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Passive range of motion exercises for the shoulder can be done when pain has subsided. This can be done with the assistance of a physical therapist. [8] When properly indicated, non-surgical treatment options for proximal humerus fractures have good outcomes in terms of fracture healing and restoration of arm function. [8]
In cases where closed reduction is not successful, open (surgical) reduction may be needed. [2] X-rays are often used to confirm success and absence of associated fractures. The arm should be kept in a sling or immobilizer for several days, prior to supervised recovery of motion and strength. Various non-operative reduction techniques are employed.
These fractures are typically minor and heal over the course of a few weeks. [4] Fractures of the proximal region, especially among elderly people, may limit future shoulder activity. [19] [20] Severe fractures are usually resolved with surgical intervention, followed by a period of healing using a cast or sling. [11]
[13] [5] Many studies have come to the conclusion that non-surgical treatment is as good as or better than surgical treatment, or that anything attained because of surgery is quite limited. [ 14 ] [ 5 ] It appears that after a while, the body "remodels" the joint, either expanding the distal clavicle or causing it to atrophy. [ 15 ]
A bone fracture of the shoulder involves a partial or total crack through one of the three bones in the shoulder, the clavicle, the scapula, and the humerus. The break in a bone usually occurs as a result of an impact injury, such as a fall or blow to the shoulder. Fractures usually involve the clavicle or the neck (area below the ball) of the ...
A scapular fracture is a fracture of the scapula, the shoulder blade.The scapula is sturdy and located in a protected place, so it rarely breaks. When it does, it is an indication that the individual was subjected to a considerable amount of force and that severe chest trauma may be present. [1]
Studies generally use the x-ray appearance of the arm to determine how displaced a fracture is. The definition of ‘displaced fractures' are variable, with anything from 2mm to more than 15mm; [4] however x-rays on which this assessment is made are known to be hugely misleading with fractures showing little displacement having >10mm displacement using CT scans.
There is evidence in literature to support both surgical and non-surgical forms of treatment. [10] In some, physical therapy can strengthen the supporting muscles in the shoulder joint to the point of reestablishing stability. [citation needed] Surgical treatment of SLAP tears has become more common in recent years.