Do your initial exercises three times a day. In some cases, more commonly where the bones have been left to heal without surgery, the bones may not heal (non . Epidemiology During this time, you will need to perform exercises to regain range of motion, strength, and return to normal activities. Joe, DPT, MA, OCS. The humerus is the long bone in your upper arm. Surgical management is growing in popularity because it can shorten healing times and improve alignment. rehabilitation.& Exercises:&&Aggressive& upper*body& strengthening& and with initiation of& plyometric& training& and sports& or work& specific& training.& & Consider work& Squeeze the . Exercises: Start these exercises straight away. Bruising and swelling are common. Pathologic fractures of the humerus may occur from minor trauma and occur because of the . A shoulder front raise exercise improves forward flexion range of motion and strengthens the deltoids for lifting activities. In compound fractures, the bone pierces the skin. You . This report describes the evaluation, diagnosis and conservative treatment of an 80-year-old woman with a non-pathological ipsilateral fracture of the proximal, mid-shaft and distal humerus. __ Trunk exercises for sport specific activities (i.e. Fractures that are very unstable are realigned and held . Proximal Humerus Fractures: Non-Operative Treatment Rehabilitation Protocol Illinois Bone & Joint Institute Optimum'outcome'following'proximal'humerus'surgical'fractures'is'contingent'upon'bony' healing.''Estimated'time'forbone'healing'is'6;8weeks.' Treatment can be nonoperative or operative depending on location of fracture, fracture morphology, and association with other ipsilateral injuries. Humerus Mid-Shaft Fracture: s/p Open Treatment with Internal Fixation Post-Operative Rehabilitation Protocol . The midshaft fracture appeared separate from the healing proximal humeral fracture, which remained intact. PROXIMAL HUMERUS FRACTURE - ORIF . All systems and she sees clients and midshaft humerus fracture physical therapy protocol involves exercises to be used periodically throughout the fracture location, against something you can only go on their daily basis. While comprising nearly one-third of all elbow fractures, these injuries make up only 5% to 7% of all fractures. Strengthen the hands with gripping exercises. 1. Cardiovascular Exercises Cardiovascular conditioning in sling per MD UBE no resistance . Following a fall onto the shoulder or . Figure 1. Proximal Humerus Fractures: This type of fracture occurs close to the shoulder joint. 72. Physical Therapy Prescription Humerus Fracture ORIF Patient Name: Today's Date: Surgery Date: Diagnosis: s/p ( LEFT / RIGHT ) HUMERAL SHAFT FRACTURE ORIF RECOVERY / RECUPERATION PHASE: WEEKS 0-6 __ Restore full ROM __ Modalities, Cryocuff / Ice, prn . Newborn Humerus Fracture Follow-Up. Keep your brace on while doing these exercises. a Duration of immobilization prior to initiating shoulder exercises . The "distal humerus" is the lower end of the humerus (upper arm bone). Once again a very important stretching exercise for managing the shaft of humerus fracture. Sutures are all underneath the skin and will dissolve on their own. 42 Votes) Healing Time and Complications. Specific exercise with focus on range of movement and strength during the initial six month period is essential to maximise recovery. The shaft can break near the top of . SM J Trauma Care. General Principles of Rehabilitation for Fractures . Humerus fractures are common. Open and close your hand. Midshaft humerus fractures make up about 2% of fractures in children. Diagnosis is made with plain radiographs. Rehabilitation Program of Non-Operative Shoulder Fractures exercises shown below. A mid-shaft humerus fracture is a break in the middle of your humerus. I-Plus System Humeral Fracture Brace ADVANTAGES: Reduction in time needed for return to normal by decreasing time required for rehabilitation (exercises can be started with the brace in place), less muscular atrophy and increased range of motion. Appointments Continue physical therapy 1-2 x/week Rehabilitation Goals Increase RTC strength Restore scapula-humeral rhythm Precautions None Suggested Therapeutic Exercises Posterior capsule stretching if indicated Isotonic exercises for RTC, scapular muscles PNF Theraband rows, ER, IR, shoulder extension Epidemiology. Often, exercises to improve the mobility of the shoulder and elbow joints are initiated during that time. Repeat 10 times. Be aware of peripheral nerve palsy signs Avoid exercises which reproduce the mechanism of injury Early intervention is the key to a successful recovery. 2. Non-displaced means less than 1cm of displacement and less than 45 of angulation . The humerus joins with the shoulder blade to form the shoulder joint and the bones of the forearm (radius and ulna) to form the elbow (figure 1). 2 The types of surgeries used for fracture treatment includes: Placement of Metal Plates: This is a common and effective surgical procedure for the treatment of humeral fractures. Treatment is almost always immobilization due to the high remodeling potential of the pediatric humerus. For supracondylar and humeral shaft fractures after the cast is removed, passive and active motion, soft tissue stretching techniques, and strengthening exercises should be implemented to maximize functional outcome. Rehab: Humerus fractures can result in functional problems with all joints of the upper extremity, including the shoulder and scapula, the elbow, even the wr. Then move your wrist up and down 10-15 times. Perform frequent gentle exercise to prevent adhesion formation I. You should work with your physical therapist and perform weight-bearing exercises to improve posture and balance. Early goals are to reduce shoulder stiffness and pain. Less often, it occurs at the end of the bone near the elbow. 5.9k views Reviewed >2 years ago. 17 After this age, the usual cause is direct trauma, such as a blow to the arm or a fall onto an object. Most humerus fractures are proximal humerus fractures, those which occur near the shoulder joint, but the bone can also break in the middle of the bone (mid-shaft humerus fractures), or near the elbow (distal humerus fractures). Breaking your ribs can be terribly distressing and quite painful. Statistically, about 3% of all broken bones constitute this type of fracture. General Principles of Rehabilitation for Fractures . Control pain and swelling (with exercise and modalities) 3. It is important you wear your sling sleep sling in bed you you sleep you Treating a humerus fracture Cold packs. The Supracondylar fracture of the humerus is a fracture of the distal end of the humerus just above the elbow joint. Introduction. Introduction. Ribs. This is a stretching exercise for elbow flexors and extensors groups of muscles. Understanding a Humerus Fracture. Squeeze a small ball that fits into the palm of your hand comfortably 10 to 15 times for a total of three times throughout the day. Sometimes they happen after higher energy injuries like a motor vehicle accident. (Right) The major nerves and ligaments of the elbow are highlighted. Less stable fractures may require more protection and a less aggressive protocol. Page 10/12. FRACTURES JOINT REPLACEMENT SPORTS MEDICINE HUMERUS FX ORIF PROTOCOL (PROXIMAL, MIDSHAFT, or DISTAL ORIF) Dr. Sean Griffin Weeks 1-4 Wear the sling full time for 2 weeks, and then only wear when outside the home for 4 more weeks. Dr. Ralph Morgan Lewis and another doctor agree. 1 - 2 You will be reviewed in the Fracture Clinic at approximately 1 week after your . Orthopedics - 5678. 3 - 6 If you have been advised to do so, you should continue to wear the sling and progress to the Stage 2 exercises using your other arm to help guide the movement. Transverse Humeral Shaft Fracture. A broken upper humerus can make everyday tasks that involve movement of your shoulder very difficult. Strength : Weeks of immobilization of your shoulder will cause a significant loss of arm strength. The long bone of the upper arm is known as the humerus. Surgical management is growing in popularity because it can shorten healing times and improve alignment. Rehabilitation Programs for Non-Operative Humeral Fractures Dr. Rolf . They are frequently fractured arm or external fixation for reduction in addition, weights or nonoperative treatment. Initial exercises to do 4-5 times a day: Finger and wrist flexion and extension Open and close your hand as shown 10-15 times. The athlete will have difficulty moving the arm either bending the elbow or raising the arm upwards. I was on holiday in Tenerife at the time and had to have surgery there, to insert 4 metal rods. It typically requires more force to fracture your humeral shaft than to break your wrist or collarbone. Read complete answer here. I, too, had a mid-shaft humerus fracture last May. Diagnosis is made with orthogonal radiographs of the humerus. Increase ROM while protecting the fracture site (you can be slightly more aggressive with this vs. a closed fracture due to the hardware fixation) 2. Even after this period, the complete joint functionality and mobility can only be recovered over time with proper exercises and physical therapy. Stand tall holding a light weight, palm facing down. The fracture can generate symptoms such as a deformation in the affected area, bruising, swelling in the area, tingling in the area, numbness, sometimes fever, but mainly you develop a very strong pain, so it is important that if you know or suspect you have fractured, see a doctor urgently.. On this occasion, FastlyHealwants to offer you some exercises for humerus fracture, since it is a very . 6 - 12 You may start to discard the sling. Until approximately age 3 years, child abuse (usually a twisting injury) is the most common cause. After a few days, hold a soft ball or rolled up socks. A fracture is a broken bone. The treatment goal was the prompt return of the patient to a satisfactory functional status without surgical intervention. Often, exercises to improve the mobility of the shoulder and elbow joints are initiated during that time. Read More. Severity of humerus fractures can vary and affect time to healing and stability of the repair. Start doing the initial exercises shown below. You do not usually need any surgery to treat a spiral fracture in humerus. The humerus is the longest bone present in the upper arm. At two weeks post proximal humeral fracture gentle pendulum and passive ROM exercises should be implemented. This long recovery period is the main reason why most people . Retrieved from https://xnet.kp.org . To regain maximum function after this injury, it's important to follow the specific humerus fracture rehabilitation exercises prescribed by your physical therapist. Squeeze the ball as hard as possible without pain. Hi. Humeral Shaft Fractures in the pediatric population are usually traumatic in nature, although nonaccidental trauma and pathologic lesions can not be overlooked. Healing of a mid-shaft humerus fracture with non-surgical treatment generally takes ten to twelve weeks. 18% of humerus fractures include . This injury typically has a bimodal distribution occurring from either high-energy trauma in a young population or low-energy injury in the elderly. A fracture is a broken bone. Introduction: The incidence of radial nerve injury after humeral shaft fractures is on average 11.8% (Shao et al., J Bone Jt Surg Br 87(12):1647-1652, 2005) representing the most common peripheral nerve injury associated with long bone fractures (Korompilias et al., Injury, 2013). If the radial nerve gets to be entrapped in a fracture fragment in that case humerus becomes midshaft or closed reduction of a displaced fracture. Connect with Norton Children's Orthopedics of Louisville. They are frequently fractured arm or external fixation for reduction in addition, weights or nonoperative treatment. . You may remove the sling for personal hygiene and for your exercises but do not remove the brace.