1. Proximal Humerus Fractures (Arm bone):
Commonly seen around the age of 65 years.
Treatment:
Non-Surgical:
- Sling/Shoulder immobiliser.
- Limb elevation & Ice packs
Surgical:
It includes stabilising the fracture fragments with plates and screws or wires and sutures . This is more often needed when there is injury to the glenoid (shoulder socket) or when broken bone pieces are severely out of place.
Recovery:
Patient will be given arm pouch or shoulder immobiliser which will be in place for 4 weeks.Gradual movements are started based on follow up xrays.
2. Fractures of the Distal Humerus:
These fractures occur common in children and elders.
It usually requires surgical repair with plates and screws unless it is stable.
Treatment:
Non-Surgical:
Conservative management fails in this case.
Surgical:
A surgical procedure would stabilize the fragments . Whenever a fracture is open (skin broken over the fracture), urgent surgery is needed to clean out the wound and bone to minimize the risk of infection.
Recovery:
Post operatively the arm is immobilised in a plaster back slab for 3-4 weeks and gradual movements are started.
