What kind of treatment is available for a fractured Humorous? Greater Tuperocity?

Answer 1

Does the fracture totally cut across the greater tuberorcity? If it does, surgery is probably necessary.

Odds are, you would be placed in a splint for several days until you could follow up with an orthopedic doctor. They would make the decision.

Good luck

Here's what I found on the web.
"On the uppermost, lateral aspect of the humerus is a bump called the greater tuberosity. It acts as an attachment for one of the important rotator cuff muscles, the supraspinatus, as well as a guide for your bicep tendon. It is typically injured in a fall on an outstretched arm, a "jam" into the shoulder joint, or direct impact.

INITIAL CARE:

X-ray diagnosis is essential to rule out a displaced fracture. If not displaced, then:

Immobilization: Immobilization in a sling for 2 weeks for comfort.

Follow-up: A follow-up x-ray should be taken at 1 week post-injury to confirm stability and again at 1 month.

Icing: Ice bags, cold packs or cold therapy units can be used to ice the shoulder initially. 20 minute sessions, 3 - 5 times a day for the first 5 days aids in reducing pain and swelling.

Motion Exercises: 5 - 10 times a day: -take arm out of sling and flex and extend elbow fully for 20-30 repetitions. Perform this smoothly and slowly.

-squeeze shoulder blades together gently and hold for 5 sec. Repeat 10-20 times

-squeeze putty or racquetball for a few minutes regularly to work strength and motion. Cardiovascular: Stationary bike and stair machine without weight on arms are okay immediately. Lower body workouts and uninvolved upper body also okay to initiate immediately.

Precautions: * Do not try and actively abduct or lift arm out to the side for 4 - 6 weeks.

* Avoid quick, jerky movements.

* Do not lean on elbow on the injured side or try and push up to a sitting position for 4 - 6 weeks."

Answer 2

Please do not mess around with a fractured humeral head. You are risking disability.

There are many types of humeral head fractures, categorized (simply put) by the zones that are involved with the fracture, each zone being associated with an area that the humeral head gets blood supply. Your doctor should have told you if it was a 1X 2X etc type of fracture. There are 4. With or without dislocation. If it is not dislocated you often just need a sling, but if it is dislocated you need surgery. If your doctor says you need surgery get it right away, the longer you wait the more at risk you are for losing bone or other complications.

From the sound of it if the fracture is across the greater tuberosity it doesn't sound awful, but trust me - don't delay and get the best treatment you can. I had a 4x humeral head fracture with dislocation after being hit by a pickup truck while on a bicycle. That is about the worst fracture you can get in the shoulder, so my case is extreme. I am in some pain right this very moment and I have about half the use of my arm. It is fairly disabled. It has been over a year. I had 4 surgeries and months of just awful physical therapy.

For those with orthopedic knowledge I am one of the very very very few cases in which a 4X with dislocation was treated with ORIF and later capsular release, and my doctor and I are both quite aware that a 4X not being lost to AVN is near impossible. Believe me, my Dr is planning to write this one up for the journals as soon as he has the time. Hey, I'll be sorta famous, but it sucks why.

Answer 3

Laughter? Sorry couldn't resist. I believe it depends on the break. if its sever enough then pins and screws if minor a cast and time. Both would require a set of x-rays and a doctor.

Answer 4

A DOCTOR!!!