Fractured Humerus (nigh 12 weeks post-op)

[physiobob]

Never noticed this post until today. I have taken a look at the x-rays and to be honest the humeral head does not look in the optimum position to permit full elevation. It looks depressed on the glenoid anteriorly and it looks posterior in the oblique view.

The metal work laterally is in a place that does not ever come into contact with the joint so that comment about it restricting range of motion is incorrect.

It also looks like there is trauma to the AC joint (collar bone and scapula articulation). This will restrict movement above 90 degrees in any plain and will cause excessive hitching of the shoulder on flexion and scaption/adduction.

I think perhaps you should have a review set of xrays and perhaps another physio opinion as I think your current one needs revising. I can't see the actual surface of the humeral head but if that is unaffected then full range should be able to be restored over time. The should is very good at inhibiting voluntary movement until it is well and ready to do so, whether you wish for it or not. Doint bilateral exercises to improve range under 90 degrees would assist initially e.g. light weighted seated-rowing exercises as this stage. All manner of external/internal balancing exercises to realign the humeral head on the glenoid should also be done (with arm by the side first, progessing to various ranges of scaption). The ACjt should be mobilised and the subscapularis and external rotator cuff mm's should be released to facilitate range as well.

Get youself into a good sport physio practice with a team that are focused and driven. Seems to me you might have been in the wrong hands.

[Pinkber]

Hi,

Not sure if you're all still checking this - but I can offer advice and also would like some. I had a ski accident at the end of March this year (some 9 months ago) and fractured the humurus head of my right arm. I have a plate and screws which looks very similar to the attached x-rays below. I had very, very restricted movement for a long time and only now is my arm starting to behave normally, although I still get pain and don't have 100% range of movement.

My question is whether it's ususal for the plate to come out. I'm getting mixed opinions on this. One consultant said yes, the other said no! What's ususal? I'm a 32 yr old female.

Grateful for any thoughts/advice.

Thanks!

Pinkber