Can a Previous Humerus Fracture Re-Injure After Surgery?

Left humeral diaphysis fracture?

Hello, I had a humeral shaft fracture in my left arm from a car accident last year, and I underwent surgery at the end of December.
In January, when I squatted down, I lost my balance and fell to the left, using my left palm to support myself.
At that moment, I experienced significant pain at the surgical site.
After the pain subsided, I was still able to move my left arm normally.
Could this cause further damage to my left humerus?

Bbbb, 20~29 year old female. Ask Date: 2015/01/27

Dr. Shi Guozheng reply Orthopedics

If there is a possibility of displacement in the area that may have fractured or if there are new fractures, it is best to go to the hospital for an X-ray to ensure that the bones are not compromised.

Reply Date: 2015/01/27

More Info

In your case, it is understandable to be concerned about the potential for re-injury after a humerus fracture, especially following surgical intervention. A previous humerus fracture can indeed be at risk for re-injury, particularly if the bone has not fully healed or if there is any underlying weakness in the area.
When a humerus fracture occurs, the healing process typically involves several stages: inflammation, repair, and remodeling. After surgery, the bone is stabilized with plates, screws, or rods, which helps to ensure proper alignment and support during the healing process. However, the bone itself takes time to regain its strength. In general, bone healing can take anywhere from 6 to 12 weeks, depending on the severity of the fracture, the type of surgical intervention, and individual factors such as age and overall health.

In your situation, since you experienced pain at the surgical site after putting weight on your left hand, it is crucial to monitor your symptoms closely. Pain can be an indication that the bone may not be fully healed or that there is stress being placed on the surgical site. While it is a positive sign that you can still move your hand normally, any significant pain during activity should not be ignored.

To address your concerns:
1. Risk of Re-Injury: Yes, there is a risk of re-injury if the bone has not fully healed. The force exerted on the arm when you fell could potentially lead to complications, such as a new fracture or a failure of the surgical hardware. It is essential to follow your physician's advice regarding activity restrictions and rehabilitation.

2. Symptoms to Watch For: If you experience increased pain, swelling, or any changes in function (such as difficulty moving your arm or hand), it is crucial to seek medical attention. These symptoms could indicate complications that may require further evaluation, such as imaging studies (like X-rays) to assess the integrity of the bone and the surgical site.

3. Rehabilitation: Engaging in rehabilitation exercises is vital for regaining strength and mobility after a fracture. However, these exercises should be guided by a physical therapist or your orthopedic surgeon, especially in the early stages post-surgery. They can help you develop a safe and effective rehabilitation plan tailored to your specific needs.

4. Preventive Measures: To minimize the risk of re-injury, it is advisable to avoid high-impact activities or movements that could place undue stress on the healing bone. Gradually increasing your activity level under the guidance of a healthcare professional can help ensure that you are not overexerting yourself too soon.

In summary, while it is possible for a previous humerus fracture to re-injure after surgery, careful monitoring and adherence to rehabilitation protocols can significantly reduce this risk. If you have any concerns or experience new symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your recovery is a priority, and ensuring that you are on the right path will help you regain full function and strength in your arm.

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