Recovering from a Spiral Fracture: Military Service and Rehabilitation Insights

Fracture during military service?

On February 10, 2022, I accidentally sustained a spiral fracture of my right humerus while throwing a softball.
I underwent surgery to fix it with steel pins and have completed rehabilitation.
Currently, my hand has recovered, and I can perform all daily activities, including throwing a softball.
However, I have noticed a significant decrease in throwing distance.
Could you please advise me on how to regain my previous performance level? Additionally, I was born in 1993 and have not yet served in the military.
I am unsure if I still need to enlist or serve in an alternative service.
I am actually open to military service and do not want my previous hand injury to prevent me from serving as a regular soldier.
Is it true that as long as I am willing, I can serve as a regular soldier?

cc, 20~29 year old female. Ask Date: 2013/09/13

Dr. Shi Guozheng reply Orthopedics

After a fracture, if the function is restored to normal following treatment, one is required to serve in the military.
However, if there is functional impairment, a medical examination and re-evaluation may confirm that one is unfit for military service, which could exempt them from service or allow them to serve in an alternative capacity.
It is advisable to first obtain a medical certificate from a hospital and then apply for a re-evaluation at the local military service office to confirm the fitness for duty.

Reply Date: 2013/09/13

More Info

Recovering from a spiral fracture, particularly of the humerus, can be a challenging journey, but it sounds like you have made significant progress since your injury. Given your situation, let’s break down your recovery process, the implications for military service, and some strategies to help you regain your previous level of performance.

Recovery from Spiral Fracture
A spiral fracture typically occurs due to a twisting force, and in your case, it involved the humerus, which is crucial for arm movement and strength. After surgical intervention with internal fixation using metal pins, the focus shifts to rehabilitation. It’s encouraging to hear that you have regained the ability to perform daily activities and even participate in throwing activities, although you’ve noted a decrease in throwing distance.

1. Rehabilitation Goals: The primary goals of rehabilitation after a humeral fracture include restoring range of motion, strength, and functional ability. Since you’ve already achieved a good range of motion, the next step is to focus on strength training and specific exercises that mimic the throwing motion.

2. Strengthening Exercises: Incorporate resistance training to strengthen the muscles around the shoulder and arm. Exercises such as shoulder presses, lateral raises, and rotator cuff strengthening exercises can be beneficial. It’s important to gradually increase the intensity and volume of your workouts to avoid re-injury.

3. Throwing Mechanics: Work with a physical therapist or a coach who can help you refine your throwing technique. Sometimes, a decrease in distance can be attributed to changes in mechanics post-injury. Focusing on proper form can help you regain your previous performance levels.

4. Progressive Overload: Gradually increase the intensity of your throwing practice. Start with lighter throws and progressively increase the weight or distance as your strength improves. This approach can help you rebuild confidence in your arm and improve your throwing distance.

5. Patience and Consistency: Recovery from a fracture takes time, and it’s essential to be patient with yourself. Consistent practice and adherence to your rehabilitation program will yield the best results.

Military Service Considerations
Regarding your military service obligations, it’s understandable to have concerns about how your injury might affect your eligibility for active duty. Here are some insights:
1. Medical Evaluation: The military typically requires a medical evaluation to determine fitness for service. If your arm has healed well and you can perform required tasks without pain or limitation, you may still be eligible for active duty.
2. Willingness to Serve: Your willingness to serve is a significant factor. The military often considers the individual’s motivation and ability to meet physical requirements. If you can demonstrate that you can perform the necessary tasks, you may be able to enlist in active duty.

3. Alternative Service: If there are lingering concerns about your arm’s functionality, you might explore options for alternative service, such as reserve duty or other roles that may be less physically demanding.

4. Consultation with a Recruiter: It’s advisable to speak with a military recruiter who can provide specific guidance based on your medical history and current physical condition. They can help clarify what documentation or evaluations you may need to complete.

Conclusion
In summary, your recovery from a spiral fracture of the humerus is progressing well, and with targeted rehabilitation, you can work towards regaining your previous throwing capabilities. Regarding military service, your eligibility will depend on your current physical condition and the military’s requirements. Consulting with a medical professional and a military recruiter will provide you with the best path forward. Remember, recovery is a journey, and with dedication and the right support, you can achieve your goals both in rehabilitation and in your military aspirations.

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