Treatment FAQ

what is the treatment for a fractured humerus

by Clinton Hamill Published 3 years ago Updated 2 years ago
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A humerus shaft fracture may be treated with or without surgery, depending on the fracture pattern and associated injuries (i.e., nerve injury or open fracture). A temporary splint extending from the shoulder to the forearm and holding the elbow bent at 90 degrees can be used for initial management of the fracture.

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The humerus is the arm bone between your shoulder and your elbow. There are two types of humerus fractures based on the location of the break (s). Trauma from a fall or accident are often the cause of this type of fracture. Treatment varies depending on the type and severity of the break but may include the use of a sling, brace, splint or cast ...

How long does a fractured humerus take to heal?

The proximal end of your humerus is the top. The distal end is the bottom. So, if you have a proximal humerus fracture, your upper arm bone is broken near its top — the end that connects to your shoulder. Similarly, if you have a distal humerus fracture that means your bone is broken at the bottom, closer to your elbow.

What is typical recovery time for a proximal humerus fracture?

Surgery. In cases where a humerus fracture has been displaced or the bone has lacerated the skin, surgery will be required. The aim of most humerus fracture surgeries is to realign the bones and guide them as they heal. Most humerus fractures are treated using one of the following techniques: Internal fixation —Through the use of pins, metal ...

What is physical therapy after broken humerus?

Surgical Treatment for a Proximal Humerus Fracture. In some cases, the broken proximal humerus must be surgically repaired or replaced. Surgeons may use nails, plates, and screws to secure pieces of bone together. If the bone cannot be surgically repaired, the ball of the shoulder may be replaced. Surgery may be necessary or recommended for: 4.

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How long does it take to heal a fractured humerus?

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.

Can a fractured humerus heal on its own?

In many cases, proximal and mid-shaft humerus fractures don't require surgery because the broken ends usually stay close together. This makes it easier for your humerus to heal on its own. However, you'll still need to wear a sling, brace, or splint to keep your arm from moving and stabilize your shoulder, if needed.

How do you sleep with a broken 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 humerus fracture?

A broken upper arm (fractured humerus) can be extremely painful, so much so that you may feel sick, dizzy or faint. Other symptoms of a broken upper arm are: You will be unable to use your arm. Your elbow or upper arm may be swollen.

How long should you wear a sling with a broken humerus?

One should wear the sling for a minimum of 3 weeks, and a maximum of 6 weeks. Your doctor will determine this. Between 3 to 6 weeks you may trial not wearing the sling- if you are comfortable then you may keep the sling off. If you are getting a lot of pain then you should keep wearing the sling.

When does a humerus fracture require surgery?

Most fractures of the proximal humerus can be treated without surgery if the bone fragments are not shifted out of position (displaced). If the fragments are shifted out of position, surgery is often performed to allow earlier mobility.

How do you wash your hair with a broken arm?

0:312:16How to Shower With An Arm Cast: Life With A Cast (Broken Arm) Episode 7YouTubeStart of suggested clipEnd of suggested clipShows you the best way I've discovered to wrap your arm up before you get in make sure you adjustMoreShows you the best way I've discovered to wrap your arm up before you get in make sure you adjust the water so that it's a warm temperature. And then you go.

Can I drive with a broken humerus?

There is no law that explicitly prohibits you from driving a car with a broken arm. However, if you feel that you're finding it difficult to drive safely with your cast on, then you should refrain from getting behind the wheel.

Can I take my sling off to sleep?

0:481:57Living With a Sling: Tips for Sleeping and Sitting Comfortably - YouTubeYouTubeStart of suggested clipEnd of suggested clipAnd you can at this point in time use a pillow to help take the stress not only off the shoulder.MoreAnd you can at this point in time use a pillow to help take the stress not only off the shoulder. But also maybe even more importantly off the other side of your neck. So you're still in the sling.

Why does my broken humerus hurt more at night?

During the night, there is a drop in the stress hormone cortisol which has an anti-inflammatory response. There is less inflammation, less healing, so the damage to bone due to the above conditions accelerates in the night, with pain as the side-effect.

What does a fractured humerus feel like?

Symptoms of a humerus fracture Symptoms can include pain, swelling, and bruising. If the bone breaks through the skin, bleeding can occur at the site. It may be hard to move and use the shoulder, arm, or elbow as you would normally.

How do you wear a sling for a broken humerus?

To put on a shoulder sling correctly:Gently pull the sling over your arm and elbow. ... Reach around your neck and grab the strap behind your elbow. ... Tighten the straps to keep your hand and forearm elevated above the level of your elbow. ... Attach the strap with the Velcro fasteners.More items...•

How often do you need X-rays for a fractured rib?

For severe fractures, you might need to have X-rays every few weeks for a couple of months. Most people are able to return to their usual activity level within a few months. Sometimes, physical therapy or occupational therapy is necessary to regain lost motion of your joints.

How to recover from a fracture?

You can also improve your chances of making a quick recovery by keeping up with your doctor’s recommended treatment, including physical therapy or exercises to help rebuild strength and flexibility.

How long do you have to wear a sling for a fracture?

If you have fracture that doesn’t require surgery, you’ll need to wear a sling for two to six weeks. Proximal fractures generally require the least amount of time, while distal fractures need the most.

What to do if bone is crushed?

If some of the bone has been lost or severely crushed, your surgeon may take a piece of bone from another area of your body or a donor and add it to your humerus. In some cases, doctors can even use an artificial material to create a new piece of bone.

What do surgeons use to fix humerus?

There are two main approaches that your surgeon may use: Pins and screws. If you have an open fracture, which involves a piece of bone sticking through your skin, surgery will be required to clean up the broken ends and they may use pins and screws and plates to hold the broken ends of your humerus in place. Bone grafting.

What type of surgery is needed for a distal shoulder fracture?

Occasionally, surgery is required with either plates, screws, rods, or sometimes replacement of your shoulder joint with use of a prosthesis. Distal fractures and more severe proximal or mid-shaft fractures usually require surgery. There are two main approaches that your surgeon may use: Pins and screws. If you have an open fracture, which involves ...

Do proximal and mid shaft humerus fractures need surgery?

This will help them determine what kind of fracture you have and whether you have any other injuries. In many cases, proximal and mid-shaft humerus fractures don’t require surgery because the broken ends usually stay close together. This makes it easier for your humerus to heal on its own.

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