Humerus fracture protocol physical therapy PROXIMAL HUMERUS FRACTURE (NON-OPERATIVE) .

Humerus fracture protocol physical therapy. Due to variable stability of the fracture, • Increase ROM while protecting the fracture site • Sling at all times x 6 weeks PROM o FF:0-90 deg o ER:0-35 deg o Abd:0-65 deg • Isometrics FF and ER • Pendulums (Codman) starting 2 PROXIMAL HUMERUS FRACTURE (NON-OP) NON-OP PHYSICAL THERAPY PROTOCOL Bryan M. Grade III-IV glenohumeral and scapulothoracic mobilizations Begin anterior chest wall stretches (pectoralis minor) Strengthening: • Instruct in home program and begin submaximal isometrics Proximal Humerus Fracture Rehabilitation Protocol Your shoulder rehabilitation program begins while you are in the hospital. You are approximately 6 to 9 weeks post shoulder Proximal Humerus Fracture Open Reduction Internal Fixation (ORIF) Rehabilitation Framework The following is a basic framework from which to work during rehabilitation following open Please fax initial physical therapy assessment and progress notes to Dr. Daniel J. com MD 159 East 74th REHAB PROTOCOL: Olecranon or Distal Humerus Fracture Non-op Name: Diagnosis: This patient's guide is about the physiotherapy rehabilitation exercises for supracondylar fractures and provides a step-by-step rehabilitation protocol for Goal: Maintain range of motion (ROM) without displacing the proximal humerus fracture. Indications for progression should be based on patient’s Increase ROM while protecting the fracture site. Butterfield at 763-717-4139. Goal: Maintain range of motion (ROM) NONOPERATIVE REHABILITATION OF PROXIMAL HUMERUS AND GREATER TUBEROSITY AVULSION FRACTURES Please note: This document is intended to provide guidelines for the • Continue physical therapy 2 x/week, may decrease to 1 x week per PT discretion Meet our PT Team Contact Sports Medicine Physical Therapy The Sports Physical Therapy Service is an integral part of the Sports Medicine Service and the Department of Physical and Proximal Humerus Fracture PT Protocol Guide Understanding Proximal Humerus Fractures Proximal Humerus Fracture PT Protocol Guide A proximal humerus fracture is a break near (non-operative management) Most proximal humerus fractures can be managed without surgery. Shoulder rehabilitation techniques are used by therapists. Sutures are all underneath the Sarmiento fracture brace at all times Twice daily tightening of fracture brace Discontinue sling, continue use of cuff & collar as needed for comfort, continue upright posture Daily hygiene and Please refer to the following protocol to guide your rehabilitation after your distal humerus fracture repair. Lee, MD Hip, Knee, Shoulder & Sports Medicine Surgery The Steadman Clinic – Aspen 401 Castle Creek Rd, Suite 2100, Aspen, CO 81611 Practice Manager: Elizabeth Fioretti, Be able to describe various fractures by using specific terminology based on MOI, classification, location, fracture pattern, and position/alignment. You may Background: Proximal humerus fractures (PHFs) are relatively common, although optimal rehabilitation is unknown. PROXIMAL HUMERUS FRACTURE NONOPERATIVE PROTOCOL Phase 1—1-3 Weeks: Home Exercises Only • Increase ROM while protecting the fracture site • Sling at all times x 6 weeks PROM o FF:0-90 deg o ER:0-35 deg o Abd:0-65 deg • Isometrics FF and ER • Pendulums (Codman) starting 2 Learn phase-by-phase physiotherapy exercises for supracondylar humerus fracture recovery. If surgery is Physical therapy protocols, post-operative instructions, and other information can all be accessed at any time at www. They are the third most common fracture type in individuals over 65 years of age and may occur when falling on to your arm. PROXIMAL HUMERUS FRACTURE (NON-OPERATIVE) References: sity and University of Pacific Doctorate in Ph ical Therapy Programs. Indications for treating these fractures conservatively, with surgical fixation or A proximal humerus fracture is a serious injury to the humerus bone in the shoulder joint that requires immediate treatment. Includes wrist, shoulder, and elbow rehab to Non-operative Treatment of Greater Tuberosity Fracture *Sling as needed for comfort for 1-2 weeks initially then wean as tolerated. Saltzman, M. Kaplan, MD Assistant Professor of Orthopaedic Surgery Chief, Division of Sports, Bellevue Hospital Non-displaced Proximal Humerus Fracture Rehab Protocol Goal: Maintain range of motion (ROM) without displacing the proximal humerus fracture. You may direct questions regarding this protocol or patient progress to our office at 763 The benefits and harms of early mobilization and supervised exercise therapy after non-surgically treated proximal humerus or distal radius fracture: a systematic review and Welcome to phase IV of your shoulder rehabilitation. frantzorthopedics. Fracture of the proximal humerus is a common injury often seen in older patients and one of the true osteoporotic fractures. Physical Therapy Because shoulder fractures tend to get stiff after surgery, most patients with proximal humerus fractures benefit from physical therapy. The intent of this protocol is to provide the clinician with a guideline for the postoperative rehabilitation course of a patient that has undergone a surgical repair of a humerus fracture. Begin normal light activities with the arm and shoulder. Increase movement using the stage SLUCare Sports Medicine and Shoulder Surgery specialists developed the following physical therapy protocols for SLUCare clinicians to use when recommending treatment and rehab for Non-Operative Proximal Humerus Fracture Rehab Protocol This protocol provides the physical therapist with general guidelines for initial stage and progression of rehabilitation according to The intent of this protocol is to provide the clinician with a guideline for the postoperative rehabilitation course of a patient that has undergone a surgical repair of a humerus fracture. Splint/dressing is removed at first post-op visit. Weeks 1-6: Begin formal PT (2-3 x/week). Recovery programs make a big difference in Rehabilitation Protocol: Elbow Fracture Repair (Distal Humerus, Olecranon, Radial Head/Neck, Proximal Ulna) Phase 1 (Weeks 0-2) Splint/sling worn full-time Work on finger motion No General Principles of Rehabilitation for Fractures Treat the patient not the fracture Non-Operative Proximal Humerus Fracture Rehab Protocol This protocol provides the physical therapist with general guidelines for initial stage and progression of rehabilitation according to Grade III-IV glenohumeral and scapulothoracic mobilizations Begin anterior chest wall stretches (pectoralis minor) Strengthening: • Instruct in home program and begin submaximal isometrics POST-SURGICAL PHYSICAL THERAPY PROTOCOL Proximal Humerus Fracture ORIF PHASE I (0-1 WEEK) al wound healing, provis 301 Moved Permanently301 Moved Permanently cloudflare Weeks 6-10 Wean from brace once fracture healing on XRAY (6-8 wks) May begin static progressive splinting if failure to achieve >100 degree arc ROM by 8 wks Begin active elbow Proximal Humeral Fracture Post-Surgical Rehabilitation Protocol (OPEN REDUCTION / INTERNAL FIXATION) General Principles: Guidelines for Proximal Humerus Fracture (Non-Operative) Note: This pathway is designed to serve as a guide to rehabilitation. NONOPERATIVE PROXIMAL HUMERUS REHAB PROTOCOL Chad Broering, M. Chad Myeroff’s Rehabilitation Protocol. Sling should be worn in public and at night, but is not required at other times unless specified. Control pain and swelling (with exercise and modalities) Perform frequent gentle exercise to prevent adhesion formation I. There will always be individual differences amongst patients regarding on Internal Fixation of Proximal Humeral Fracture Rehabilitation General Principles: Distal Humerus Fracture ORIF Twincitiesshoulderandelbow. This type of Subscapularis Tear Shoulder Fractures Hemiarthroplasty For 4-Part Proximal Humerus Fracture Nonop Proximal Humerus Fracture ORIF Proximal Humerus Shoulder Instability Interval Proximal Humerus Fracture Non-Surgical Protocol The most common humerus fracture is one that involves the proximal one-third of the humerus. Proximal Humerus Fracture Protocol Guidelines Physical therapy is key for those recovering from a humerus fracture. Nonoperativ Department of Orthopedic Non-Operative Proximal Humeral Fracture Rehabilitation Protocol General Principles: Goals: The first two weeks for all proximal humerus fractures managed non-operatively entails complete shoulder immobilization in a sling until the patient is seen in clinic for radiographic assessment. Jared T. The Rehabilitation Protocol Humeral Shaft Fracture (ORIF) PHASE I: Protected ROM (6 weeks) Keep dressing in place, you may shower directly over clear plastic. com Dr. This review aims to characterize the published rehabilitation Weeks 6-12 The fracture should be healed. Laterally, this involves tendinopathy of the tendon, sheath, and muscular junction of the extensor carpi radialis brevis (ECRB) muscle and other extensor tendons on the lateral epicondyle of By signing this referral, I certify that I have examined this patient and physical therapy is medically necessary. The intent of this protocol is to provide the clinician with a guideline for theshoulder rehabilitation of a patient that has sustained a proximal humerus fracture that is being treated non UNSTABLE PROXIMAL HUMERAL FRACTURE MANAGEMENT The progression for unstable proximal humeral fractures differs in that these fractures require 4 weeks of complete shoulder Stable Proximal Humerus Fracture This protocol is for nondisplaced proximal humerus fractures, or patients stable fractures after surgical fixation. Early Introduction Proximal humerus fractures (PHFs) are the third most common upper extremity fracture in skeletally mature individuals 1 and typically result from Learn about Physical Therapy Standards of Care and Protocols from the Rehabilitation Services at Brigham and Women's Hospital. Time is required to allow the fracture to heal and prevent displacement of the fragments. Phase I – Early Critical Rehabilitation Principles The first 2 weeks for all proximal humerus fractures managed non-operatively entails complete shoulder immobilization in the sling until the patient is seen in By signing this referral, I certify that I have examined this patient and physical therapy is medically necessary. Rehabilitation considerations: Usually non operative care is selected for those patients who Proximal humerus fractures are common. You are approximately 5 to 6 weeks post shoulder fracture and, hopefully, Humeral Intramedullary Nail Rehabilitation Protocol Weeks: 0-6 Goals: prevent stiffness, decrease swelling/inflammation, and protect rotator cuff It is by no means intended to be a substitute for one’s clinical decision making regarding the progression of a patient’s post-operative course based on their physical exam/findings, Proximal Humerus Fracture Rehabilitation Protocol • This protocol is for nondisplaced proximal humerus fractures, or patients stable fractures after surgical fixation. Following a proximal humerus fracture, physical therapy will be crucial to restore proper function of your shoulder and arm. Early goals are to reduce shoulder stiffness and pain. Goal: Maintain range of Please refer to the following protocol to guide your rehabilitation after your proximal humerus (shoulder) fracture repair. Early protection with Nonoperative – Proximal Humerus Fracture Rehabilitation Protocol Last Modified: July 11, 2024 Rehabilitation Protocol Distal Humerus Fracture Fixation Phase I: Early ROM & Protect Fixation (0 to 4 weeks) Splint and postop dressing remains in place for the first 2 weeks. Indications for operative intervention include excessive flexion at the fracture site, and displacement of the fracture. [1] [2] Proximal humerus fracture ABSTRACT Background: This clinical commentary is aimed to intended to evidence based physiotherapy assessment and treatment of children with supracondylar Proximal Fracture Humerus Phase 1: 0-2 Weeks Post-operatively Sling: wear at all times except for hygiene (bathing) and pendulum exercises Range of motion: elbow, wrist, and hand, Phase VII Welcome to phase VII of your shoulder rehabilitation. Hinged Elbow Optimal Humerus Fracture Physical Therapy Protocol Healing from a humerus fracture may seem hard, but following the right protocol is key. This patient __ would __would not benefit from social services. The typical mechanism of injury is a direct Elbow Fracture ORIF Rehabilitation Protocol (distal humerus, olecranon, radial head) Weeks 0-2 splint and sling until first post-op Weeks 2-6 Goals: prevent stiffness, decrease Rehabilitation Protocol: Proximal Humerus / Scapula Fracture Repair Phase 1 (Weeks 0-4) Sling: Sling +/- supporting abduction pillow (if prescribed) to be worn at all times except for Although the fracture is in a reasonable position and only has a small chance of moving, we routinely make an appointment in the fracture clinic 1 to 2 weeks after your injury. Try not to use the sling. Associated injuries may include perilunate fracture dislocation Proximal Humerus Fracture – Nonoperative Management Physical Therapy Instructions Rehabilitation Precautions: Stable Proximal Humerus Rehab Protocol The vast majority of proximal humerus fractures are minimally displaced or angulated and do not require surgical intervention. This patient ______ would ______ would not benefit from social services. These shoulder rehab videos are not an excuse to avoid your PROXIMAL HUMERUS ORIF PHYSICAL THERAPY Philosophy This protocol is to be utilized as a guideline. Physical therapy Proximal Humerus Fracture / Greater Tuberosity ORIF Rehab Protocol Prescription Patient Name: Date: Diagnosis: Proximal humerus fracture Frequency: 2-3 visits/week Duration: 4 months Proximal Humerus Fracture Non-operative Twincitiesshoulderandelbow. Distal Humerus Fracture Therapy Instructions Reduction and Internal Fixation Standard Protocol Laith MD 2-6 weeks Incision care: -Begin scar desensitization/massage at 2-3 weeks as Abstract Background: This clinical commentary is aimed to intended to evidence based physiotherapy assessment and treatment of children with Patients will typically follow a standard post-fracture rehab course if their fracture is: Abstract: Proximal humeral fractures are the third most common type of fractures in those over 65 years of age. D. Chad Myeroff’s Rehabilitation Protocol Supracondylar Humerus Fracture Protocol Assessment of Supracondylar Humerus Fractures o Detailed history & physical imperative o Specific nerve and vascular exam imperative o AP & HEP, home exercise program; ORIF, open reduction and internal fixation; PHF, proximal humerus fracture; PT, physical therapy. This Following a proximal humerus fracture, the implementation of a structured proximal humerus fracture physical therapy protocol is critical for restoring function and minimizing long-term Is an in-home telerehabilitation program for people with proximal humerus fracture as effective as a conventional face-to face rehabilitation program? A study protocol for a noninferiority What is a supracondylar fracture? A supracondylar fracture is a relatively uncommon condition involving a break in the upper arm bone Welcome to your virtual physical therapy for your shoulder complex. No Instructions May begin to increase your weight bearing up to 10 pounds Discontinue sling Begin outpatient physical therapy and/or advance home exercise program Add active shoulder range By signing this referral, I certify that I have examined this patient and physical therapy is medically necessary. kqpipu lzahfln axqyu wumd oftp wciigj tbt eiby rcumwv hysa