Fractured Shaft of Humerus

What is a fractured shaft of the humerus?

The humeral shaft fracture involves a break in the middle third of the upper arm bone. Post-fracture rehabilitation through physiotherapy is essential to restore strength, mobility, and function.

What can cause a fractured shaft of the humerus?

The most frequent cause of a humeral shaft fracture is a fall onto an outstretched arm. Direct trauma to the upper arm, such as from a collision or impact, can also result in this type of fracture.

What are the symptoms of a fractured shaft of the humerus?

A fractured shaft of the humerus typically causes severe pain, swelling, and bruising in the upper arm. Other symptoms may include:

  • Inability to move the arm
  • Deformity or abnormal positioning of the arm
  • Grinding or crackling sensation at the fracture site
  • Numbness or tingling in the hand or fingers (if nerves are affected)
  • Weakness in the arm or hand
  • Visible shortening of the arm (in severe cases)

What should I do if I have a fractured shaft of the humerus?

A fractured shaft of the humerus is a serious injury. If you have, or suspect you have, a fracture in this area, you should seek immediate medical attention at the nearest accident and emergency department. To help manage pain and control swelling, apply ice to the affected arm. Ideally, use crushed ice wrapped in a moist towel or cloth, and apply it for up to 20 minutes at a time.

What shouldn’t I do if I have a fractured shaft of the humerus?

If you suspect a fracture to the shaft of your humerus, avoid using the injured arm until it has been assessed in the accident and emergency department. Using the arm may cause the broken bone ends to move, potentially worsening the injury. You should also avoid activities that increase blood flow to the area, such as hot showers, heat rubs, massage, and alcohol consumption. These can increase bleeding and swelling around the fracture site, which may delay your recovery.

Physiotherapy for a fractured shaft of the humerus.

Following the initial emergency management in hospital, the physiotherapists at acephysiosports.com (+65 81535374) will assess the extent of your injury and provide a tailored treatment plan to support your recovery. They will also give you an estimated timeline for healing based on the severity of the fracture. Treatment may include electrotherapy and a structured program of progressive exercises. These exercises will first focus on restoring the range of motion in your shoulder, and then gradually build strength in both your shoulder joint and upper arm. Other potential treatments may include:

  • Soft tissue mobilisation
  • Manual therapy
  • Postural re-education
  • Taping or bracing for support
  • Functional training to aid your return to daily activities or sport

Can a fractured shaft of the humerus have any long-term effects?

Most fractures of the humeral shaft heal without complication. With appropriate physiotherapy, the majority of individuals make a full recovery once their cast is removed. However, some patients may develop significant stiffness in the shoulder joint, commonly referred to as a frozen shoulder. While a full recovery is still possible in these cases, it may take longer to achieve. In rare instances, the fractured ends of the bone may fail to unite or heal properly. If this occurs, surgical intervention or alternative treatments may be required to stimulate healing.

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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