Postoperative care for humeral fracture?
Hello, doctor.
Last week, I suffered a fall that resulted in a humeral fracture, and I had three metal pins inserted.
During my hospital stay, the nurse advised me to engage in rehabilitation frequently.
I have a few questions:
1.
She mentioned that I should move my shoulder.
How should I do that?
2.
Is it okay not to wear a sling for short-distance movements? I have tried it, and it seems like the cast is holding up fine.
3.
Why am I not allowed to ride a motorcycle?
4.
After the swelling and numbness post-surgery improve, will there be any lasting effects?
Niming, 10~19 year old female. Ask Date: 2019/04/23
Dr. Shi Guozheng reply Orthopedics
1.
The arm suspended in a sling can perform pendulum exercises.
2.
It is best not to remove the sling casually.
3.
There is a concern about re-injury.
4.
Swelling and numbness are normal phenomena, and the swelling will subside over time.
Reply Date: 2019/04/23
More Info
Post-surgery care for a humerus fracture is crucial for a successful recovery. After undergoing surgery to fix a humeral fracture with the placement of three pins, it’s essential to follow a structured rehabilitation plan to regain strength and mobility. Here are some key recovery tips and answers to your questions:
1. Shoulder Movement: It’s important to start gentle shoulder movements as soon as your doctor allows. You can begin with passive range of motion exercises, where you use your unaffected arm to help move the affected shoulder. For example, while sitting or lying down, gently lift your arm to the side or in front of you, using your other hand to assist. You can also perform pendulum exercises by leaning forward slightly and letting your arm hang down, then gently swinging it in small circles. Always consult your physical therapist for specific exercises tailored to your condition.
2. Use of a Sling: The purpose of the triangular sling is to immobilize your arm and provide support to the shoulder during the initial healing phase. While short-distance movements without the sling may feel manageable, it’s generally advised to wear it as prescribed to prevent any unnecessary strain on the healing bone and surrounding tissues. If you feel discomfort or instability, it’s best to keep the sling on until your doctor or therapist advises otherwise.
3. Avoiding Motorcycle Riding: Riding a motorcycle involves significant upper body movement and balance, which can put undue stress on your healing shoulder. The vibrations and potential for sudden movements can jeopardize the stability of the pins and the healing process. It’s crucial to avoid any activities that could lead to falls or jarring motions until your doctor gives you the green light, typically after a thorough evaluation of your healing progress.
4. Post-operative Swelling and Numbness: Swelling and numbness are common after surgery, especially in the initial recovery phase. As your body heals, these sensations should gradually improve. However, persistent swelling or numbness could indicate complications, such as nerve compression or poor circulation. It’s essential to monitor these symptoms and report any concerns to your healthcare provider. They may recommend elevation of the arm, ice application, or specific exercises to help reduce swelling.
Additional Recovery Tips:
- Nutrition: Focus on a balanced diet rich in calcium and vitamin D to support bone healing. Foods like dairy products, leafy greens, and fatty fish can be beneficial. Staying hydrated is also important for overall recovery.
- Physical Therapy: Engage in physical therapy as soon as it’s deemed safe. A physical therapist can guide you through exercises designed to improve strength, flexibility, and range of motion in your shoulder and arm.
- Pain Management: Follow your doctor’s recommendations for pain management. If you experience increased pain, it may be a sign that you are overexerting yourself.
- Follow-Up Appointments: Attend all scheduled follow-up appointments with your orthopedic surgeon. They will monitor your healing progress and make necessary adjustments to your rehabilitation plan.
- Patience and Consistency: Recovery from a humeral fracture can take time. Be patient with yourself and stay consistent with your rehabilitation exercises. Celebrate small milestones along the way to keep your motivation high.
In summary, post-surgery care for a humerus fracture involves a combination of proper immobilization, gradual movement, and consistent rehabilitation. Always communicate openly with your healthcare team about your recovery process, and do not hesitate to ask questions or express concerns. Your proactive approach to recovery will play a significant role in achieving the best possible outcome.
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