Fractures of the proximal third of the humerus can occur at any age, although it frequently affects young patients, in high-energy accidents (sports accidents, traffic accidents, etc.), and elderly patients, related to osteoporosis.
Treatment will depend on the displacement of the fragments that occur in the fracture.
Thus, non-surgical treatment (i.e., conservative treatment) will be performed on those fractures that are not displaced, and surgical treatment will be chosen on those fractures where their fragments are displaced and may cause a difficulty in consolidation or consolidation in a bad position, resulting in a malfunction of the limb.
It is very important, then, that it is a traumatologist specializing in shoulder surgery who solves these fractures since the complexity of this surgery means that whoever performs it must have experience in this field.
Your surgeon specializing in shoulder surgery will have to choose between the different options to find the best option to treat your problem:
- Conservative treatment
- Osteosynthesis of proximal fractures of the humerus
- Shoulder arthroplasty
To achieve an optimal result after surgical treatment, your traumatologist will prescribe rehabilitative treatment to achieve the best functional result to cope with activities of daily living, as well as to return to your work and sports activity is the best conditions.
It is the non-surgical option, that is to say that due to the characteristics of the fracture the best option is not to operate, since the final result will probably be the same as if an intervention were performed but without the risks involved in going to the operating room.
This treatment consists of having the affected arm immobilized by means of an immobilizing bandage, which should not be removed throughout the day and all night, until a total of three weeks.
From the three weeks a series of passive exercises are started that will teach you in the consultation in order to begin the recovery phase of your shoulder. These exercises should be performed for a period of three weeks and from six weeks from the fracture will begin assisted rehabilitation until your final recovery.
Osteosynthesis of proximal fractures of the humerus
This is a surgical option, that is to say that due to the characteristics of the fracture the best option is to operate, since the final result would probably not be the same as if an intervention were not performed. This implies that we will assume some risks that the operating room entails, but the benefits we obtain with the intervention are greater than the risks of going to the operating room.
With osteosynthesis the surgeon will try to reconstruct the normal shape of the fractured shoulder using the different techniques that currently exist. Among them are the endomedular interlocking and the plate, among others.