Fractures around the shoulder are relatively common and can involve different bones in the area, such as the clavicle (collarbone), humerus (upper arm bone), or scapula (shoulder blade). These fractures can result from various causes, including trauma, falls, sports injuries, or repetitive stress.
Types of Shoulder Fractures
Shoulder fractures are injuries that involve a break or crack in one or more of the bones that make up the shoulder joint. There are different types of shoulder fractures based on the location and severity of the fracture. Here are some common types:
- Proximal Humerus Fracture - This type of fracture occurs at the upper end of the humerus near the shoulder joint. It can range from a minor crack to a severe break that may require surgical intervention.
- Clavicle Fracture - The clavicle is susceptible to fractures, especially in falls or sports injuries. Clavicle fractures are commonly located in the middle third of the bone and may require immobilisation with a sling or, in some cases, surgical repair.
- Scapula Fracture - Fractures of the scapula are relatively rare but can occur due to high-energy trauma such as a motor vehicle accident or a fall from a height. Treatment depends on the severity and location of the fracture.
- Glenoid Fracture - The glenoid is a shallow socket on the scapula that forms part of the shoulder joint. Fractures in this area are less common and often associated with significant trauma. Treatment may involve immobilisation or surgery depending on the fracture pattern.
- Acromion Fracture - The acromion is a bony process that extends from the scapula and forms the tip of the shoulder. Fractures in this region can occur due to a direct blow or a fall onto the shoulder. Treatment options range from conservative management to surgical intervention.
- Humeral Shaft Fracture - This type of fracture occurs in the middle portion of the humerus, away from the shoulder joint. Humeral shaft fractures can be caused by direct trauma or indirect forces transmitted through the bone. Treatment may involve casting, bracing, or surgery depending on the fracture pattern.
It is important to note that the severity and treatment for fracture shoulder can vary widely depending on factors such as the location, displacement, and stability of the fracture. A thorough evaluation by a shoulder fracture treatment doctor, including imaging studies, is essential for an accurate diagnosis and appropriate management plan.
Shoulder Fracture Treatment in Delhi
Fractured shoulder treatment aims to reduce pain, promote healing, and restore shoulder function. Here are some treatment options for a fractured shoulder:
Initial Evaluation and Diagnosis
When a person presents with a suspected fractured shoulder, a thorough evaluation is crucial to determine the severity and specific location of the fracture. This evaluation may involve a physical examination, medical history review, and diagnostic imaging tests such as X-rays, CT scans, or MRI scans. These tests help identify the exact location and type of fracture, which is important for planning the appropriate shoulder bone fracture treatment.
Nonsurgical treatment is often the first line of approach for certain types of shoulder fractures, particularly those that are non-displaced or minimally displaced. This approach involves immobilising the shoulder joint with the help of slings, braces, or casts to promote healing. Pain management techniques, such as over-the-counter pain medications or prescribed analgesics, are also employed. During the healing process, regular follow-up visits are essential to monitor the progress of the fracture and ensure proper alignment.
Shoulder fracture surgery is considered for more severe or complex fractures that may not respond well to nonsurgical treatment or in cases where the alignment of the fractured bones needs to be restored surgically. The broken shoulder surgery options include:
- Open Reduction and Internal Fixation (ORIF) - ORIF involves making an incision to directly access the fractured bone(s) and then using various fixation devices, such as plates, screws, or wires, to align and stabilise the fracture. This procedure allows for precise realignment of the fractured bones and facilitates the healing process.
- Closed Reduction and External Fixation - Closed reduction is a procedure where the fractured bone is realigned without making an incision. This technique is usually performed under sedation or anaesthesia. Following the realignment, an external fixation device, such as pins or wires, is attached to the bone to maintain its position during the healing process.
Recovery and Rehabilitation
Following either nonsurgical or surgical treatment for fractured shoulder, the recovery and rehabilitation phase is crucial to regain full shoulder function and strength. The duration of recovery may vary depending on the severity of the fracture, the individual's overall health, and adherence to rehabilitation protocols. The following components are typically involved in the recovery process:
- Immobilization and Protection - Initially, the shoulder may be immobilised with a sling, brace, or cast to protect the healing bone and soft tissues. The healthcare provider will guide the patient on how long immobilisation is necessary, and it may be gradually reduced as healing progresses.
- Physical Therapy - Physical therapy plays a vital role in restoring shoulder mobility, strength, and function. A physical therapist will design a personalised exercise program to gradually improve range of motion, strengthen muscles, and enhance overall shoulder function. The program may include stretching exercises, range-of-motion exercises, resistance training, and functional activities.
- Pain Management - During the recovery phase, pain management techniques, such as prescribed pain medications, icing the shoulder, and the use of heat therapy, may be recommended to alleviate discomfort and aid in rehabilitation.
- Activity Modification and Return to Normal Function - As the shoulder heals and strength improves, the patient can gradually return to normal activities and sports. The healthcare provider will provide guidance on activity modification and progression to prevent re-injury and promote a safe return to daily and sports-related tasks.
Why Dr Rajesh Malhotra for Fracture Shoulder Treatment in Delhi?
Dr. Rajesh Malhotra is a highly renowned and experienced shoulder fracture treatment doctor. With a wealth of expertise and a track record of successful treatments, he is widely recognized for his exceptional skills and knowledge in this field. His extensive experience enables him to accurately diagnose and provide tailored treatment plans for fracture shoulder cases, ensuring optimal outcomes for his patients. Dr. Rajesh Malhotra's commitment to patient care, combined with his advanced surgical techniques and use of the latest technology, makes him a top choice for fracture shoulder treatment in Delhi.