![]() ![]() Impacted valgus fractures (B1.1) of the proximal humerus. Four-part valgus impacted fractures of the proximal humerus. Epidemiology and outcome in the older patient. The translated two-part fracture of the proximal humerus. Functional outcome following one-part proximal humeral fractures: a prospective study. Proximal humeral fractures with minimal displacement treated conservatively. Functional outcome after minimally displaced fractures of the proximal part of the humerus. Interventions for treating proximal humeral fractures in adults. Nerve lesions in proximal humeral fractures. The Study of Osteoporotic Fractures Research Group. Risk factors for fractures of the distal forearm and proximal humerus. Physical Therapy (PT)– Physical therapy is advised before and after surgery.Kelsey JL, et al. Muscle spasm is treated with Baclofen, Flexeril and Skelaxin. Muscles around the shoulder have to work to keep the arms in neutral position and extra work often result in muscle spasm. Muscle Relaxants– Occasionally, after fracture of humerus, pain is associated with muscle spasm. Most common opioids used are hydrocodone and oxycodone. Opioids– Severe to very severe pain is treated with opioids. Most common NSAIDs used are Motrin, Naproxen and Celebrex. Mild to moderate pain responds to NSAIDs. Anti-inflammatory effects of NSAIDs help to reduce tissue edema and inflammation. NSAIDs– Anti-inflammatory medications are used for inflammation and pain. ![]() Sling is often used for 6 to 10 weeks if fracture is non-displaced and alignment of the fragment is in normal anatomical position.Ĭold Application or Cold Pack Therapy– Cold application is used for pain and reduced swelling or edema. Shoulder joint sling is used to immobilize shoulder joint. Shoulder Joint Immobilization– Shoulder joint is immobilized to prevent separation of joint fragments and reduce pain. Nonsurgical Treatment of Proximal Humerus Fracture. Weakness in Upper Extremity– Arm weakness is observed if nerve to muscles around shoulder joint is damaged following accident and injury.Sensory nerve damage causes tingling and numbness. ingling and Numbness– Fracture of humerus may be associated with nerve damage.Patient is often unable to move the arm following displaced fracture of the shaft of the humerus. Inability To Move Upper Arm– Patient suffering with humerus fracture would be afraid to move upper arm because of fear of increasing intensity of pain.Examination of swelling indicates soft to firm consistency. The blood clot and tissue edema causes soft tissue swelling over the joint. Swelling– The subcutaneous and joint bleeding causes hematoma (blood clot) and soft tissue trauma cause tissue edema.The palpation of the deformed joint suggests swelling is firm to hard unless the blood clot under the skin is overlapping the fractured fragments. Deformity– The protrusion of fractured segment causes joint deformity.Patient is unable to lie on the side of injured arm. Pain is often intolerable following any attempt to use injured arm. Pain– Immediately following injury patient feels severe pain at rest. ![]() Such injury causes intra or extra articular fracture of humerus. The accident resulting in multiple turns and rolling of the car can cause abnormal turn and twist of the shoulder joint. The impact may cause fracture of humerus. Automobile or Car Accident– Automobile accident can be head-on or side collision, which results in direct impact of out stretch shoulder joint.Work Injury– Fall from heights or mechanical twist and turn of upper arm while using heavy equipment may result in humerus fracture.The twist and turn of the upper arm during fall and tackling while participating in contact sports like football, rugby or soccer often results in intra-articular humerus fracture. Sports Injury– Humerus fracture is often observed in athletes participating in contact sport.Fall or impact, which may not result in fracture in normal individual, but may cause fracture in patients suffering with osteoporosis. Osteoporosis is a bone density disease which results in decreased bone mass and structure. Osteoporosis– Osteoporosis is observed in elderly 1 and menopausal females. ![]()
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