Diaphyseal fractures of the humerus

diaphyseal fractures of the humerus outlet bus
Fig. 13. Discharge bus

Diaphyseal fractures of the humerus happens when you fall on your shoulder or when struck on the shoulder. The treatment is conservative or operative method. Regardless of the method of treatment after reposition bone fragments limb fit onto the bus at 4-5 weeks (see Fig. 13).
In the first period against the background of General developmental and breathing exercises are exercises damaged limb: all kinds of gestures, movements in the wrist and elbow joints (bending and straightening, pronation and supination)and isometric muscle tension in the shoulder, imaginary (ideomotor) motion at the shoulder joint. All classes are conducted individually by a doctor. Exercises are performed by 6-10 times, and the whole complex is repeated 4 - b once a day. After immobilization of classes II and III of periods carried out according to the methods described previously, and are supplemented by physical exercises therapeutic swimming pool.
Complete rehabilitation hands and disability occurs approximately in 2-3 months. Sport training resolved by physician individually, on average, 4 months after the injury.
When the transverse fractures diaphysis shoulder sometimes applied surgery - the introduction of a long metal nail. Limb is placed in the back of plaster of Paris splint is placed from the shoulder joint to fingers (arm is bent at the elbow at 90 degrees), the forearm is fixed on the average physiological position. Consolidation transverse fracture of the diaphysis of the humerus is slow. Immobilization is removed after the control x-ray picture, confirming the existence of callus. At the time of registering a plaster cast (until the sutures are removed) plaster of Paris splint is placed rabinovitsj up to the elbow and performed various movements of the fingers and wrist joint, flexion and extension in the elbow joint. Shoulder exercises are performed in razbortovanny a cast: abstraction and casting, bending and straightening limited amplitude (up to a 90 angle) and with the support of the healthy arm. Each movement is performed 10 times, and all the exercises are repeated at 4-6 times a day. After the stitches are removed on the classroom hand removed from the splint. To these movements are added pronation, supination and circular movements in the elbow joint, the shoulder joint exercises are performed in all directions with full amplitude, but with fixation of the fracture site good hand.
Removing the immobilisation, removal of a nail and a transition to training limbs in each case individually. When the transverse fracture of the diaphysis of the humerus is applied treatment apparatus G. A. Ilizarov in which movements are performed in all joints.