Recovery Timeline for Shoulder Dislocation and Humerus Fracture Surgery

Shoulder dislocation with humeral fracture?

In the case of a shoulder dislocation accompanied by a humeral fracture, after undergoing reduction surgery without the application of a cast, the healing time for the fractured area typically ranges from 6 to 12 weeks, depending on the severity of the fracture and the individual’s healing capacity.

For the dislocated portion and the fractured area, rehabilitation can usually begin after the initial healing phase, around 6 to 8 weeks post-surgery, but this may vary based on the specific circumstances of the injury and the surgeon's recommendations.
Other important considerations include:
1.
Follow-up appointments with your orthopedic surgeon to monitor healing progress.
2.
Adhering to a prescribed rehabilitation program to regain strength and range of motion.
3.
Avoiding activities that could stress the shoulder joint during the healing process.
4.
Being aware of signs of complications, such as increased pain, swelling, or loss of function, and reporting them to your healthcare provider promptly.

Xiao Mei, 40~49 year old female. Ask Date: 2003/10/10

Dr. Ye Qingnian reply Orthopedics

In cases of shoulder dislocation combined with humeral fracture, rehabilitation therapy is required after surgery in the supine position.
However, the timing for starting rehabilitation depends on the patient's fracture condition.
If the bone fragments are severely shattered or the fracture is located too high, the plate fixation may not be secure, and starting rehabilitation too early could lead to poor bone healing.
Conversely, delaying rehabilitation may result in decreased functionality.
Therefore, it is best to consult the surgeon who performed the operation, as they are most familiar with the surgical conditions and the stability of the plate fixation.
They can make the most appropriate decision.
Generally, for patients with well-aligned fractures that do not require surgery, I typically begin rehabilitation three weeks post-operation.

Reply Date: 2003/10/10

More Info

Recovery from shoulder dislocation combined with a humerus fracture can be a complex process, and the timeline for healing and rehabilitation varies based on several factors, including the severity of the injury, the specific surgical procedure performed, and the individual patient's health and adherence to rehabilitation protocols.

General Recovery Timeline
1. Initial Healing Phase (0-3 weeks post-surgery):
- After surgery, the focus is primarily on protecting the surgical site and allowing the initial healing to occur. During this period, the patient may be advised to keep the shoulder immobilized in a sling or brace to prevent movement that could disrupt healing.

- For a humerus fracture, initial healing typically takes about 2 to 3 weeks. However, the bone may not be fully healed at this stage, and the patient should avoid any weight-bearing activities or movements that could stress the fracture site.

2. Early Rehabilitation Phase (3-6 weeks post-surgery):
- After approximately 3 weeks, if the surgeon determines that the fracture is stable, the patient may begin passive range-of-motion exercises. These exercises are crucial for maintaining joint mobility without putting undue stress on the healing bone.

- The timeline for starting rehabilitation can vary. In some cases, rehabilitation may begin as early as 3 weeks post-surgery, while in others, it may be delayed if the fracture is not healing properly.

3. Active Rehabilitation Phase (6-12 weeks post-surgery):
- By 6 weeks, if the healing is progressing well, the patient may start active range-of-motion exercises and gradually introduce strengthening exercises. This phase is critical for restoring function and preventing stiffness.

- Full recovery of strength and range of motion can take several months. Patients should expect to engage in physical therapy for at least 3 to 6 months, depending on their progress.

4. Full Recovery (3-6 months post-surgery):
- Complete healing of the bone and full restoration of shoulder function can take anywhere from 3 to 6 months or longer. The timeline can vary significantly based on individual factors such as age, overall health, and adherence to rehabilitation protocols.

Rehabilitation Considerations
- Pain Management: Pain is a common experience during recovery. It is essential to manage pain effectively, as it can hinder participation in rehabilitation exercises. Patients should communicate with their healthcare providers about pain levels and any concerns.

- Avoiding Complications: Patients should be vigilant about signs of complications, such as increased pain, swelling, or changes in sensation. If any unusual symptoms arise, it is crucial to consult the surgeon promptly.

- Adherence to Rehabilitation Protocols: Following the prescribed rehabilitation program is vital for optimal recovery. Patients should engage in exercises as directed by their physical therapist and avoid any movements that could jeopardize healing.

- Regular Follow-ups: Regular follow-up appointments with the orthopedic surgeon are essential to monitor healing progress through physical examinations and imaging studies, if necessary. The surgeon can adjust rehabilitation protocols based on the healing status of the fracture and dislocation.

Conclusion
In summary, recovery from a shoulder dislocation combined with a humerus fracture involves a structured timeline that emphasizes initial healing, gradual rehabilitation, and ongoing monitoring. Patients should work closely with their healthcare team to ensure a safe and effective recovery process. Each individual's recovery may differ, and it is crucial to follow medical advice tailored to their specific situation.

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