1. Proximal Humerus Fractures (Arm bone):
Commonly seen around the age of 65 years.
- Sling/Shoulder immobiliser.
- Limb elevation & Ice packs
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.
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.
Conservative management fails in this case.
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.
Post operatively the arm is immobilised in a plaster back slab for 3-4 weeks and gradual movements are started.