What rehabilitation treatments are available for humeral fractures

Hello, you can now do elevation exercises and flexion exercises with the affected limb without weight; The recovery time of the fracture in this part is slower, do not exercise the affected limb vigorously before the fracture heals, the chance of necrosis of the fracture in this part is not large, do not worry too much.

**In terms of aspect, it is recommended that you cooperate with taking professional bone and tendon renewal, reduce swelling and pain, relax tendons and activate the meridians, and activate blood and stasis**, which can help fractures promote the growth of bone cells, help callus (bone) form quickly, and heal and recover faster in advance. After 7 days, the affected limb is obviously felt to have strength, and the callus can be clearly seen after 40 days of filming, and then you can carry weight on the activity, and you can ** in 20 days of maintenance, based on X-rays.

Simple: 1. You should move the shoulder joint as soon as possible, if it takes a long time, the joint adhesion and limit the range of motion, it will give you a lot of trouble in your future life and career. Therefore, to move the shoulder joint in time, the doctor's statement is not wrong, you don't have to worry about the second degree injury at the fracture, because you have internal fixation, not a large external force impact, you will not be injured in the second degree.

2. The inability to raise the arm is the result of not moving for a long time, which is to tell you 'it's time to move on your own, and if you don't move, it may be difficult to even do this'. In your case, you don't need to go to the hospital to hang up the rehabilitation department and let the doctor help you do it, you just have time to exercise, rest for a while and then exercise, the activity is not so flexible at the beginning, the time is long, the days are long, it will be fine. This is not something that others can help you do, you can only rely on yourself to exercise more and exercise frequently.

3. There is not much necrosis in this part, but because of the slow growth of the callus or the non-union of the bones, there are many pseudojoints. Your fracture is only one month after surgery, so you don't have to worry too much, as long as you take the right medication and heal in time, you won't die.

In the same situation, I keep exercising every day. Now the recovery is good. It's just that the elbow joint can't be straightened, I don't know what happens to you?

Under normal circumstances, if the fracture in these places is surgical**, it usually takes about 3 months for regular reexamination to heal completely.

Suggestions: But the time of your specific function ** exercise does not have to wait for 3 months, it is possible that you can do elbow flexion and extension function exercises in about a month. It's exactly the same as before, based on the time when the last radiograph was taken to see that your fracture was completely healed.

The fracture has healed clinically, or has been removed for external fixation. Patients can do some light work within their ability, so that each joint can be fully exercised, and the lower limb patient can gradually bear weight to stop activities that are not conducive to fracture healing under the protection of crutches. For example, abduction activities of abduction humeral lateral condyle neck fractures, adduction type adduction activities, shoulder joint rotation activities of humeral shaft fractures, elbow extension activities of extension humeral supracondylar fractures, elbow flexion activities of flexion type, and rotational activities of forearm fractures should be avoided.

The humerus is located in the upper arm, also known as the upper arm bone. At the upper end, there is a hemispherical humeral head and the glenoid of the scapula to form the shoulder joint; The lower end forms the elbow joint with the upper end of the ulna and radius. It is a typical long bone that can be divided into two ends.

It takes months for joint function to improve after a fracture, as long as you are careful and persistent, there will be progress every day, you should not be too anxious, and you will only feel the improvement when you look back after a period of exercise. Because the basic cause of elbow stiffness is the adhesion between the bone and the soft tissue, it is an invisible thing to loosen and absorb these adhesions by exercise, more like the process of loosening the rubber band, which will always go back at the beginning, but the strength will be smaller and smaller. Normally, if you can reach 30-40 degrees of activity within 8 weeks, you will generally return to near normal, and even if you reach this level within 3 months, you will have a satisfactory recovery with consistent exercise.

However, special attention should be paid to fracture healing. The first 3 months are a critical period for fracture healing, excessive exercise will destroy the foundation of fracture healing, and you should fully communicate with your attending doctor and exercise under the guidance of your doctor. Violence should not be used, and care should be taken to protect the fracture site.

Exercises should start with joint flexibility, such as rotation and extension, and then gradually increase weight-bearing exercises. You can use your other hand to help with a slightly larger flexion and extension (if it doesn't cause pain). At the same time, it can be supplemented with magnetic therapy and hot compresses (fumigation and hot compresses with safflower and Tianqi boiled water, or porridge with angelica, salvia, red dates, and broken bones). Adopt it.

The key is to see whether the fracture is completely healed, if the healing is good, you can increase the range and frequency of motion or go to the hospital** department outpatient clinic to consult exercise methods.

Deputy Chief Physician of Shanghai Huashan Hospital-Department of Orthopedic Surgery-Zhou Jianwei.

The occurrence of humeral fracture must not be ignored, because we all know that the occurrence of this fracture problem will actually have a greater impact on one's work and normal life, but what kind of effective ** and solution should be taken for this fracture problem, but not everyone knows and understands, so the following will introduce to you the best method of humeral fracture.

1.Traction reduction.

Tibial tuberosity bone traction (1 7 body weight) is used to reduce the fracture within 1 2 days. The direction of traction is generally 30° of flexion and abduction, and if there is a posterior angle, abduction traction can be done in the hip extension position. A general examination should be done to rule out serious comorbidities and injuries.

After the bedside radiograph confirmed that the fracture had been reduced, internal fixation was performed as soon as possible.

2.Closed reduction and internal fixation.

For patients who have been reduced by traction before surgery, the injured limb can be maintained in abduction and internal rotation position with an orthopedic traction operating table after anesthesia, and internal fixation can be done under fluoroscopy or radiographic guidance. Forceful manual reduction should be avoided during surgery to avoid further damage to the blood supply to the femoral head. Internal fixation methods for femoral neck fractures can be broadly divided into the following categories:

1) Single nail fixation: represented by three-wing nails. Three-wing nail internal fixation used to be a common method for femoral rubber neck fractures, but it is rarely used now due to the large loss of bone during the placement process, and the difficulty of single nail fixation to resist the compressive stress on the medial side of the femoral neck and the tensile stress on the lateral side at the same time.

Some people use a single thicker compression screw for internal fixation, and the threaded part of the nail must be left in the proximal fracture segment, and cannot cross the fracture line, otherwise the compression effect will be lost.

2) Sliding nail plate fixing: It is composed of fixing nails and steel plates with sleeves on the side. The advantage is that it is beneficial to maintain close contact at the fracture ends, and is more commonly used for intertrochanteric fractures.

After knowing and understanding the methods introduced above, then when encountering this kind of fracture problem, you should know how to deal with it correctly, and you should also pay attention to your bone and joint health care and maintenance problems, because in many cases, you usually do not pay much attention to maintenance and care, which may also cause this phenomenon.

This fracture is an intra-articular fracture and a metaphyseal fracture with the fracture line passing through the epiphyseal plate. Whether the reduction is satisfactory or not directly affects the integrity of the joint, the size of the bridge formation at the epiphyseal plate, and the degree of deformity. Therefore, regardless of the method used, anatomical reduction, or approximate anatomical reduction, is required to avoid serious sequelae.

The methods of each type of fracture are as follows.

1.The fracture is not displaced type.

The elbow was flexed at 90°, and the forearm was supinated with a cast for 4 weeks.

2.Lateral displacement type.

Closed reduction should be performed. If the X-ray examination confirms that the reduction has been made, the long arm can be fixed with a posterior plaster or splint for 4 to 6 weeks, and the fixation time is based on the stability after reduction, and the elbow is extended or flexed and the forearm is supinated.

This type of fracture is an unstable fracture. If the rectification fails or the re-displacement cannot be reduced after reduction, it should be incisional reduction and fixed with 2 K-wires.

3.Turning and dislocation type, fracture and dislocation type.

Closed reduction is used. If the closed reduction is unsuccessful, open reduction should be performed to correct the rotational displacement of the fracture fragment. Preserve the soft tissue attached to the fracture fragment as much as possible to avoid avascular necrosis.

Cross fixation with 2 K-wires, postoperative fixation with a plaster brace for 4 to 6 weeks, steel needles are removed, external fixation is removed, and the elbow joint is moved.

4.Old fractures.

If the displacement is not severe, and it is not expected to affect the shape and function of the elbow in the future, surgery should not be performed if the fracture fragment is turned over and the fracture is dislocated or the malunion will seriously affect the function**. As long as the intraoperative reduction is satisfactory, the internal fixation is firm, and the postoperative functional exercise is active, the vast majority of patients can still obtain good results. Even if the elbow joint is stiff before surgery, some functional improvement can be achieved after surgery.

5.Complication**.

1) Elbow valgus deformity Injury of the cartilage plate of the radial epiphysis at the distal end of the humerus after injury can lead to early closure. As a result, the distal humerus is unevenly developed, resulting in elbow valgus, and the distal humerus is a fishtail deformity. If valgus is obvious, osteotomy can be performed.

2) Ulnar neuritis or paralysis Ulnar neuritis can be caused by the traction of the elbow valgus deformity or the impact of the ulnar olecranon on the ulnar nerve, and the ulnar nerve should be moved forward as soon as possible after detection to avoid paralysis.

Following the doctor's instructions and actively cooperating with the doctor** is a prerequisite for a quick recovery. 1.Fixed. 2.Stay fixed so that the fixation is always secure and effective. 3.Avoid re-injury. 4.Review regularly. The rest is recuperation.

For this type of injury, if you want to heal faster, taking osteopathic medicine is a good choice. However, you must have a reliable doctor, and there are still a lot of ** in this industry. After a fracture and dislocation, there are no contraindications to what to eat.

It's good to be casual, and the speed of healing has little to do with diet. On the contrary, you can take osteopathy, and the right medicine can promote recovery. As long as the diet is smooth and easy to digest, you don't have to go out of your way to bone broth or anything.

Medicine, there is nothing special in Western medicine, and the osteopathic medicine prepared by traditional Chinese medicine orthopedics has a good effect on the whole. The formula of the osteopathic medicine is actually the same, but each genre has its own uniqueness. The drugs of the Damen sect have been tested and baptized, passed down from generation to generation, and the efficacy is still trustworthy, for example:

Guo's (Pingle Zhenggu) in Henan, the Orthopedics and Traumatology Department of Shaolin Temple, Lin Rugao in Fujian, Wei in Shanghai, Liang in Shandong, Zheng in Sichuan, Su in Liaoning, Gao Mingli in Changchun, He in Guangdong, Du's Wang in Beijing, Liu's, and Shi's, Meng's, Hu's, and so on. Too many to count. Their recipes and the preparation of individual drugs are all secrets, and some of them are protected by law.

You can't get it yourself, so you can only go to the doctor and prescribe medicine. If you really have difficulties, it is recommended to take Yunnan Baiyao (powder) for a period of time, and then take a ** review, the effect is also good.

To sum up: as for dietary therapy, you can eat whatever you want.

**Well, it's the bone medicine.

Don't eat sour, spicy, fried food, you should eat more high-protein, easy-to-digest food, eat more vegetables, fruits, drink more water, and eat less fatty food.