylar humerus fractures typically result from a fall on to an outstretched hand, usually leading to a forced hyperextension of the elbow. The olecranon acts as a fulcrum which focuses the stress on distal humerus (supracondylar area), predisposing the distal humerus to fracture. The supracondylar area undergoes ...
While a number of treatments, such as NSAIDs, physical therapy, steroids, and injecting the shoulder at high pressure, may be tried, it is unclear what is best. [1] Surgery may be suggested for those who do not get better after a few months. [1] The prevalence of adhesive capsulitis is estimated at 2% to 5% of the general population. [1]
Colombo et al. (2020) found that there are better results in mechanical traction therapy when compared to manual traction therapy. Furthermore, continuous traction was found to have a greater significance than intermittent traction. The suggested delivery of traction therapy was found to be mechanical traction with continuous traction. [6]
Arthroscopic surgery techniques may be used to repair the glenoidal labrum, capsular ligaments, biceps long head anchor or SLAP lesion or to tighten the shoulder capsule. [26] Arthroscopic stabilization surgery has evolved from the Bankart repair, a time-honored surgical treatment for recurrent anterior instability of the shoulder. [27]