distal humerus fracture exercises pdf

The bone can crack just slightly or break into many pieces (comminuted fracture). The broken pieces of bone may line up straight or may be far out of place (displaced fracture). The elbow consists of portions of all three bones: The elbow is held together by its bony architecture, as well as ligaments, tendons, and muscles. (OBQ09.138) A 33-year-old male sustains a distal humerus fracture and is treated with open reduction and internal fixation of the distal humerus with olecranon osteotomy. Posttraumatic arthritis is a relatively common complication of distal humerus fractures. In a younger, more active patient, a severely damaged humerus may sometimes be treated with arthrodesis rather than total elbow replacement. Distal Humerus Fracture Open Reduction and Internal Fixation !erapy Instructions - Early Motion Protocol Laith Al-Shihabi, MD 1 week Splint: -Fashion removable long-arm splint holding the elbow in 90 degrees of !exion and wrist in neutral at 1 week post-op. treatment of these fractures is complex due to, subclassified using Milch classification system (see table), classified using Jupiter classification system (see table), Extraarticular (supracondylar fracture),80% are extension type; epicondyle, Intraarticular-Single column (partial articular-isolated condylar, coronal shear, epicondyle with articular extension), Intraarticular-Both columns fractured and no portion of the joint contiguous with the shaft (complete articular), Jupiter Classification of Two-Column Distal Humerus Fractures, Transverse fx proximal to or at upper olecranon fossa, Transverse fx just proximal to trochlea (common), Oblique fx line through both columns with distal vertical fx line, T type with additional fracture in coronal plane, closed reduction and percutaneous pinning (CRPP), distal bicolumnar fractures in elderly patients, immobilize in supination for lateral condyle fractures, immobilize in pronation for medial condyle fractures, split triceps tendon in midline down to olecranon, triceps-sparing (paratricipital, Alonso-Llames, medial and lateral windows), check ability to flex thumb interphalangeal joint in recovery, triceps-reflecting anconeous pedicle (O'Driscoll), communited articular fractures in osteoporotic bone, activity restrictions (e.g. J Bone Joint Surg Am 1997; 79(6): 826-832. from the American Academy of Orthopaedic Surgeons, Receiving a direct blow to the elbow from something hard, like a baseball bat or a dashboard or car door during a vehicle collision. Other signs and symptoms of a fracture may include: Most patients with distal humerus fractures will go to an urgent care center or emergency room for initial treatment. The bone will typically be repaired during the same surgery. They can occur on their own, with no other injuries, but can also be a part of a more complex elbow injury. A distal humerus fracture occurs when there is a break anywhere within the distal region (lower end) of the humerus. Imaging of his elbow is shown in Figure A and B. The patient has a health problem, such as diabetes, that slows healing. Surgery is usually required for distal humerus fractures in which: Because of the increased risk of infection, open fractures are scheduled for surgery as soon as possible, usually within hours. TEA for intra-articular distal humerus fxs (type C2 or C3) in women >65yo • Retrospective review of 24 patients • Outcomes Your doctor will also let you know when it is safe for you to drive a car. Depending upon the severity of your fracture, your doctor may allow you to use your arm to feed, bath, and dress yourself. This may be especially important to younger patients or to laborers who work with their arms and hands. Recovering strength in your arm often takes longer than might be expected—sometimes up to 6 months or more. It is common for the distal humerus to break into several pieces. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. Depending on your symptoms, your doctor may also order x-rays of your upper arm, forearm, shoulder, wrist, and/or hand to ensure that you do not have any other injuries.

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