Humerus, Orthopedics FAQ

Understanding Downward Instability in Shoulder Joints: Key Measurement Points

Assessment of Inferior Shoulder Instability Hello, doctor. I recently underwent a shoulder joint inferior instability X-ray stress test at a hospital, and the report indicated an inferior dislocation of 8mm on the right shoulder. However, upon visual inspection of the X-ray, it a...

Dr. Ye Qingnian Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: After taking X-rays of both shoulders while lifting heavy objects, a comparison of the heights of the scapulae on both sides can be made. Wishing you peace and happi...

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...

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...

Managing Pediatric Humerus Fractures: Rehabilitation vs. Anesthesia Options

Fracture of the right humerus diaphysis? My daughter fell a month ago and suffered a fracture of the right humerus. She has already undergone surgery, but she is unable to bend her arm. We have been doing rehabilitation, but the surgeon suggested that general anesthesia to direct...

Dr. Li Wenlin Reply:
Hello: Pediatric fractures require patience as the condition gradually improves. Generally, fractures in a 4-year-old child do not necessarily require rehabilitation, as children at this age are very active and will naturally use their affected limb. Therefore, the likelihood of ...

Do All Comminuted Humerus Fractures Require Surgery? Insights and Options

Is surgical treatment always necessary for a comminuted humeral fracture? Hello, doctor! My husband (36 years old) sustained an injury to his right shoulder two weeks ago from a motorcycle accident, and he has been unable to apply force to his upper arm. During this time, he rece...

Dr. Li Wenlin Reply:
Hello: An orthopedic surgeon will recommend surgical treatment based on specific indications; there is always a reason for suggesting surgery. I cannot see your husband's X-ray, but from your description, it seems that surgery may be necessary. The likelihood of natural heal...

Understanding Proximal Humerus Fractures: Recovery, Pain Management, and Rehabilitation

Proximal humeral comminuted fracture? On May 26 of this year, I had a motorcycle accident that resulted in a comminuted fracture of the proximal left humerus (broken into five pieces). On the 27th, I underwent surgery for internal fixation with a plate. The doctor mentioned that ...

Dr. Li Wenlin Reply:
Hello: Based on your description, you have been regularly attending follow-up appointments, and the X-rays show that the fracture site appears normal, yet you continue to experience persistent pain. This is not a typical situation and may be due to delayed rehabilitation, leading...

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...

Understanding Nerve Recovery Time After Orthopedic Surgery

Nerve recovery time I am 38 years old and recently suffered a comminuted fracture of the left humerus due to a car accident. During surgery to implant a steel plate, nerve damage occurred. Two months post-surgery, I was evaluated by a rehabilitation specialist and diagnosed with ...

Dr. Zhang Shengben Reply:
First, it is important to determine whether the nerve injury is due to a rupture or traction damage in order to decide on the treatment approach. After a neurological examination, the treatment direction can be determined, whether it involves surgical nerve repair or treatment th...

Understanding Pediatric Humerus Fractures: Need for Custom Fixators?

Comminuted fracture of the left humerus? Hello Dr. Chen: My child had a bicycle accident and suffered a comminuted fracture of the left humerus (broken in the middle). Surgery has been performed to implant a steel rod. The doctor mentioned that we will assess the bone growth in a...

Dr. Chen Xingyuan Reply:
Dear Netizen, Even after surgical reduction and fixation with nails or plates, comminuted fractures can still be unstable. It is common to refer patients to the rehabilitation department to create a lightweight splint made of a plastic-like material for protection. As for whethe...

Recovery Timeline and Expectations for Comminuted Humerus Fracture

Comminuted fracture of the right humeral head? I have a comminuted fracture of the right humerus near the shoulder, and I have been using a sling for treatment for five months. Currently, I have limited range of motion in my arm and cannot raise it or extend it behind my back. My...

Dr. Wang Shouji Reply:
Amy: Proximal humeral comminuted fractures with severe displacement generally have a poor prognosis and often require joint replacement. The recovery time depends on the healing status of the fracture. It is recommended to visit an orthopedic specialist for further evaluation. Wi...

Left Humerus Fracture: Recovery Tips and Avoiding Complications

I have a fracture and separation of my left humerus? On July 17, I was mugged, and my left arm was held down, resulting in a forceful fracture of my humerus with an open fracture. The injury is quite severe, but my shoulder is not dislocated, although there is a depression. Is th...

Dr. Zhou Lizhi Reply:
1. For a humeral fracture, appropriate management should be provided based on the X-ray findings and the size of the open wound (which may include surgical fixation or casting treatment). 2. If the bone has not shown signs of healing after three months, close monitoring is requ...

Concerns About Long-Term Effects of Bone Plates and Screws After Fracture

What are the issues related to a left humeral fracture with intramedullary nailing? On March 13 of this year, I was involved in a car accident that resulted in an open fracture of my left humerus. Last week, I consulted with my doctor regarding the need to remove the metal screws...

Dr. Chen Xingyuan Reply:
Dear Readers, In principle, temporary fixation devices such as steel plates and screws implanted in the body should be removed as soon as possible after the fracture has healed. While it is possible to leave these fixation devices in place, there are several considerations: 1. ...

Understanding Comminuted Humerus Fractures: Surgery, Recovery, and Options

Comminuted humeral fracture Dr. Lee: Hello, my younger brother's mother suffered a humeral fracture in a car accident a week ago, resulting in a comminuted fracture at the junction of the proximal humerus and the long bone with slight displacement. The physician believes tha...

Dr. Li Wenlin Reply:
Hello: In response to your question, based on your description, your mother likely has a neck of the humerus fracture. Generally, the decision to operate depends on factors such as age, gender, side of the body, and overall health condition. For instance, for individuals over 65 ...

Understanding the Risks of Leaving Bone Screws in After Surgery

Bone screw issues On March 13 of this year, I sustained an open fracture of the humerus. The doctor advised against removing the plates and screws due to concerns about nerve damage. If I still wish to have them removed, it can be done, but there are risks involved. Could you ple...

Dr. Shi Guozheng Reply:
Not removing it will not have a significant impact. In the case of a humeral fracture with plate fixation, there is a risk of injuring the radial nerve, which could result in an inability to extend the wrist.

Rehabilitation After Humerus Fracture: Tips for Recovery and Nutrition

Rehabilitation for Humeral Fractures Hello doctor, I recently suffered a comminuted fracture of the humerus (broken into three pieces) due to exercise. The cast has been removed, but I have found that I cannot fully extend my arm, and it still hurts. Could this be due to muscle a...

Dr. Hong Ximing Reply:
Hello! It is normal not to be able to fully extend the arm after a comminuted humeral fracture has been immobilized in a cast. Rehabilitation therapy is necessary to restore normal function after the fracture has healed. You can consult a specialist at a rehabilitation clinic to ...

Understanding Pain and Recovery After Upper Arm Surgery: Your Questions Answered

I have a right upper arm fracture, and the steel pin has not been removed for 2 years! Hello, Director: I have a fracture of the right humerus. It has been two years since my surgery, and I plan to have the metal screws removed after this summer. Will the removal be more painful ...

Dr. Ye Qingnian Reply:
Mr. Lin: Removing the steel plate will not be more painful than before. However, I recommend waiting until the clavicle fracture has healed before undergoing surgery to remove it. Once the clavicle has healed without surgery, it will not be more prone to fractures. For a clavicle...

Understanding Shoulder Calcification: Causes, Symptoms, and Treatment Options

Shoulder joint calcification Dear Doctor, In July of this year, my mother visited an orthopedic department at a medical center in Taipei due to shoulder joint pain. After X-ray and ultrasound examinations, she was informed that there was a calcified protrusion formed between the...

Dr. Shi Guozheng Reply:
Calcification near the shoulder joint is quite common in older individuals and usually does not have a significant impact. Excessive joint movement may cause pain, possibly due to tendonitis. Surgery is typically not necessary; medication and rehabilitation may gradually improve ...

Post-Surgery Rehabilitation Tips for Distal Humerus Fracture Recovery

I would like to consult a doctor regarding rehabilitation after surgery for a distal humeral fracture. Thank you very much? Hello Dr. Li, I suffered a distal humeral fracture due to a fall about two weeks ago. After surgery, I had an internal fixation with a steel plate and six s...

Dr. Li Wenlin Reply:
Hello: In response to your question, the ancient saying "It takes a hundred days to heal a muscle or bone injury" means that it takes at least a hundred days for a fracture or muscle strain to heal. Even with modern medical advancements, the healing of fractures or reco...

How to Promote Bone Growth After Shoulder Fracture Surgery?

How to supplement if there is no growth? My mother is 64 years old. In November 2003, she had a car accident that resulted in a shoulder fracture. She underwent two surgeries in June and October of 2004, and she also had a joint replacement. She has had multiple follow-up appoint...

Dr. Yang Zhengfan Reply:
Dear Xiao Liao, I believe your mother's shoulder bone fracture refers to the humerus. If it is replaced with a hemiarthroplasty, then it is unrelated to the bone healing. Generally, there may be some limitations in the range of motion with a hemiarthroplasty, so what are you...

Rehabilitation After Right Humerus Fracture: What You Need to Know

Right humeral fracture? Hello Dr. Lee, I previously asked a question regarding an injury I sustained last month (May 28) while throwing a softball. I returned the ball from left field to the infield, and due to excessive force, I suffered a right humeral fracture. The diagnosis c...

Dr. Li Wenlin Reply:
Hello: In response to your question. Your description is sympathetic; however, each individual's fracture situation is different, and the fit of the surgical plate and the degree of fracture reduction vary. Therefore, whether you can start rehabilitation should be discussed ...

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