The humerus is the long bone that spans between the shoulder and elbow.
It can be broken in both high- and low-energy injuries, usually as a result of a direct blow or twisting injury. It can be associated with an injury to the radial nerve resulting in a wrist drop (an inability to extend the wrist or fingers).
Key Points — Diagnosis and Management
These points will be discussed in more detail when you meet your surgeon.
The majority of fractures can be managed non-operatively, but there are some presentations where surgery is recommended.
The average time for healing is 12 weeks.
A proportion of these fractures will be slow to heal (>4months) or will not heal without surgical intervention.
The decision making to intervene surgically can be complex and will be dependent on multiple factors including fracture pattern, associated injuries, occupation and general health.
Key Points — Non-Surgical Treatment
You will be managed initially in a plaster splint and sling.
The first few weeks are uncomfortable due to acute inflammation, swelling and fracture movement. You may be more comfortable sleeping in a seated position.
As the swelling settles and the fracture becomes ‘sticky’ you will have the splint changed to a removable adjustable version and start exercises for your elbow and shoulder.
You will require regular clinical and x-ray review until the fracture heals.
If the fracture does not heal you may require surgical treatment. This decision is usually made at 12 weeks.
Until fully healed there is a risk of re-fracture.
Key Points — Surgical Treatment
You will have a general anaesthetic (you will be asleep).
You will require an overnight stay in hospital.
Physiotherapy exercises can start immediately following the operation.
We advise against heavy lifting or sport for a minimum of 6 weeks.
All surgical treatment carries the risk of complications, however, this has been demonstrated to be a safe, reliable and effective operation with a low complication rate.
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