12/29/2023 0 Comments Humerus fractureYou be able to go home and be seen as an outpatient, typically at a week or two after injury. We will give you strong painkillers as your shoulder will be sore for some time. You will be given a collar and cuff sling and advised to rest your shoulder. What will happen if I don’t have surgery? Your surgeon will tell you if he thinks you should consider surgery and, if so, what is involved. Your functional expectations (work/hobbies/sports etc) and physical health The quality of your bone and your rotator cuff (often age-related) In general, the more parts, the worse the injury, but some 2 part fractures also require surgery. Fractures can be described as 2,3 or 4-part depending on the position of the two tuberosities, the humeral head and the shaft. Your fracture pattern – (how many parts is it in? how displaced is it? where in the bone is the fracture?) Factors that influence the decision to offer surgery include: Some fractures will however benefit from surgery. Unfortunately, however your injury is treated, proximal humerus fractures take a long time to get over (a year or so) – surgical fixation does not necessarily shorten this period. For many fracture patterns, the outcome of non-operative management is equivalent to the surgical outcome at two years after injury. Most proximal humerus fractures do not require surgery. Will I have to have an operation to fix my proximal humerus fracture? Sometimes a CT scan is performed to assess more closely the displacement of the fracture fragments, damage to the articular surface and potential for surgical reconstruction. X-rays taken in the Emergency department will confirm the fracture. ![]() Your history and examination findings will be highly suggestive. Sometimes nerves are damaged at the same time and this can cause numbness and weakness in the arm and shoulder region. When the proximal humerus breaks, the attached rotator cuff tendons often pull the fracture fragments in different directions to cause displacement.Ī 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. They become more common as we get older as our bones become weaker. It also serves as the attachment area for your rotator cuff tendons and tendons of other muscles in your shoulder girdle.įractures to your proximal humerus may follow a shoulder dislocation or a fall onto your shoulder or arm. Your proximal humerus forms the ball of your shoulder’s 'ball and socket'.
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