Non-Displaced Humerus Fractures: Recovery and Pain Management - Orthopedics

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Closed fracture of the right humerus greater tuberosity, non-displaced?


On May 11, 2023, I suffered a fall resulting in a non-displaced closed fracture of the right greater tuberosity of the humerus.
When I was taken to the hospital, the emergency physician informed me that it was not severe and surgery was not necessary; conservative treatment was sufficient for recovery in two weeks, and I was required to return for a follow-up in three days.
However, the hospital scheduled me with a different physician for the follow-up on May 14, who informed me that recovery would take over three months.
To expedite healing, there were two options: taking calcium-related dietary supplements prescribed by the doctor or receiving injections.
Ultimately, the doctor prescribed medication and advised against lifting my arm or performing shrugging motions to avoid the risk of displacement.
Since the incident, the bruising has gradually faded, but I occasionally experience soreness in the upper arm, and at night, there is a brief period when my hand feels swollen when making a fist.
Is this situation normal? How can I determine if the bone is gradually healing? Is it normal to experience soreness in the bone?

Lingling, 20~29 year old female. Ask Date: 2023/08/27

Dr. You Dianqi reply Orthopedics


If you have any concerns, it is advisable to schedule an earlier appointment to consult with your attending physician.
Thank you.

Reply Date: 2023/08/27

More Info


Understanding non-displaced humerus fractures, particularly in the context of your injury, involves recognizing the nature of the fracture, the healing process, and effective pain management strategies. A non-displaced fracture means that the bone has cracked but has not moved out of its normal alignment. This type of fracture often heals well with conservative treatment, which typically includes rest, immobilization, and sometimes physical therapy.

In your case, you sustained a non-displaced fracture of the greater tuberosity of the humerus on May 11, 2023. The initial assessment by the emergency physician indicated that surgery was not necessary, which is common for non-displaced fractures. The recommendation for conservative treatment for two weeks followed by a follow-up appointment is standard practice. However, the subsequent evaluation by another physician suggesting a recovery period of three months is also reasonable, as healing times can vary based on several factors, including the patient's age, overall health, and adherence to treatment protocols.

Regarding your symptoms, it is not uncommon to experience pain and swelling in the arm during the healing process. The fact that you are noticing bruising that is gradually fading is a positive sign, indicating that the initial trauma is resolving. The intermittent pain and swelling you describe, especially when making a fist, can be attributed to inflammation in the area surrounding the fracture. This is a normal part of the healing process, but it is essential to monitor these symptoms closely.

To assess whether the bone is healing properly, follow-up imaging, such as X-rays, may be necessary. These images can help your physician determine if the fracture is healing as expected. Additionally, you should be aware of any signs of complications, such as increased pain, swelling, or changes in the color of your arm, which could indicate issues like compartment syndrome or improper healing.

In terms of pain management, your physician has prescribed calcium supplements, which can support bone health, but they may not directly alleviate pain. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can be effective for managing pain and reducing inflammation. However, always consult your physician before starting any new medication, especially considering your medical history.

It is crucial to adhere to your doctor's advice regarding activity restrictions, such as avoiding lifting your arm or shrugging your shoulders, as these movements could jeopardize the healing process. Engaging in physical therapy once the initial healing phase is complete can help restore strength and mobility to your shoulder.

In summary, while the symptoms you are experiencing can be typical for a non-displaced humerus fracture, it is essential to maintain open communication with your healthcare provider. Regular follow-ups and imaging studies will provide you with the best insight into your healing progress. If you have any concerns about your pain or recovery, do not hesitate to reach out to your physician for further evaluation and guidance.

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