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Fractures Of Upper Limb

No. Location Mode Of Injury Immobilization Mobilization Comments


1. # of head of humerus(Impacted) Sudden blow on For 4-6 weeks. POP. Gentle mobilization. For Rx is conservative.
shoulder Isometrics of deltoid, pain- TENS, SWD,
triceps, biceps. Active Laser pendular exercises
exercise for mobilized flex, extension,
joints wrist and fingers. abduction, adduction. If
patient is in sling-
releasing the sling rom
exercises. Shoulder
wheel exercises. Finger
ladder. Overhead pulley.
Wand exercises.
Dumbels, resisted
exercises.
2. # of head of humerus(Unimpacted) Sudden blow on For 4-6 weeks. POP. Gentle mobilization. For Rx- Open reduction
shoulder Isometrics of deltoid, pain- TENS, SWD, and internal fixation.
triceps, biceps. Active Laser pendular exercises
exercise for mobilized flex, extension,
joints wrist and fingers. abduction, adduction. If
patient is in sling-
releasing the sling rom
exercises. Shoulder
wheel exercises. Finger
ladder. Overhead pulley.
Wand exercises.
Dumbels, resisted
exercises.
3. # of shaft of humerus( Transverse #) 6-8 weeks. Pendular exercises, Complications-
shoulder mobilization, Radial nerve injury
shoulder wheel
4. # of shaft of humerus( Spiral #) 3-4 weeks Pendular exercises, Complications-
shoulder mobilization, Radial Nerve Injury
shoulder wheel
5. Supracondyler # Direct- fall on tip of Manupulation under Graded mobilization. Extension #- bony
elbow. general anaesthasia. Pain- wax, TENS, frag. Displaced
Indirect- fall on Extension injuries- Hotpacks. posteriorly.
outstretched hand. elbow is flexed. Flexion #- Anterior
Flexion injuries- elbow displacement of bony
is extended frag.
Elbow in flexion by slab If closed reduction
and POP fails open reduction
Wrist and finger by means of k wires;
movements are given. k-wires can be
For 3-4 weeks removed after 3
weeks and
mobilization can be
done.
Vigorous movts at
the elbow is initially
avoided.
Massage is avoided
to prevent myositis
ossificans.
Indications of open
reduction:
Closed reduction
fails.
Injury to brachial
artery.
Injury to associated
nerve

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