Fractured Humerus (nigh 12 weeks post-op)

[ash3r]

Hi everyone,

Just a little background info; below you'll see my discharge form and x-rays post-op.

My question at the moment relates to my range of movement... or lack of it!

In particular my lateral abductions. If you look at my x-rays, there are metal plates
that touch on (please forgive my lack of medical terminology here!) my shoulder when I abduct laterally and according to my PT, I won't get a huge ROM laterally, because of these...

FRUSTRATED!

I find it extremely hard to lift my arm up without getting a shoulder rise, it's almost impossible to do... How can I get better ROM? I'm determined to do whatever I can to get back to being as normal as I can be...

I find it really hard to stretch it out laterally, so I can hardly get the burning sensation, even when I try...

trying to get to a point here; is there any advice any of you can offer me?

Issues i'm hitting apart from what I've mentioned above are that I can't swing my arm from being on the side of me, to being in front of me if it's even slightly lifted above 20 degrees... it will give me _extreme_ pain, so it's something I've tried to concentrate on doing more of, when I'm in the pool...

---------------------
26 yo old left dominaint man admitted for fracture of right humerous on 09/07/08

he fell frm bike on corner, grazed his head as helmet slid back on
impact. he remained concious throughout incidemt.
there was mild headache but no amnesia afterwards.

he complained of pain and swelling in right shoulder

phmhx
Asthma - cntrlod by medication

on examination his airway n breathing were intact. he remained
haemodynamically stable GCS 15/15

there is a small graze to frontal region of forehead, and graze under
right eye.
he was neurologically intact.

Xray showed fracture of head of right humerous, xray for C-spine and
pelvis were normal.

he had open reduction and internal fixation for right humeral fracture
on 10/7/08 postop has progressed well.

plam 4 discharge:

follow up in fracture clinic in 2 weeks
first 2 weeks only passive movement of rght shlder joint, then active movement.
avoid rotating right arm more than 45 degrees

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