distal humerus fracture physical therapy protocol

[Meta analysis of parallel versus perpendicular double plating for distal humerus fracture of type C in adults]. A comparison between orthogonal and parallel plating methods for distal humerus fractures: a prospective randomized trial. Proximal Humeral Fracture Protocol Jay Carson, MD Rehabilitation of the proximal humeral fractures is essential because adequate motion is needed for optimum function. The distal humerus includes the lateral capitellum, the medial trochlea, the posterior olecranon fossa, and anterior coronoid fossa. �\V)��)�7G�2Lހ,䟱a>�����wm��գ�`BV�v���v1)0�#�F*�-�tO��2�/eQ��i}������o���;�E����"U���A8ӣ��U��a��D�{�^��&J�Iպ߁,�=��S�Z� Restrictions: No heavy lifting or pulling greater than 0 lbs. The elbow complex consists of the distal humerus and proximal ulna and radius forming the humeroulna, humeroradial, and proximal radioulnar joints. 1‐14 Days Postoperative Do NOT remove the surgical bandage. Distal Radius Fracture ORIF Rehabilitation Protocol Kelly Holtkamp, M.D. ?�i�Ʒ��6�(pf�4kO�x4���9%4{�+�U>�oOY[��Ֆ~�ת������l� �E_S�o����A��#�i�x���0a�g4���:c!Ɋ� �>i} �����Ù����Uд�¸��1=���I:�&�S��V�Z�uV�d�/�BJV�R-����e�?Ӣ���r�0w8B�b�>��"f�ݔl?��u�]:"��u��HрSt�EȻ$�t� • Sleep with arm out of sling, straight on pillows with arm elevated for edema reduction. However, anyone recovering from an injury or surgery is free to use them. �z��Ĥ��Ƶ�g���0 ]o�-��DUOcKP�q�b�Nr����j��t5ۤ���^���R�>A�E��ȍ a����Q����[p����� q9����%Y{���v�E�� b:3c�N��I��遹�:G'�e-zO������&_�Pـ�$���FK��dl�1}��6��I꣯E�@Dۆ��$/��G��\!��~�K��|�5Ǭ�����Mg{�I��N� �ŬB����=�Q���\���0�>��y�Rq=HG����{�Z��쳅�k#���`��{ů�7au���E���2���m�7�~���� ����h�2PX ib)E\�rp-�k��f7��z�.�S �-ǔ�aj���R�$�*ޠ�=�9������W��w�M�s�{/�Q���K��U/dH�a���]����81k�w��{�$��}t�G� FRACTURES JOINT REPLACEMENT SPORTS MEDICINE HUMERUS FX ORIF PROTOCOL (PROXIMAL, MIDSHAFT, or DISTAL ORIF) Dr. Sean Griffin Weeks 1-4 • Wear the sling full time for 2 weeks, and then only wear when outside the home for 4 more weeks. 7N�)\�-�ˑh�Kd��^;(-K&T��H�E+�S?Z�|��/S^e����-�C�-�6/_��:�Q$�}U��^��� �QH��D0�3��ͫH��1�X�[�����A�E�I�lN/E%x�;J���B�2|+����i�� ��s��K�ZS�P ��cm�q��D�(��h���㠫��F��K��ȃm~H�C]1�A���;D���� *��EKa��Ѫ�0NMVȿ� �n��/��0q��H. It has a rich blood supply and this is why any fracture on shaft readily heals. Approximately 90% of humeral shaft fractures unite (heal) without the need for surgery, and just with shoulder humeral physiotherapy. Please fax initial evaluation and progress notes to 815‐381‐7498. No driving if the surgical It is important to include physical therapy and splinting for the hand to avoid wrist flexion and thumb adduction contractures and to maintain metacarpo-phalangeal extension. For this reason, you may need a longer period of physical therapy. This includes, but is not limited to: Distal Humeral Fracture 812.4 Nonsurgical Treatment. �{�ق�@�6{�n�g�C-����̩���"=���}]n�jG�>��|�e���h��6�)YyC�3�(�����V�UA���bYU~j�����c繃Db)qch`�a�m�nu�.�� ����f}�@.dFW鞶��������SYR[৯9������H�= �E�1�:� x�ZMs����Wt�YY��&��z�q���kKU>�r�@�DZ4W��y=�`�Im�@ Distal humerus fractures are generally considered to occur in one of three types: complete extra-articular, partial intra-articular, or complete intra-articular (Figure 20.1).A complete extra-articular fracture involves the distal humeral shaft and variable portions of … If a fracture or fracture repair is stable, then therapy should be started early. stream Post Fracture Proximal Humerus Rehabilitation Guidelines R / L Humerus Fracture: _____ Standard Course Patients will typically follow a standard post-fracture rehab course if their fracture is: Non Displaced 2 Part Fracture Good Alignment Does not involve an articular surface SLUCare Sports Medicine and Shoulder Surgery specialists developed the following physical therapy protocols for SLUCare clinicians to use when recommending treatment and rehab for SLUCare patients. The bulky muscles, such as biceps, triceps and deltoid surrounds the shaft of humerus. The Problem. Fractures of the capitellum represent a distinct subset of coronal plane partial articular injuries of the distal humerus, and account for less than 1% of all elbow fractures. distal humerus fxs (type C2 or C3) in women >65yo • Retrospective review of 24 patients • Outcomes – ORIF: 4 excellent, 4 good, 1 fair, 3 poor – TEA: 11 excellent, 1 good • Conclusions: TEA is a viable treatment option for distal intra -articular humerus fxs in women >65yo • McKee et al COTS Study JSES Physical Therapy Standard of Care: Distal Upper Extremity Fractures Case Type / Diagnosis: This standard applies to patients who have sustained upper extremity fractures that require stabilization either surgically or non-surgically. Because nonsurgical treatment can sometimes require long periods of splinting or casting, your elbow may become very stiff. %PDF-1.3 Sometimes it is also associated with intercondylar fracture humerus further complicating the things. Fracture shaft of the humerus. �6���D� �~ ���8�U��n ٺ���Y�'0^�(���m�; �`�OC`�xwB�x����/�οQ��Gz���9;�7Hr�WD� ni������t�� �ѯ�� �0b%�A-#TK��K�&٨�1�í>[���Ķ��>G(��/�Z�rv˅v�8_5ؼ�:��9���!N %��������� The most common site of fracture is at the junction of proximal 1/3rd and distal 2/3rd. The most useful rehabilitation protocol is … �����P2+��c�_:�� Treatment for humerus fractures will vary a little depending on the location and severity of the fracture, but good news is that in most cases, surgery is not required. for 6 weeks. 2014 Oct. 24 (7):1123-31. . Whether your treatment is surgical or nonsurgical, recovery from a distal humerus fracture requires much work. If we go through the anatomy of the humerus bone, the lower end of the humerus has condyles (two condyles) that take part in the formation of the elbow joint.If the fracture happens just above the condyles than it is termed as a supracondylar fracture. After distal humerus fracture fixation, the proximal ulna can be reattached by using standard Arbeitsgemeinschaft für Osteosynthesefragen (AO)-Association for the Study of Internal Fixation (ASIF) tension band wire technique and either two parallel 0.0625-mm K-wires or a 6.5-mm partially threaded cancellous screw, as described previously. ��ieZ(�������08!�����mpW�F9UsV�J��|Ea�� � � ��x!��� ���}�2 �F�\���ӓ^ n���^B��d(S����'EF��VOjq��^�b/?�VMQp�w�IJ���5�YT��%����.�O;]tX���d�+����%F0HV>`�o�H�AV��I�y(ffN���ČX�P���e��C׈CK#S*������]�ɻ�T�ƈ�GB|��������E�D`L���@A$Ѯ. Since radial nerve injuries with humeral fractures usually recover, nonoperative fracture management is often appropriate for patients with these combined injuries. ���u���/����|��d���z����G�x�t��,d%k7�6� ��V�S��*�wz�_���7�x��q�}�H~,/ˏ�-3����M���gEӦ%�}NAD��!

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