![]() ![]() Driving can often be resumed at around six-weeks, and return to contact sports considered 12 weeks following surgery. What rehabilitation is necessary after surgery?Ī period of immobilisation in a sling is required, particularly until the wound has healed, and physiotherapy will be organised prior to discharge from hospital. The specific risks associated with reverse geometry total shoulder replacement can be seen in the shoulder arthroplasty / replacement section. A proximal humerus fracture is a broken bone (fracture) of the shoulder at the ball (humeral head) of the shoulder. With plate fixation of a proximal humeral fracture complications are rare, but include a risk of infection, damage to nearby nerves/blood vessels and delayed or non-healing of the break despite surgery. Detailed information regarding reverse geometry total shoulder replacement can be found here. The decision as to which of these is most appropriate is determined by many factors: patient age and number of fracture fragments are of paramount importance. The majority of proximal humeral fractures occur in the elderly (mean age 65 years) with 70. As with other injuries, there is a bimodal distribution with a small peak amongst the young. They are most common in older populations and especially in those who are osteoporotic. The two main surgical options are to fix the fracture using a specially designed plate and screws or to perform a particular type of reverse geometry shoulder replacement. Proximal humeral fractures represent around 5 of all fractures. In this situation we may recommend intervention with an operation to improve ultimate shoulder function. If one structure is angulated or displaced, the fracture has 2 parts (see figure One- and 2-part fractures of the proximal humerus One- and 2-part fractures of the proximal humerus ). In some cases, the displacement of the fragments of the bone may mean that your outcome and ultimate shoulder function may be limited if left untreated. For example, if no structures are displaced or angulated, the fracture has one part. Many breaks can be treated non-surgically with pain relief and a sling for comfort for the first few weeks prior to commencing physiotherapy. Ultimately, X-ray will confirm the diagnosis. Bruising and swelling, which may track down the arm is common, with patients often describing a “clicking” or “grinding” sensation with movement of the arm away from the body in the first few weeks following the injury. Sudden onset of pain in the shoulder following a fall with a difficulty moving the arm secondary to this is common.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |