Respected sirs,
43 y/o male lawer by profession not involved in any sporting activity(even
recreational)..trauma after fall from 2 wheeler ( fresh fracture) … Conservative or operative ?
43 y/o male lawer by profession not involved in any sporting activity(even
recreational)..trauma after fall from 2 wheeler ( fresh fracture) … Conservative or operative ?
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Baher Samy Arm sling 2 weeks then start pendulum exercises progressing to active ROM exercises at 4-5 weeks, with weekly check xrays, the patient should regain his prefracture status in 8 weeks! -
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DrAvinash Mahender Thanks everyone for your valued opinion … I’ve gone with conservative mgmt… Will keep u posted about the results
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Alladu Hemanth Kumar Dear doc.
Gt. Fracture function comes from an intact cuff.
Please get an mri and decide to fix or conservative… -
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DrAvinash Mahender Which is wat u have said…..MRI does sound tempting but there isn’t much displacement in the x ray … So hoping for the best
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Alladu Hemanth Kumar Dear doc.
The cuff tear does not depend on the displacement of tge greater tuberosity… its soft tissue injury at the junction which is impossible to assess on plain x.ray. -
DrAvinash Mahender Respected Sir ,
does cuff tear require an emergent management ?.. I thought I could assess that clinically after fracture union … Correct me if I am wrong -
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Alladu Hemanth Kumar Dear Doc.
Clinical union according to your line of treatment will take 3 months.
Some amount of stiffness will give the deltoid leverage and false cuff strength.
If you access now and if you have cuff tear fix the cuff tear not the greater tuberosity patient will be back to activity in 3 months.
By waiting for union we are prolonging the recovery to 6 months if there is cuff tear.
Which indirectly will lead to loss of function.
The best way is to assess before deciding the treatment -
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Karthikeyan Mani Conservative , as for cuff injury if there is bony avulsion more often than not it might have spared soft tissues I think -
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