frozen shoulder<\/a><\/strong>.<\/p>\n\nTreatment of non-displaced greater tubercle fractures<\/strong> is done with an arm sling. Bone healing usually occurs within 4\u20136 weeks of immobilization.<\/p>\n\nDisplaced greater tubercle fractures require surgery.<\/strong> Surgery for greater tubercle fractures is often performed as a minimally invasive procedure and can even be done arthroscopically. Once the fracture is reduced, it is fixed in place with one or two screws.<\/p>\n\nLesser Tubercle Fractures<\/strong><\/h3>\n\nThe lesser tubercle<\/strong> is the bony prominence where the subscapularis tendon<\/strong> attaches. Fractures of the lesser tubercle are rare and are most commonly seen in posterior shoulder dislocations<\/strong>. These dislocations may occur due to epilepsy or electric shock injuries. Lesser tubercle fractures should be carefully evaluated, and if displaced, surgical treatment is necessary<\/strong>.<\/p>\n\nDisplaced lesser tubercle fractures<\/strong> can lead to subscapularis tendon insufficiency. In such cases, surgical intervention with tendon transfer<\/strong> may be required.<\/p>\n\n3- or 4-Part Proximal Humerus Fractures<\/strong><\/h3>\n\nIn 3- or 4-part proximal humerus fractures<\/strong>, the fractured components typically include the greater tubercle, lesser tubercle, humeral head<\/strong>, and surgical neck<\/strong>. These complex fractures are most commonly seen in elderly patients with osteoporosis<\/strong>.<\/p>\n\nSymptoms of Proximal Humerus Fractures<\/strong><\/h2>\n\nThe most common symptoms include:<\/p>\n\n
\n- Pain in the shoulder region<\/li>\n\n\n\n
- Inability to move the shoulder or arm<\/li>\n\n\n\n
- Severe pain when attempting to move the arm<\/li>\n\n\n\n
- Sudden swelling around the shoulder<\/li>\n\n\n\n
- Bruising, which may extend down to the elbow after a few days<\/li>\n<\/ul>\n\n
How Are Proximal Humerus Fractures Diagnosed?<\/strong><\/h2>\n\nPatients presenting with shoulder pain after a fall should first undergo a physical examination<\/strong>, followed by X-rays<\/strong> of the shoulder.<\/p>\n\nIf the fracture is complex or involves the joint surface, a CT scan<\/strong> (Computed Tomography) is required for detailed evaluation.<\/p>\n\nIn certain cases, MRI imaging<\/strong> may also be needed to assess the viability of the humeral head<\/strong> or to check for rotator cuff tears<\/strong>.<\/p>\n\nTreatment of Proximal Humerus Fractures<\/strong><\/h2>\n\nWhen deciding how to treat any fracture, certain key criteria are assessed:<\/p>\n\n
\n- Are the fracture fragments displaced?<\/li>\n\n\n\n
- If displaced, how much displacement is present?<\/li>\n\n\n\n
- Is there a risk that the fracture will displace further during healing?<\/li>\n<\/ul>\n\n
A detailed evaluation is essential to determine the most appropriate treatment method \u2014 and this same approach applies to proximal humerus fractures.<\/p>\n\n
For a definitive diagnosis and personalized treatment<\/strong>, please feel free to contact us through our contact page.<\/p>\n\nNon-Surgical Treatment of Proximal Humerus Fractures \u2013 Upper Arm Fracture Brace<\/strong><\/h2>\n\nIf the fracture is a hairline crack<\/strong> or non-displaced<\/strong>, it can be treated without surgery. Management includes rest, ice, an arm sling<\/strong>, and\/or a Velpeau bandage<\/strong>, which is a specialized upper arm fracture brace.<\/p>\n\nAs with all fractures, regular follow-up with X-rays every week or 10 days<\/strong> is crucial to monitor healing.<\/p>\n\nPhysical Therapy for Proximal Humerus Fractures<\/strong><\/h2>\n\nThe physical therapy program for proximal humerus fractures is tailored to each patient<\/strong> based on fracture type, severity, and overall health condition. The typical rehabilitation plan includes:<\/p>\n\nRange of Motion Exercises<\/strong>
Physical therapists prescribe gentle mobility exercises to increase the range of motion in the shoulder. These are gradually intensified to help prevent joint stiffness.<\/p>\n\nStrengthening Exercises<\/strong>
To prevent muscle weakness and rebuild strength, especially in the shoulder, arm, and back muscles<\/strong>, strengthening exercises are essential.<\/p>\n\nBalance and Coordination Exercises<\/strong>
These exercises help restore balance and coordination, facilitating the return to daily activities after a humerus fracture.<\/p>\n\nExercise Therapy for Proximal Humerus Fractures<\/strong><\/h2>\n\nHere are some basic exercises recommended during the recovery period:<\/p>\n\n
Shoulder Lifts<\/strong>
Raise your shoulder slowly and then lower it back down. Repeat this movement 10\u201315 times at a comfortable pace.<\/p>\n\nWall Pushes<\/strong>
Step forward slightly and place your hands on a wall. Push your body toward the wall with straight arms, then slowly return to the starting position. Repeat 10\u201315 times.<\/p>\n\nDumbbell Lifts<\/strong>
While seated, lift a light dumbbell with the injured arm and then lower it. Perform this exercise in a slow, controlled manner, 10\u201315 repetitions.<\/p>\n\nElbow Bends<\/strong>
With your injured arm, bend the elbow while supporting it on a firm surface. Slowly bend and then extend the elbow. Repeat 10\u201315 times.<\/p>\n\n\u26a0\ufe0f If you feel discomfort or pain while doing these exercises, stop immediately<\/strong> and consult your doctor. Ideally, start these exercises under the supervision of a licensed physiotherapist.<\/p>\n\nProximal Humerus Fracture Surgery<\/strong><\/h2>\n\nOnce the diagnosis is confirmed, the decision for shoulder fracture surgery is made. The need for proximal humerus fracture surgery<\/strong> is determined based on the following criteria:<\/p>\n\n