{"id":17693,"date":"2024-05-23T16:11:25","date_gmt":"2024-05-23T16:11:25","guid":{"rendered":"https:\/\/test.isokinetic.com\/proximal-humerus-fracture\/"},"modified":"2024-10-27T06:46:55","modified_gmt":"2024-10-27T06:46:55","slug":"proximal-humerus-fracture","status":"publish","type":"page","link":"https:\/\/isokinetic.com\/en\/proximal-humerus-fracture\/","title":{"rendered":"Humerus Fracture"},"content":{"rendered":"\t\t
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Humerus Fracture<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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The humerus is the bone that constitutes the arm, connecting the shoulder to the forearm. This long bone is anatomically divided into three parts, the shaft (central body) and the two epiphyses (proximal and distal ends). Due to the humerus bone’s high resilience, these injuries are typically due to high-energy traumatic events in young and healthy populations, such as motor vehicle accidents. In older populations, or in subjects affected by specific conditions that make the bone more fragile (e.g.: osteoporosis), humerus fractures can happen also with low-energy mechanisms such as a fall. Due to the different injury mechanisms, patients can report significantly different symptomatology. Patients typically complain of pain on the site of the fracture that can radiate to other structures, swelling, bruises, potentially arm deformity (due to bone displacement), and severely impacted shoulder-arm functioning. Aside from collecting data from the injury mechanisms and performing a physical assessment of the patient, an imaging examination (e.g.: x-ray and computed tomography) is required to optimally visualise the fracture specifics. <\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Management<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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The management of patients affected by humerus fractures strongly depends on the specifics of the injury, such as its location (proximal\/distal ends or shaft), bone fragments position (e.g.: displaced, non-displaced, etc.), associated injuries (e.g.: muscle-skeletal, neural, vascular system, etc.) and the characteristics of the affected patients (e.g.: age). Due to their high-energy traumatic mechanisms, patients with humerus fractures are typically assessed by emergency doctors who have the paramount function of assessing the need for surgical stabilisation. Certain humerus fractures (e.g.: small and stable fractures that do not significantly compromise shoulder functioning) can be managed conservatively with immobilisation\/protection (through the implementation of a cast, sling or support) and rehabilitation. In case surgical treatment is deemed necessary, many different procedures (e.g.: open reduction internal fixation, closed reduction and percutaneous pinning, intramedullary nailing, etc.) are available and always discussed between the patient and the medical-surgical staff. After surgery, a period of immobilisation\/protection with the use of a sling, cast or brace is typically recommended and rehabilitation should start as soon as indicated by the medical team. After being thoughtfully visited by one of our specialised doctors, your recovery process will be structured in different stages and take place in four different environments, the pool, the gym, the movement analysis and retraining room and the pitch. In the early stages, the main goals are to restore homeostasis by reducing pain and swelling, recovering mobility, and gradually restoring upper limb functioning. In the mid-stage of rehabilitation, shoulder strength and endurance recovery become the priority, together with the optimisation of the general movement quality to learn how to integrate the shoulder back into activities of daily living and sports. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to safely and effectively return to participate in their favourite activities and sports that require the utilisation of the upper limb (e.g.: throwing-, rackets-, falling-, lifting- related sports), maximising the recovery outcomes and reducing the likelihood of complications. <\/span><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Humerus Fracture The humerus is the bone that constitutes the arm, connecting the shoulder to the forearm. This long bone is anatomically divided into three parts, the shaft (central body) and the two epiphyses (proximal and distal ends). Due to the humerus bone’s high resilience, these injuries are typically due to high-energy traumatic events in […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-17693","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t