Depending on the location of the fracture can be distinguished:
The inner edge of the humeral head – just below the shoulder joint – the arm bone is relatively soft and small, and can be easily fractured during a coup or a serious fall on the arm. This fracture is among the most frequent. Fractures due to bone metastases of malignant tumors usually affect the area of the diaphysis of the arm.
In about 5% of cases, the humeral head fracture that. The head of the arm bone, is relatively large, highly mobile and it is essential to restore exactly the bony contour, and retain high mobility. The supine position (arm extended along the body) allows the doctor to see a fracture of the humerus. The treatment is performed without surgery – for simple fractures. First, stabilization and specific therapeutic exercise are needed.
A heavy blow or fall are the leading cause of broken arms. Osteoporosis in the elderly is a cause of fracture of the humerus, even if dropped slightly. When the fracture is due to metastases of a malignant tumor, it is called a pathological fracture.
Immediate and intense pain after an accident on the arm, accompanied by a significant limitation of mobility. There is then an effusion and swelling, especially when the tissues around the bone are achieved (muscles, tendons, ligaments, blood vessels). Malposition is observed in more serious cases.
If the nerves are affected, there may have impaired sensitivity to paralysis.
The description of the accident as well as visible signs (lying down, swelling, effusion, or malposition) allow the physician to diagnose.
A radiograph is performed to estimate the exact location and extent of the injury of the arm. CT demonstrates the collateral damage of ligaments and tendons.
A broken arm (in particular, subcapital) is treated without surgery. In the elderly, osteoporosis is treated to avoid the risk of recurrence. The breaking point – if any – is the subject of a local or general anesthesia.
There are different procedures for the broken arm, depending on its size and location. The common objectives of different techniques is to set the fractured bone to its original position, so that the patient gets a high mobility of the shoulder joint.
The broken arm is healing well, that treatment be conservative or surgical. Consequences such as limited mobility are infrequent.
Beware of possible complications and a normal operation: infections, thrombosis, hemorrhage secondary effusion of blood, allergies implants, paralysis or sensory disturbances in cases of nerve damage. A compression cuff placed during surgery reduces the risk of secondary hemorrhage.
With conservative treatment as well as surgical pressure bandage may affect the nerves or blood vessels, with a conservative treatment, the fracture may leave his position, heal poorly or improperly positioned.
Other possible complications: