A proximalhumeralfracture is a broken bone that occurs near your shoulder joint.
A proximal humeral fracture can be a painful injury that limits your ability to move your arm and shoulder.
Proximal humeral fractures can be treated conservatively with an arm sling, pain management, and supportive care.
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A physical therapy program after a proximal humeral fracture can help you return to normal activity quickly and safely.
The elderly are vulnerable to these fractures due to an increased risk of osteopenia (bone loss).
Failure to do so may result in the significant (and possibly permanent) loss of arm function.
Occasionally, more advanced pictures of your shoulder will be taken with a computed tomography (CT) scan.
Treatment
If a proximal humeral fracture is confirmed, the fracture may need to be reduced.
Most often, the fractured pieces of bone are close together will not require much to reduce the fracture.
Your healthcare provider will discuss with you the options and best treatment strategy for your specific condition.
The physical therapy may start with a lesson onhow to properly wear your sling.
You may also be taught gentle pendulum exercises to help keep your shoulder mobile as it heals.
Your healthcare provider will let you know if it is safe to perform these exercises.
In four to six weeks, you may be ready to partake in active physical therapy.
Your pain level should be minimal as well.
2015;11(11);(11):CD000434.
