Managing 3-Part Proximal Humerus Fractures Without Surgery - Orthopedics

More Info

---

Managing a 3-part proximal humerus fracture without surgery can be a viable option, especially in cases where the fracture is stable and there is no significant displacement. The decision to treat conservatively often depends on the specific characteristics of the fracture, the patient's overall health, and their functional goals.
In your case, since you are currently using a sling for immobilization, it is essential to understand that while immobilization is necessary initially to allow for healing, prolonged immobilization can lead to stiffness and muscle atrophy. This is likely the reason you are experiencing discomfort and muscle soreness. It is common for patients to feel tightness and weakness in the muscles surrounding the shoulder joint after being immobilized for a period.

Here are some key points to consider regarding your recovery and rehabilitation:
1. Early Mobilization: Although you are advised to keep your arm in a sling, gentle range-of-motion exercises can often be initiated early in the recovery process. These exercises should be passive at first, meaning that you or a therapist would assist in moving the arm without putting stress on the fracture site. This can help maintain joint mobility and prevent stiffness.

2. Pain Management: If you experience pain or discomfort, it is crucial to manage it effectively. Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, always consult with your physician before taking any medication.

3. Physical Therapy: Once your doctor gives the green light, engaging in physical therapy can significantly enhance your recovery. A physical therapist can guide you through specific exercises tailored to your condition, focusing on restoring range of motion, strength, and function. They can also provide modalities such as ultrasound or electrical stimulation to aid in pain relief and muscle activation.

4. Gradual Progression: As you begin to regain mobility, you can gradually progress to active range-of-motion exercises. This means you will start using your muscles to move your arm. It is essential to listen to your body and not push through severe pain, as this can lead to further complications.

5. Avoiding Stiffness: To prevent stiffness, it is advisable to perform gentle stretching exercises for your shoulder and arm, even while in the sling. You can do this by gently moving your arm in different directions within a pain-free range.
6. Monitoring Progress: Regular follow-up appointments with your physician are crucial to monitor the healing process. They may perform X-rays to ensure that the fracture is healing correctly and that there are no complications.

7. Psychological Aspect: It is normal to feel anxious about your recovery, especially if you are unable to perform daily activities. Engaging in light activities that do not strain your shoulder can help maintain a sense of normalcy. Additionally, consider discussing your feelings with your healthcare provider, as they can offer support and resources.

8. Nutrition and Healing: Proper nutrition plays a vital role in bone healing. Ensure you are consuming a balanced diet rich in calcium and vitamin D, which are essential for bone health. Foods such as dairy products, leafy greens, and fatty fish can be beneficial.

In conclusion, while managing a 3-part proximal humerus fracture without surgery can be effective, it is essential to follow your doctor's advice closely and engage in rehabilitation as soon as it is safe to do so. Early and appropriate rehabilitation can significantly improve your outcomes, helping you regain strength and function in your shoulder and arm. Always communicate openly with your healthcare team about your progress and any concerns you may have during your recovery journey.