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Fracture shaft of humerus
What's the best way of management in a 62/f,who had a fall by slipping near washroom and suffered fracture shaft of humerus? She is diabetic, hypertensive, took treatment for breast cancer T1N0M0 modified radical mastectomy and chemotherapy completed 3 years back.Can she undergo intramedullary nailing. Are there any complications associated with it?
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Usually a lot of humerus fractures can be managed without surgery but we will have to evaluate online if there is any neurological deficit associated with the fracture and since your mother is already on chemotherapy it might be advisable to follow conservative that is without surgery option kindly consult online by booking appointment
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Humerus cast initially
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Please share another x ray ,there seems to b cortical breach in elbow too. To rule out fracture in elbow get fresh x ray elbow AP and lateral view.
Its seems to be a pathological fracture. Its pattern suggests it to be a pathological fracture until proves otherwise. She is already a patient of CA breast, high chance of secondries. Please get full investigations like full body bone scans, chest CT, Abdominal ultrasound, certain blood investigations.
It's better to get operated and a intramedullary nail spanning whole humerus is to b done .
Otherwise in non pathological fracture of this type r best treated conservatively in cast / plaster. I prefer extension cast with excellent results.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.