(Left) The doctor will apply a splint that runs from near your shoulder all the way to your hand. If the fracture shifts out of position during this time, you may need surgery to put the bones back together. Splints are typically worn for 6 weeks before supervised motion is started. During the healing process, your doctor will take frequent x-rays to make sure the bone has not shifted out of place. Your doctor will apply a splint or sling to hold the elbow in place during healing. For example, patients with severe osteoporosis or other medical conditions may not be able to tolerate surgery. It may also be recommended for patients who are at higher risk for surgical complications. Nonsurgical treatment may be recommended for stable fractures in which the pieces of bone are not out of place (displaced). Some distal humerus fractures can be treated without an operation, but this is rare. Whether or not your fracture requires surgery will then be determined. Applying ice to reduce pain and swelling.While you are in the emergency room, your doctor will apply a splint (like a cast) to your elbow and give you a sling to help keep your elbow in position. Your doctor will order x-rays of your elbow to help diagnose your fracture.ĭepending on your symptoms, your doctor may also order x-rays of your upper arm, forearm, shoulder, wrist, and/or hand to ensure that you do not have any other injuries. X-rays provide images of dense structures, such as bone. This can result in weakness and numbness in the ring and small fingers.Īlthough you may have pain only at the elbow, your doctor may also examine your shoulder, upper arm, forearm, wrist, and hand to ensure that you do not have any other injuries. In some cases, the ulnar nerve may be injured at the same time the fracture occurs. Check to see that you can move your fingers and wrist, and can feel things with your fingers.Check your pulse at the wrist to ensure that there is good blood flow to your hand and fingers.This could indicate other broken bones or injuries, such as a dislocated elbow. Palpate (feel) all around your elbow to determine if there are any other areas of tenderness.In severe fractures, bone fragments can break through the skin, increasing the risk of infection. Check your skin for cuts and lacerations.He or she will then examine your elbow to determine the extent of the injury. Your doctor will talk with you about your medical history and general health and ask about your symptoms. Most patients with distal humerus fractures will go to an urgent care center or emergency room for initial treatment.
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