Does the humeral plate surgery require muscle removal?
Two years ago, I had a bicycle accident that resulted in a dislocated left shoulder.
An X-ray confirmed that there was a fracture in the humerus (it wasn't completely broken).
After the doctor's assessment, I underwent surgery to insert a metal plate, which has since been removed.
However, my biggest question now is whether this surgery required the removal of any muscles from the humerus (I looked up a diagram of human muscle distribution).
I have noticed a significant loss of muscle mass in my left arm.
I asked the doctor about this at the time, but he didn't provide a clear answer.
Should I assume that any muscle that was removed will not grow back?
Youling, 20~29 year old female. Ask Date: 2011/04/22
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, a reduction surgery for a humeral fracture does not require the removal of the humeral muscle, and the physician would not intentionally do so.
Your situation is most likely due to muscle atrophy resulting from the fracture and reduced use after the surgery.
You may want to consult a rehabilitation physician to assess your condition and explore active rehabilitation to strengthen the atrophied muscles.
Another possibility is nerve injury during the fracture or surgery, but this is quite rare.
If you have any concerns, it is best to consult your attending physician, or you may consider starting rehabilitation with a physical medicine and rehabilitation specialist for a period before reassessing.
Wishing you all the best!
Reply Date: 2011/04/22
More Info
The question of whether humerus plate surgery requires muscle removal is a common concern among patients who undergo orthopedic procedures. In your case, it appears that you experienced a fracture in your humerus due to a bicycle accident, which led to the need for surgical intervention involving the placement of a plate. It is understandable to be worried about the implications of such a surgery, especially regarding muscle integrity and recovery.
To clarify, during humerus plate surgery, the primary goal is to stabilize the bone fracture. Surgeons typically aim to minimize damage to surrounding tissues, including muscles. In most cases, muscle removal is not necessary. Instead, surgeons will often carefully dissect through the muscle tissue to access the bone, which allows them to place the plate without excising any muscle. However, it is possible that some muscle fibers may be temporarily displaced or affected during the procedure, which can lead to muscle atrophy if the arm is immobilized for an extended period post-surgery.
The noticeable loss of muscle mass that you are experiencing in your left arm is likely due to disuse rather than surgical removal. After surgery, especially if the arm was immobilized in a sling or brace, the muscles can weaken and shrink due to lack of movement and activity. This phenomenon is known as muscle atrophy, and it can occur quite rapidly after an injury or surgery. The good news is that with appropriate rehabilitation and physical therapy, it is often possible to regain muscle strength and size over time. Engaging in a structured rehabilitation program can help stimulate muscle growth and restore function to your arm.
Regarding your concern about whether the muscle that may have been affected during surgery can grow back, it is important to note that muscle tissue has a remarkable ability to regenerate, provided that the muscle fibers themselves were not completely severed or removed. If the muscle was only temporarily displaced or underwent atrophy due to disuse, it can typically recover with proper exercise and rehabilitation.
If you have lingering concerns about your muscle recovery or the surgical procedure itself, it is advisable to consult with your orthopedic surgeon or a physical therapist. They can provide you with a tailored rehabilitation plan that focuses on strengthening the affected muscles and restoring function to your arm. Additionally, they can address any specific questions you have about the surgical technique used and the expected outcomes.
In summary, humerus plate surgery does not typically require muscle removal. The muscle loss you are experiencing is likely due to disuse rather than surgical excision. With appropriate rehabilitation, you can work towards regaining muscle strength and function in your arm. Always feel free to reach out to your healthcare providers for clarification and support throughout your recovery journey.
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