injuries poisoning
Proximal Humeral Fractures
Treatment of Proximal Humeral Fractures
Usually a sling and early range-of-motion exercises Sometimes open reduction with internal fixation (ORIF) or prosthetic joint replacement rarely require reduction; most (almost 80%) are treated with immobilization in a sling, sometimes with a swathe (see figure Joint immobilization as acute treatment: Some commonly used techniques ), and early range-of-motion exercises, such as The patient bends at the waist with the affected arm hanging down perpendicular to the floor. The arm and shoulder should be relaxed, and knees bent. Patients should Slowly swing their arm from side to side, from back to front, and in circles clockwise and counterclockwise Shift their weight from foot to foot in the same direction that their arm swings Gradually increase the arc as tolerated These exercises should cause only minimal pain. Patients should do each exercise 2 times per set and do several sets per day. Patients should gradually increase the duration of the exercises. Fractures with ≥ 2 partsare immobilized, and patients are referred to an orthopedic surgeon. These fractures may require ORIF or placement of a prosthetic joint (shoulder replacement). 