![]() Some patients may live alone, be a carer for their significant other, be unable to tolerate six weeks in a sling, or unable to manage their pain – in such cases it is appropriate to consider surgical repair to allow more predictable and faster recovery. Those patients who depend on overhead function at work may benefit from earlier surgery to minimise the time in a sling, shoulder stiffness, and enhance their ability to undertake work overhead. Tuberosity displacement is accepted up to 3mm. In these cases, surgery is a better option early to allow faster recovery and more reliable outcomes. ![]() These fragments have a constant deforming force and will usually continue to move further away (over days to weeks) while the fracture is healing. If the tuberosities (rotator cuff attachment points on the humeral head) have pulled away more than 5-10mm then you may benefit from surgery. Abnormal fracture position may result in reduced shoulder function.Īfter the first 2-4 weeks, the fracture will start to heal and will become difficult to mobilise and fix accurately.Ģ. Greiwe, in Shoulder and Elbow Trauma and its Complications, 2015 6.1 Background. If the fracture fragments are too far apart then they may heal in the wrong position once the fracture has healed it is often very difficult to “re-break” and “reset” them in the correct position. These are the factors when considering surgery: As the lead shoulder trauma surgeon at St Vincent’s Hospital for many years, he has experience with a vast array of shoulder trauma cases and is well versed in guiding you to full recovery. Surgical fixation is reserved for more complex cases such as fractures with displacement (fracture fragments shifted out of position), high demand patients (overhead workers, high-level athletes), or those that are unable to cope with the pain or loss of function.ĭr Pant has extensive experience treating proximal humerus fractures and is highly skilled in the surgical repair of all shoulder fractures should that be required. Reverse Shoulder Replacement – Shoulder Pain.Shoulder Fracture – Displaced Humerus Fracture.Shoulder Fracture – Complex Humerus Fracture.Subacromial Decompression and Acromioplasty.Fixation of Proximal Humerus (Shoulder) Fractures.Arthroscopic (Keyhole) Rotator Cuff Repair.Acromioclavicular Joint Dislocations (Shoulder separation).
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