Victoria bc v8z 0b9 tel 250 940 4444 fax 250 385 9600 page 6 april 2015 v1s. Helping your wrist to recover after a fracture oxford university. Acute shoulder injuries in adults american academy of. The fracture line or the bony defect can be classified into various stages. A proximal humerus fracture is when the bone is broken at or near the top, by the shoulder. The humerus is the long bone that sits between the shoulder and the elbow. Once your bone begins to heal, the pain will decrease and your doctor may start gentle shoulder and elbow exercises. Proximal humeral fracture protocol jay carson, md rehabilitation of the proximal humeral fractures is essential because adequate motion is needed for optimum function. Sutures are all underneath the skin and will dissolve on their own. General principles of rehabilitation for fractures treat the patient not the fracture move all joints that are not immobilized prevent disuse atrophy use gravity to assist in mobilizing a joint be aware of peripheral nerve palsy signs. Shoulder fracture aurora clavicle fracture treatment denver.
Patient information proximal humeral fracture break in. A surgical neck fracture happens when the humerus is forced in one direction, and the joint capsule and rotator cuff muscles remain intact. Stretching exercises for key uele muscles with emphasis on neutral spine. If a fracture or fracture repair is stable, then therapy should be started early. Clavicle fracture broken collarbone a broken collarbone is also. A fracture occurs when the arm bone humerus is broken as a. Begin physical therapy for knee rom at 2 weeks post op. Rehabilitation guidelines for proximal humerus fracture nonoperative 2 p a g e phase ii continued precautions dc sling x 3 weeks if cleared by md aarom to 90 degrees forward flexion and 40 degrees er suggested therapeutic exercises arom cervical, elbow, wrist and hand pendelums gripping exercises scapular pnf progress to full. Proximal humerus fracture east sussex healthcare nhs.
The specific etiology of supracondylar humerus fractures in children is not well known. Extraarticular fracture fracture is located outside the shoulder joint and joint capsule. Keep dressing in place, you may shower directly over clear plastic. Rehabilitation guidelines for lumbar spondylolysis. Start stage 3 exercises once you can do stage 2 exercises with no pain. Humeral fractures can be classified into three types, depending on which part of the bone is broken. Exercises following fracture of humerus upper arm youtube. Physical therapyoccupational therapyteach you exercises to increase your strength, work with you on an exercise program, instruct you on the correct way to. Elbow fractureepicondyle childrens hospital at montefiore.
Radiography of the shoulder should include a true anteroposterior view of the glenoid, scapular y view, and axillary view. Now that you have had your cast removed it is very important that you. Range of motion and stretching exercises elbow fracture epicondyle. Maintain knee ext to allow incisions to heal and prevent knee flexion.
This leaflet gives you advice and exercises to help your wrist to recover after your fracture. Rehabilitation programs for nonoperative humeral fractures dr. All supracondylar humerus fractures treated at childrens hospital and health center, san diego chsd over. Rehabilitation programs for operative and nonoperative. Famous physical therapists bob schrupp and brad heineck present. Exercise reduces impairment and improves activity in people after upper limb fractures early commencement of exercise beneficial for conservatively managed proximal humerus fractures supervised exercise and home exercise program leads to reduction in impairment, particulary rom. The most useful rehabilitation protocol is the threephase system. Do not lift your elbow above shoulder height as this may cause excessive pain. Amresh jamwal shows easy exercises which you should do following fracture of humerus.
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