Challenges in Rehabilitation After Humeral Nail Removal: A Patient's Journey
Removal of distal humeral locking screws? It has been 10 months since my rehabilitation began. There has been some improvement in my ability to straighten and bend my arm, but I still cannot touch my shoulder or straighten my arm independently. I have tried at home to extend my a...
Dr. Shi Guozheng Reply:
Humeral fractures typically require a full year to heal completely before the removal of bone screws. Some physicians may advise patients not to remove the screws depending on the situation. If there are no other discomforts or complications, it is still important to discuss with...[Read More] Challenges in Rehabilitation After Humeral Nail Removal: A Patient's Journey
Can I Perform CPR After Humerus Fracture Surgery with Plate?
A humeral fracture is treated with internal fixation using a plate and seven screws? I have a humeral fracture and underwent surgery last November. By March 4th, the bone has healed, and I have started rehabilitation. However, the plate has not yet reached the time for removal. I...
Dr. Shi Guozheng Reply:
A humeral fracture typically takes about three months to heal, but to achieve a stable recovery, it may require around six months. During this period, excessive force can lead to re-fracture, so caution is necessary. The plate serves only to stabilize the fracture site, allowing ...[Read More] Can I Perform CPR After Humerus Fracture Surgery with Plate?
Understanding Rehabilitation Challenges After Humerus Fracture Surgery
Rehabilitation Issues for Distal Humerus Fractures Doctor, I'm here to ask again. I have a humeral fracture that was stabilized with a dynamic brace. After the surgery, I started moving, but my arm still won't straighten out. If you say rehabilitation will improve my ex...
Dr. Shi Guozheng Reply:
Your question pertains to the range of motion. A normal elbow joint can fully extend. When flexed, the forearm muscles can approximately touch the anterior muscles of the upper arm. The total angle of extension plus flexion should be over 120 degrees. The so-called internal and e...[Read More] Understanding Rehabilitation Challenges After Humerus Fracture Surgery
Understanding Persistent Elbow Deformity After Open Humerus Fracture Surgery
Open fracture of the distal humerus with inability to fully extend the arm? On August 10, 2013, I was involved in a car accident that resulted in an open fracture of the humerus. The first surgery was very successful, and I was able to extend my arm straight. However, three month...
Dr. Shi Guozheng Reply:
Distal humeral fractures near the elbow joint can sometimes affect the range of motion of the elbow. Generally, immobilization of the elbow should not exceed six weeks, as prolonged immobilization can lead to contractures, making it difficult to fully extend the elbow. Under norm...[Read More] Understanding Persistent Elbow Deformity After Open Humerus Fracture Surgery
Post-Fracture Rehabilitation: Overcoming Challenges in Arm Mobility
Rehabilitation after fracture surgery? Doctor, I suffered a spiral fracture of the distal humerus in July, and I have been undergoing rehabilitation for nearly two months now. I feel that there has been little improvement in the range of motion when bending my arm. I have been se...
Dr. Shi Guozheng Reply:
The healing time for a humeral fracture is approximately two to three months. The range of motion you mentioned refers to either the shoulder joint or the elbow joint. Typically, after such fractures heal, the mobility of both joints does not significantly decrease. If it is conf...[Read More] Post-Fracture Rehabilitation: Overcoming Challenges in Arm Mobility
Understanding Elbow Fractures: Impact of Bone Fragments on Recovery
Elbow fracture Hello Doctor: Earlier this year, I suffered a humeral fracture in my left arm due to a car accident. I have been undergoing rehabilitation for the past six months. Last week, I had surgery to remove the bone screws, but I still cannot bend my fingers to touch my sh...
Dr. Shi Guozheng Reply:
Post-operative swelling typically lasts for about one to two months, which should not be related to the fractured bone. The degree of joint flexion is associated with the swelling. Unless the fracture is near the joint surface, it is not related. Continuing rehabilitation may hel...[Read More] Understanding Elbow Fractures: Impact of Bone Fragments on Recovery
Should You Remove Plates and Screws After Arm Fracture Surgery?
Removal of steel plates and steel nails: to remove or not to remove? Hello, I sustained a closed fracture of the right humerus while throwing a baseball on February 27 of this year, and I underwent surgery in early March. I have mostly recovered now and would like to know if ther...
Dr. Wang Shouji Reply:
Hello: When removing the plate after a humeral fracture, it is important to consider the risk of injury to the radial nerve. Titanium alloy has less stress shielding effect, and based on my assessment of the risks, I do not recommend removal. Thank you![Read More] Should You Remove Plates and Screws After Arm Fracture Surgery?
Understanding Right Humerus Fractures: Recovery Challenges and Solutions
Right humeral fracture? I was in a car accident on January 12, 2012, and I fractured my right humerus. However, the treatment I received only involved immobilization and pain medication, with no surgical evaluation. Therefore, I have mostly been waiting for my bone to heal on its...
Dr. Li Wenlin Reply:
Proximal humeral fractures are more likely to affect shoulder joint mobility, and X-rays are necessary to determine whether there is any deformity of the bone causing functional impairment or if it is merely a secondary frozen shoulder.[Read More] Understanding Right Humerus Fractures: Recovery Challenges and Solutions
Understanding Recovery Challenges After Humerus Fracture Surgery
Humeral fracture After a right humeral fracture and surgery, I have been unable to raise my right arm normally. An ultrasound was performed and the results were normal. Therefore, I am seeking Dr. Yeh's assistance for clarification. Thank you!
Dr. Ye Qingnian Reply:
Hello: If the shoulder joint remains immobile for about three weeks, it can lead to joint stiffness. After surgery, if the arm is kept in a sling without movement, it may result in similar issues. Currently, the only option is to work hard on rehabilitation at a physical therapy ...[Read More] Understanding Recovery Challenges After Humerus Fracture Surgery
Understanding Recovery After Humerus Fracture Surgery: What to Expect
Humeral fracture Hello, I had a humeral fracture and underwent internal fixation surgery with steel nails last July. It has been ten months since then, and I can only extend my arm back to my waist; I cannot reach higher or fasten my bra straps. Is this normal? Additionally, if t...
Dr. Li Wenlin Reply:
The location of the fracture, the type of implant (such as intramedullary nails or plates), the site of implantation, and the healing status can all affect mobility. It is recommended to follow up with an outpatient clinic for X-rays so that the physician can make an assessment.[Read More] Understanding Recovery After Humerus Fracture Surgery: What to Expect
How Long Should You Ice a Humerus Fracture Before Surgery?
How long should ice be applied to a humeral fracture? Hello: I have a humeral fracture and I'm waiting for surgery next week. I have been applying ice for four days (with a towel in between and taking breaks, so it doesn't feel too cold). The affected limb does not seem...
Dr. Li Wenlin Reply:
Hello, in response to your question: It is advisable to postpone ice therapy, but the actual situation should still be discussed with your attending physician as a principle.[Read More] How Long Should You Ice a Humerus Fracture Before Surgery?
Understanding Humerus Fractures in Children: Recovery and Rehabilitation Insights
Humeral fracture Hello Doctor: Our child suffered a humeral fracture while running at school on May 13, 2009, at the age of eight. He underwent surgery that day to implant a steel pin, and his wrist was normal after the operation. However, during a follow-up visit on June 30, it ...
Dr. Li Wenlin Reply:
Hello: It is recommended to take your child to the orthopedic outpatient clinic at a medical center, such as Linkou Chang Gung Memorial Hospital or Taipei Veterans General Hospital, to consult with specialists for evaluation and to consider the feasibility of nerve grafting or te...[Read More] Understanding Humerus Fractures in Children: Recovery and Rehabilitation Insights
Does Humerus Plate Surgery Require Muscle Removal?
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 underw...
Dr. Li Wenlin Reply:
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 aft...[Read More] Does Humerus Plate Surgery Require Muscle Removal?
Concerns About Removing Steel Plates and Screws from Humerus Fracture
Please inquire about the removal of humeral intramedullary nails and plates? Hello Dr. Lee, I would like to briefly describe my situation. I am a 26-year-old female. In January 2010, I suffered a "humeral shaft fracture" due to a car accident. At that time, I underwent...
Dr. Li Wenlin Reply:
Hello: In response to your question, there is an unwritten rule in the orthopedic field that a patient is always considered a patient for life. Moreover, since you have previously undergone surgery performed by your attending physician, and given that you chose to have a plate fi...[Read More] Concerns About Removing Steel Plates and Screws from Humerus Fracture
Understanding Humerus Fractures: Recovery, Pain Management, and Surgery Decisions
Humeral fracture Hello, Doctor: I would like to briefly describe my situation. In December 2008, I suffered a right humeral fracture while playing softball. The fracture was in a lightning shape, and the surgeon later inserted a plate and 12 screws. I also injured my radial nerve...
Dr. Shi Guozheng Reply:
Internal bone screws and plates do not need to be removed unless they affect function or cause inflammation or infection. Removing the plates may risk damaging nerves, so this surgery should be avoided unless absolutely necessary. Pain may be due to other causes and can be manage...[Read More] Understanding Humerus Fractures: Recovery, Pain Management, and Surgery Decisions
Left Humerus Fracture: Healing Challenges and Treatment Options
The left humeral fracture has not healed after nine months? Hello, doctor. I had a car accident in June last year, resulting in a fracture of my left humerus, and I have a metal plate inside. It has been over nine months, and it still hasn't fully healed. I have poor gastroi...
Dr. Shi Qiming Reply:
It is noted that after an open reduction and internal fixation of a humeral fracture, there is a common occurrence of poor healing (approximately 5%). Therefore, if instability, functional impairment, or severe pain arises due to poor healing, a revision surgery with bone graftin...[Read More] Left Humerus Fracture: Healing Challenges and Treatment Options
Understanding Cubitus Varus in Children: Concerns and Treatment Options
Cubitus varus in children Dear Dr. Lee, Hello. My child has a supracondylar humeral fracture and underwent surgical treatment. Both extension and flexion functions are normal now, but there is currently an inward angulation of the elbow of about 12 to 13 degrees. I would like to...
Dr. Li Wenlin Reply:
Hello: In response to your question, pediatric supracondylar humeral fractures require ongoing outpatient follow-up. It is recommended that you continue to return for check-ups (every six months to a year) to monitor changes in the angle of cubitus varus and to determine if corre...[Read More] Understanding Cubitus Varus in Children: Concerns and Treatment Options
Post-Surgery Wrist Weakness in Children: What Parents Should Know
After the second surgery, I am unable to lift my wrist? Hello Doctor: Our child, who is eight years old, suffered a humeral fracture while running at school on May 13. He underwent surgery the same day to implant a steel pin, and his wrist was normal after the operation. However,...
Dr. Li Wenlin Reply:
Hello: This phenomenon can be addressed by collaborating with a rehabilitation physician and an orthopedic attending physician, while continuing to follow up with orthopedics. If there are any issues, the physician will provide further recommendations. Please communicate frequent...[Read More] Post-Surgery Wrist Weakness in Children: What Parents Should Know
Understanding Removal of Bone Plates and Pins After Humerus Fracture
Right humeral fracture: issues with the removal of bone screws and plates? Dear Doctor, In October 2008, I accidentally fractured my right humerus (near the mid-lower part) while participating in a company event. I underwent an open reduction and internal fixation with plates an...
Dr. Li Wenlin Reply:
Hello: 1. When performing open reduction or plate removal surgery for a mid-shaft humeral fracture, there is a risk of injuring the radial nerve (approximately 10% chance), especially since the surgeon has already interacted with your tissues and has a better understanding of t...[Read More] Understanding Removal of Bone Plates and Pins After Humerus Fracture
Understanding Recovery After Arm Fracture Surgery: Key Questions Answered
Fracture Hello Dr. Hong, I was in a car accident on March 10 and underwent surgery at Chungli Tiansheng. The doctor diagnosed me with a "right humeral fracture; shoulder contusion with rotator cuff tear." I had surgery on the morning of March 11 and stayed in the hospi...
Dr. Hong Ximing Reply:
Based on your medical condition, it appears that after the first surgery, the fracture did not heal and has shifted. It has been approximately four weeks since the second surgery, and the fracture still has not healed. Therefore, it is important to be particularly cautious during...[Read More] Understanding Recovery After Arm Fracture Surgery: Key Questions Answered