What to expect after distal humerus fractures
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- Опубліковано 26 вер 2024
- A distal humerus fracture is a break in the lower end of the upper arm bone (humerus), one of the three bones that come together to form the elbow joint.
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Here we go ladies and gentlemen we’re in for a long ride good luck
Thank you for this I’m 5weeks 3 days post op today. Mine was in pieces, so have 2 large plates and long rod down lower arm, so I understand I must be patient. It’s still very painful with swollen hands & fingers and can’t grip, plaster off 2 weeks today. I see by your video it will take many months. I will get back in the pool next month and hope to drive too. Good luck to all others who have this very ongoing injury. Best regards
I slipped-on a wet floor and fractured my distal humerus 10 days ago. I had op the next day after fracture and now have 4 plates in and 16 screws … I am hoping for a speedy recovery but i know it is gonna take months. I am not gonna have a plaster was surprised by this decisions .. pain is constant bruises and fluids in the arm … swelling purple fingers .. how is your fracture now ! Hopefully much better ?
How was your elbow now?
@@mdaatif2618 I had never achieved a good ROM only 40 extension to 90 flexion it is always blocked and cannot go further 90 degrees flexion. My bone took 6 months to fully heal towards 7 to 10 months it was getting stronger but more stiffer and range never improved. Specialist advised we can remove the hardware as all was good to go. Surgery will have scare tissue removal, MUA under anaesthesia and all hardware removal. During surgery and doing the manipulation under anaesthesia my surgeon tried to push my elbow and flex it once he reached more than 90 degrees flexion he feactured my humerus bone again !! I have gone through the same thing all over again with 4 wires this time to hold the fracture and a heavy cast for 7 weeks now out of the cast my arm is a bit painfull and my ROM is too bad. Conclusion is that my elbow healed in a different shape than a normal elbow and that’s why I can have a normal range of motion ever again! Plus arthritis is starting to grow in the elbow too ! It is a very big and painful journey and now having a 4th surgery to remove the wires in 2 months and re doing all physiotherapy all over again! You might achieve better Range but that’s my case and hope yours is much better !! Stay positive and whatever you can gain back is good !!
@@mayamae8857 check my comment below
@@mohas5077 Hi Mo, hope you're doing better now brother.
Someone needs to post a video about lifting weights after recovering... with not the best range of motion hitting workouts like triceps workouts is so challenging
got physio
@@jelosyy6663 what ?
@@slippys8405 go get physiotherepy
Pl teach me exercise for mid shaft fracture.got operated a week ago.my right arm .pl help.
Had a distal humeral fracture a few months back (no surgery needed), hoping I can get back to weight training soon.
what kind of humerus fracture was that you got no surgery to be done??
You are a very lucky dawg..
I had a distal humerus fracture 3 months ago
Are u done 100% recovry now??
Don't get your hopes up
got distal humerus fracture same as indicated in this video displaced fracture on 6th december 2019 two plates have been implanted, got recovered very fast but there is difference in hand strength as it was before surgery exercise is the only cure to get back perfect strength and motion of your hand.
My fracture was extremely painful,,,big plate lots of screws,,distal fracture,,,I am 3 years out,,,my arm swells and hurts always,,,lympodema,,,my little finger and thumb hurt always,,,my forearm at elbow swell and hurt always numb and cold,,,,, but I still work,,,landscape,,,,and paint,,,and I lost alot of strength,,,,,it sucks,,, but I didhave a good surgeon,,,,good luck to all,,,I'm 55,,,,worried
Exercise after surgery plz
my wrist and fingers are not functional after sugery, is that common?
Thank you. My cast is off. Now I don’t have to worry about anything. I had a non-displaced fracture.
You are a lucky dawg.
Broke my left distal humerus arm wrestling a friend. Got 2 plates and screws placed. 4 weeks after surgery i have some midrange motion in elbow.. Pain is almost non existent but
Post surgery i also have radial nerve palsy will take 6 months to heal.
Same exact situation as you. They opted to go for a brace as opposed to surgery. Radial nerve palsy which has been getting better over the last 3 weeks
6 months after surgery and my elbow feels so terrible . My doctor says I just need to stretch more . It hurts so bad
How are you today?
How are you doing now?
@@sagniksarkar1542bro how is yu doing with elbow
Hello doctor, is the loss of motion reversible? Does it depend on the plate or it's an organic problem of the joint?
I just broke my mid shaft powerlifting and now waiting for surgery lol
Uh when do you get motion back?
Great information thank you. In 2018,I fell from a height of maybe 4 steps onto concrete slabs and broke my humerus bone (multiple fractures,I think the surgeon said,and broke my wrist. Got plates in both joints. Arm doesn’t go straight just as explained. Can feel the wire through my skin they used to pull the metal plates closer (I think that’s what they said that wire was for). The top part of the scar is always cold. There is also a bruise like pain under my elbow that’s there all the time. Asked surgeon about that bruise like pain and I think I was told that’s it’s probably caused by the metalwork rubbing a nerve.
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@Darian Creed definitely, I've been using Instaflixxer for years myself :)
Hi Dr. Richards,
I broke my distal humerus in 2017 a had a few plates inserted. The recovery over 2 years with regular physiotherapy seemed ok at best, till my surgeon suggested I need to get the plates removed as one of the screws has almost come out of the bone, and would cause problems if it fell off. So I underwent a second surgery under the same surgeon, only to have my ulnar never damaged. I discovered this only after a few weeks of tingling sensation in my right pinky and ring finger. On seeking expert opinion, I learnt that I have ulnar nerve palsy and had developed an ulnar claw, which was spreading fast. Hence, I underwent a third surgery (under a plastic surgeon) in March 2020, to have my ulnar nerve drafting done. It’s been almost 9 months. I see some improvement but overall I have loss of strength, 10-20 degree bent in my elbow, and, a continued inability to move my middle and ring finger away from each other ( like forming a V). My plastic surgeon says things will improve and ultimately we can do a tendon transfer, but I’m not sure.
I’m fortunate to be able to do daily activities like driving, typing, bathing, etc without any difficulty, but I can’t write the same way. Moreover, this injury has left a deep psychological effect on me - I keep asking myself if I’ll ever be normal again. I was a Squash player, and now I can’t even lift my arm properly.
Is there a solution to this? Please help! If need be I will come to America from India for surgery.
Thanks,
Vivek
257vam@gmail.com
hello brother...when you had humerus fracture how many days it took to you to get range of motion?...i mean i recently had humerus fracture with olecranon fracture plates and screws and k wire are inside my elbow...its been two months but my range of motion has only improved 10 degree extension and 10 degree flexion
@@milonsharma1702 - hi Milon. The range will come gradually. First few months doctors did not allow any physio. They said first we need to allow for healing. Eventually, most people will see improvements after 6 months with physio. Also, 10-15 degree bend will remain for life - that’s ok because nobody uses their hand completely straight at right angles in nirmal life. Wishing you a Speedy recovery!
@@Sansovino140 i have many queries regarding this...and nobody knows better than you..so please if you have time...so the thing is its been 3 months now my range of motion is very less hardly flexion 100 degree and extension 50-60 degree...but after i finish exercise i get quite good range of motion but again stiff after 5 minutes and in the morning my elbow becomes so stiff that i cant even bend and hardly extend...was it same with you?...how many months it took to you to get back the range of motion?
@@milonsharma1702 brother my surgeon started physio from 3rd day post surgery. Early mobilization helps a lot.
Okay, story time. I broke my humerus on the distal 3rd by throwing a baseball. I got surgery and had plate and screws. 5 months after surgery it broke again (also throwing a baseball 😅) near the top of the plate and looked like a splinter. Now I have like 2 plates and 30 screws and I’m back to trying to throw again.
I have a distal humerus fracture and I’ve had to have two surgeries within the last month , started with two screws and now four I wonder why he chose screws instead of plates , now I’m kind of worried , after the first surgery he just put me in an ace bandage with a sling and now after the second surgery I’m in a full split and sling so not much movement
How are you now
How long does it take to get full range of motion back
My muscles hurt so much when I try to stretch my arm
Same ): i just started my PT 3 days ago it hurts a lot… how are you now ?
Something to look forward to
Update I’m helped up now. Full range of motion. I get extra sore in my elbow region and forearm muscles after lifting. More so than my other arm. Not to bad though
@@rubixcubesolvehow long was you process of getting full rom back? Did you do physio the entire time?
I did PT for like 2-3 months i think. I got full rom back within a year. Now back to lifting heavy and even armwrestling. Can preacher curl 65 lb dumbell now with the arm that I broke for 3 sets 8 reps@@casityking7449
I was in a car accident 2 weeks ago and I had to immediately have surgery for a closed bicondylar fracture of distal end of left humerus. It’s been really rough. I couldn’t get a cast and anything to hold it so that it wouldn’t get stiff or stuck. I can’t bend my arm upwards at all. I’m getting to where I can make it as straight as possible. I’m not sure if I have plates or screws in my arm. I’m going to ask when I get my staples removed next week. Can anyone else who’s past a month not bend the elbow upwards all the way?
had a similar experience a week ago, how is it going now?
I broke mines three weeks ago and had surgery. I have no problem straightening my arm however I cannot bend my elbow all the way for example I cannot touch my head, face etc. Is this the same with you?
@@marcellorigatone5673 just seeing this. It turns out I had 2 screws and 3 plates. I had to have a second surgery because my arm was not progressing in terms of bending. I still couldn’t touch my face and hold a cup to my mouth even. After surgery, this was fixed but I still lost about 25% of my upward bend. My arm hurts often, like a soreness. But I’m at least glad the bend got better.
@@chandasyde this is EXACTLY how I was. I thought I was doing great in therapy because I could straighten my arm really well, but it’s the bend that’s most important. I couldn’t touch my face or a hold a cup to my lips. My doctor was concerned, so I had a second surgery in December. When you can’t bend you arm upwards, it means your tissue has already healed and it’s blocking you. The surgery basically allowed them to tear the healed tissue. I can now touch my face and do my hair and everything, but I still lost about 25% bend. No one can really tell though, so that’s good. Praying for your healing process!
May I know what's the risk of removing the plate for distal humerus fracture?
Im wondering thr same thing
I have distal humerus plate. The risk of removing it that I have been told is to avoid injuring radial nerve around the distal humerus which is easy to be injured and so sensitive
Nerve damaging
when I first got surgery I got 3 plates put in there. About one year ago I got one of them taken out because it was very irritating and I did know that there was a slight risk of nerve damage but I trusted my doctor and I've definitely felt less discomfort
Depends on each case and the quality of doctors in your country.
If you don't have any problems at all because of the plate never try to remove it.
If you are having problems discuss with your surgeon he will know what's the best thing to do.
Wtf so I’ll never gain full range of motion ever again?
Why do you lose strength in that arm?
I shattered my humorous from my shoulder all the way down to my elbow
Did u had any wrist drop
@@abcnews7720 no
@Kiara Malhotra Its still sore I'm going to have to get a appt with the surgeon cause I'm having trouble out of the bottom pen
@Kiara Malhotra I was told if I ever brake it again there wont be any fixing. Then I'd have to have a prostatic arm
@Kiara Malhotra Yes it shattered from my shoulder all the way to my elbow
My distal humerus is still not showing healing signs after 6 weeks post ORIF how long did it take you guys for bones to heal
I am 8 weeks post op and healing has been very slow. Do you have an update on your injury and what the recovery timeline was like?
@@kennymai1680 How are you recovering now??
@@ayushthakur5982 Callous is forming but, there is still a gap in my bone. My next checkup is in a little more than a month. Hopefully better
@@kennymai1680 How are you now and what is your range of motion currently??
@@kennymai1680 mine took 6 months to fully heal and yeah I have a gap in the middle but it doesn’t matter as long as the sides are healed !
I HAD A DISTAL 1/3 FRACTURE AND DOCTOR FIRST SUGGESTED WITH CONSERVATIVE TREATMENT , BUT AFTER A MONTH HE OPTED FOR SURGERY ON 1/1/2023 ... IT WAS A SUCESS ... BUT NOW MY ELBOW IS VERY STIFF...IS IT CAUSED BY MUSCLE INJURY DURING SURGERY OR DUE TO THE IMMOBILIZATION BY CAST FOR 1 MONTH BEFORE SURGERY ...? WILL I GET MY RIGHT ARM FLEXION/ EXTENSION BACK ?
How are you now
I broke my humorous about 3 1/2 weeks ago and I have 2 plates in.. when my plates get removed will it give me more motion then what it would if they were in?
Did you get your plates removed?
I have pins and plates in my arm but i don’t think mine are getting removed ever
@@AnngieBolanoz yes i got my plates removed and have been on physio for 3 months now... im at 155 degrees extention only 25 degrees left
@@jelosyy6663 wow. I didn’t get mine removed ( got them 3 months ago) my elbow was so stiff, but now I can touch my face. I’m afraid I don’t get full motion back:(
@@jelosyy6663 was there a reason for the plates to be removed for your situation? I'm wondering because my doctor said it will stay. And did it help getting your range of motion back after the pages being removed?
I had surgery after a snowboarding wipeout about 2.5 weeks ago. I've never broken a bone in my life and i'm super bummed my first break was so bad. I'm a surfer and I'm worried I wont fully recover to get myself back to where I need to be to surf how I used to before my break
No way! Same thing happened a month ago snowboarding as well, hope you have a speedy recovery:)
Wow! I had the same exact accident when snowboarding 4 weeks ago. Never broken any bones in my life until then. Still going on theraphy but so hard to bend the elbow pass 90 degree 😔. Hope you guys are doing well on your recovery!
@@teddykurniawan9395 I also got a distal humerus fracture around 4 weeks ago in an atv accident I received surgery and i’m no longer wearing a cast or anything but i’m going to physical therapy 3 times a week and it’s hard for me to bend my arm as well
@@coltoncg how far are your progress on the flexion and extension based on your therapy so far? I only met my PT once and still haven't gotten farther than 90 on the flexion without pain. Really making me anxious of not gonna be able to get back to normal again😔 any tips on breaking down the stiffness on the tissue?
@@teddykurniawan9395 Well I haven’t been to my physical therapy appointment yet I start going on the 27th but as of right now my arm only extends a little past 90 degrees
Is the loss in strength permanent? I'm into body-building and am devastated that I may not ever regain my full muscular potential in my arm. If I am very thorough with rehab after union will I be able to return my arm to full strength and muscular size? My fracture was a distal communited open fracture treated with ORIF
How do you feel now?
@user-xd9nr4wq5h The elbow has improved a lot and my stiffness is fully resolved. Been training in the gym 6 days a week and strength has mainly returned but in some exercises I'm still 20% or so weaker than my uninjured side. My shoulder has been the biggest issue. Despite the fracture healing, my shoulder has been quite painful and I'm getting an MRI soon because we suspect an injury to the labrum from my accident
@@bjdaniel6776 good to hear. How is your elbow mobility?
@@bjdaniel6776very good bro, keep going, post 1 month of surgery
@@bjdaniel6776does it hurt when you lift or it hurts anyway ?
What about flexion of the elbow? For me, that's the most difficult to rehab. Is there a time limit as to whether physiotherapy is working or not in improving range of motion?
nogreatmischief same is with me
I got 95 to 98% range of motion back within two years. Did casual physio for about two months. then started with light weight training in year 2. Slow and steady progress.
@nogreatmischief I agree the flexion of the elbow is the hardest for me. The extension is hard too but i feel it could get to straight eventually. My PT said the extension is actually the hardest, but my anxiety said otherwise since most of the normal everyday stuff for me requires to bend the darn elbow past 90. How's your ROM so far with the flexion?
@@teddykurniawan9395 How are you now is your flexion normal now??
Hi. After humerus head/humerus fracture resulting in plated ORIF is it is it common to have the plate removed after a year or two+ ? If so what are the common and present risks?
Talking about myself....thanks in advance
Hi, have you removed your plates?
@@oleksandr.grechko hi there. After advice from the surgeon at my last consultation the plate and screws are staying in. I'm ok with it now though. I have been discharged from their care now and have no follow up appointments. I can now get on with my life and do more or less everything I could before my mountain bike accident. Thanks for asking. Hope you and your family are well
I fractured my wrist 11 days ago and am in a cast. Will my bones be as strong as before? I’m a middle aged busy mum. Thanks.
Hi. I broke my left humerus just a bit upperside of the elbow so my elbow is not affected. I had rnp post ORIF. Is it possible to damage the nerve again when i decide to remove the plate? Is there any case where people have to go through another rnp after plate removal?
hey man, i know its been two years. When did things start to get better?
Please reply if possible
Im 32 and i had a capitellum fracture on the lateral side of my left humerus, 7 1/2 months ago, i can get full flexion and i am at about 10° extension, i feel confident i can get a little more extension with time, but it is VERY stiff and can be painful to move at times, sometimes its alot smoother, although my supinatiin in my wrist is a different story, im stil working on that though, but my biggest fear is i may be at risk for osteoarthritis and my life will be ruined, do you have any suggestions? I have heard of PRP Injections, Platelet Rich Plasma, and i think this might be my best options for osteoarthritis prevention what are your thoughts? And do you think having my surgical screws removed would help? And after some years pass, is it possible to gain full strength back?
I’m dealing with this right now
@@crystalkissoon4985 notice how this doctor didn't care enough to message me back...anyway, what helped aid my recovery was after i take my shower, i apply lemongrass oil $5 at wal mart or $10 at the herb store, then dead sea mineral anti wrinkle COLLAGEN syrum $4 a vile from big lots online, 2 potent natural products that boost collagen growth, HIGHLY RECOMMEND, cut my recovery from PT from a week to 2 days
@@mikespivey6302 I just had surgery a week ago but my pain is so intense I’ll try those thank a lot
@@crystalkissoon4985 no no no, not not now, give about a month after u heal and after you have had a few PT sessions
@@crystalkissoon4985 there are alot more things i use and can help u with my experience, if you want to give me some kind of safe way to contact you
I just broke mine yesterday but thought it was only dislocated
Oh u healed yet cuz i broke it to its been 4 weeks
Same here
Happened 5 years ago
Now I am 23
Just had another surgery to remove the plate and screw.
@@Vlad--- how was the recovery?
@@troysmith749recovery was perfect.
One month complete rest to hand no pushing and pulling motion.
Holes take 2 months to fill
After that no lifting of heavy weights upto 6 months
After that you become perfectly normal
But yes you will lose some strength of your hand.
It all comes down to quality of doctors your country has.
@@Vlad--- what kind of fracture did you had?...comminuted into pieces?...mine was comminuted into pieces also my olecranon was also comminuted...its been 3 months working so hard to get back the motion but the result is very bad...flexion 100 degree if i push hard...and extension 60-50 degree only
I crushed my arm in a work accident and had a floating elbow injury. Not much info on it, just wondering if anyone else had same injury. That was 18 months ago and it's never going to be back to normal