How Are Midshaft Humerus Fractures Treated?
How Are Midshaft Humerus Fractures Treated?
Why It Matters
Proper treatment of midshaft humerus fractures is crucial for recovery and to prevent complications. Let's explore the options available.
Contents
Non-Surgical Approaches
Most midshaft humerus fractures (70-80%) can be treated without surgery using splints or functional braces. An initial coaptation splint helps align the bone, followed by a functional brace once swelling subsides, to support the healing process.
When Is Surgery Needed?
Surgery is required for fractures with vascular injuries, open fractures, or when there's severe misalignment. It may involve techniques like open reduction and internal fixation (ORIF) to stabilize the bone.
Rehabilitation and Recovery
Rehabilitation begins within a week of injury, with exercises to restore range of motion. Full recovery may take 10 to 14 weeks, with gradual return to normal activities once healing is confirmed.
FAQs
Is surgery always necessary?
No, most fractures can be treated without surgery using splints or braces.
What is a coaptation splint?
It's a temporary splint that helps align the bone after a fracture.
When is surgery required?
For severe misalignment or if there are vascular or open injuries.
How long does recovery take?
Full recovery can take 10 to 14 weeks with proper rehabilitation.
What does rehabilitation involve?
Exercises to restore motion and strengthen arm and shoulder muscles.
Wrapping Up
Timely and appropriate treatment is vital for a successful recovery from midshaft humerus fractures.
Additional References
- Sarmiento A, Zagorski JB, Zych GA, et al. Functional bracing for the treatment of fractures of the humeral diaphysis. J Bone Joint Surg Am 2000; 82:478.
- Denard A Jr, Richards JE, Obremskey WT, et al. Outcome of nonoperative vs operative treatment of humeral shaft fractures. Orthopedics 2010; 33.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.