Humeral spiral fracture
Hello Doctor, I sustained an injury at the end of October during a competition, resulting in a closed spiral fracture of the left humerus, which broke into three segments.
Since the function of my wrist and fingers is normal, and after assessing the risks of surgery, I did not undergo surgery and have been using a splint for stabilization.
I have been resting for nearly two months now.
I have the following questions for you:
1.
I am currently unable to bend or straighten my arm on my own.
How much longer do I need to rest before I can start moving it?
2.
What rehabilitation exercises or other methods can I do at this stage to accelerate my recovery?
Lin Xiao-Han, 20~29 year old female. Ask Date: 2016/12/16
Dr. Shi Guozheng reply Orthopedics
If the fracture is non-displaced and not too painful, you can start to move the joint.
It is essential to maintain joint mobility to prevent stiffness in the future.
You can seek treatment from a rehabilitation specialist, but there are no specific methods to accelerate recovery.
Reply Date: 2016/12/16
More Info
Recovering from a spiral humerus fracture can be a challenging process, especially when the fracture is complex, as in your case where it has broken into three segments. Given that you have opted for conservative treatment with a splint rather than surgery, it is essential to follow a structured rehabilitation plan to ensure optimal recovery.
Healing Time and Movement
1. Duration of Rest and Movement: Generally, the healing time for a humerus fracture can range from 6 to 12 weeks, depending on the severity of the fracture and individual healing rates. Since you have already rested for nearly two months, you might be approaching the stage where gentle movement can be introduced. However, it is crucial to consult with your healthcare provider before starting any movement. If the fracture is stable and there is no significant pain, you may begin gentle range-of-motion exercises. This can help prevent stiffness and improve circulation to the area.
2. Rehabilitation Exercises: At this stage, focus on passive range-of-motion exercises. This means you or a therapist will help move your arm through its range without using your muscles. Gradually, as you gain confidence and your doctor approves, you can progress to active range-of-motion exercises where you use your muscles to move your arm. Here are some exercises to consider:
- Pendulum Exercises: Lean forward and let your arm hang down. Gently swing your arm in small circles to promote mobility.
- Wrist and Finger Movements: Since your wrist and fingers are functioning normally, continue to perform exercises for these areas to maintain their strength and flexibility.
- Elbow Flexion and Extension: If permitted by your doctor, try to gently bend and straighten your elbow while keeping your arm supported.
Additional Rehabilitation Strategies
- Physical Therapy: Engaging in physical therapy is highly recommended. A physical therapist can provide tailored exercises and modalities to enhance healing and restore function. They may use techniques such as ultrasound therapy, electrical stimulation, or manual therapy to aid recovery.
- Pain Management: If you experience pain during movement, consider using ice packs to reduce swelling and discomfort. Over-the-counter pain relievers may also be helpful, but consult your doctor before taking any medication.
- Nutrition: Ensure you are consuming a balanced diet rich in calcium and vitamin D, which are essential for bone healing. Foods like dairy products, leafy greens, and fortified cereals can support your recovery.
- Gradual Return to Activities: As you progress, gradually reintroduce daily activities and light exercises. Avoid high-impact activities or sports until your doctor gives you the green light.
Monitoring Your Progress
Keep track of your pain levels, range of motion, and any difficulties you encounter during rehabilitation. Regular follow-ups with your healthcare provider will help assess your healing progress and adjust your rehabilitation plan as necessary.
In conclusion, while the recovery from a spiral humerus fracture can be lengthy, adhering to a structured rehabilitation program and maintaining open communication with your healthcare team will significantly enhance your recovery process. Remember, patience is key, and gradual progress is essential for a successful return to full function.
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