Humerus Injuries: Symptoms, Recovery, and Risks of Re-injury - Orthopedics

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Humerus injury, sports injury?


Hello Doctor, at the beginning of this year, I experienced pain in my right upper arm while playing basketball, so I went to the hospital for an X-ray.
The doctor informed me that there was a fracture in my humerus and advised me to refrain from using a racquet for at least one month.
I was also prescribed vitamin D.
I returned for a follow-up ultrasound the following month, and it showed that the fracture was gradually healing.
A month later, the ultrasound indicated that it had completely healed.
However, since the end of last month, I have been training intensively every day, and after practice, I feel weakness in my arm.
This past week, I have experienced some vague pain during practice, and today, after training, I felt pain near the previous fracture site.
Is it possible that a new fracture has occurred? Additionally, sometimes when I lift my arm, I hear a cracking sound, and after holding my right arm up for about 1 to 2 minutes, I start to feel discomfort.
Thank you, Doctor.

Jin Ren, 10~19 year old female. Ask Date: 2016/07/14

Dr. Hong Ximing reply Orthopedics


Overtraining can lead to stress fractures, which are quite common.
If symptoms occur, it is essential to rest and consult your primary care physician for evaluation to avoid delaying treatment.

Reply Date: 2016/07/14

More Info


Injuries to the humerus, particularly those involving fractures or stress fractures, can lead to a variety of symptoms and complications during the recovery process. Based on your description, it seems you have experienced a humeral fracture that has healed but are now encountering new symptoms that may indicate a potential re-injury or complications related to your previous injury.


Symptoms of Humerus Injuries
Common symptoms associated with humeral injuries include:
1. Pain: This can vary from mild discomfort to severe pain, especially during movement or after physical activity.

2. Swelling and Bruising: These are typical signs of trauma and may persist even after the fracture has healed.

3. Weakness: A feeling of weakness in the arm, particularly when lifting or using the affected limb.

4. Audible Sounds: Sounds such as clicking or popping (often described as "cavitation") can occur during movement, which may indicate issues with the joint or surrounding soft tissues.


Recovery Process
The recovery from a humeral fracture typically involves:
1. Rest: Avoiding activities that put stress on the arm, especially sports that require repetitive overhead motions.

2. Physical Therapy: Engaging in rehabilitation exercises to restore strength and range of motion. This is crucial to prevent stiffness and regain full function.

3. Gradual Return to Activity: Once cleared by a healthcare provider, gradually reintroducing activities while monitoring for pain or discomfort.


Risks of Re-injury
Given your recent increase in training intensity, it is possible that you are experiencing symptoms related to:
1. Re-injury: The pain and weakness you describe could indicate a new fracture or stress reaction, particularly if you are pushing your arm beyond its current capacity.

2. Tendinitis or Bursitis: Overuse can lead to inflammation of the tendons or bursae around the shoulder and elbow, causing pain and discomfort.

3. Impingement Syndrome: The "cavitation" sound you hear when lifting your arm may suggest that the shoulder joint is not moving smoothly, which can lead to further injury if not addressed.


Recommendations
1. Consult a Healthcare Professional: It is crucial to return to your physician or an orthopedic specialist for a thorough evaluation. They may recommend imaging studies, such as X-rays or an MRI, to assess for any new injuries or complications.

2. Modify Your Training: Until you receive medical advice, consider reducing the intensity and frequency of your training. Focus on low-impact exercises that do not exacerbate your symptoms.

3. Physical Therapy: If you haven't already, consider working with a physical therapist who can provide tailored exercises to strengthen the muscles around your shoulder and arm, improve flexibility, and address any biomechanical issues.

4. Pain Management: Over-the-counter pain relievers may help manage discomfort, but be sure to discuss this with your healthcare provider, especially if you have any underlying health conditions.


Conclusion
In summary, while your humeral fracture appears to have healed, the symptoms you are currently experiencing warrant further investigation. It is essential to listen to your body and seek professional guidance to prevent potential complications and ensure a safe return to your activities. Remember, recovery is a gradual process, and prioritizing your health will lead to better long-term outcomes.

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