Shoulder Fracture
A shoulder fracture is usually a fracture (break) in the upper part of the humerus (arm) bone close to shoulder joint. It commonly occurs during falls but can happen with impact to the shoulder during sport or car accidents for example. Initially you will have pain and might feel unable to lift your arm away from your side. It can become quite swollen and after a few days it is not unusual to have significant bruising emerge in your upper arm that spreads down to your elbow.
How is a shoulder fracture treated?
The injury will be confirmed with xrays and initially you will be given a sling to wear for comfort, there are different types of sling depending on the type of fracture you have. You will need to take painkillers and may find icepacks help to reduce pain and swelling.
Most shoulder fractures don’t require surgery and will be treated in a sling with physiotherapy. Some fractures, however, are more significant or complicated and surgery may be discussed to improve the outcome.
Can you move your shoulder if its fractured?
During the first two weeks it is often very uncomfortable to move the shoulder but you will be given exercises for the elbow, hand and wrist and some gentle exercises for the shoulder to reduce stiffness. Sleeping can be uncomfortable so it may help to sleep propped up and wear the sling overnight.
As the fracture starts to heal you will be able to move the shoulder more comfortably, use your hand for more daily activities and the physiotherapy exercises will increase.
How long does it take a fractured shoulder to heal?
The bone will normally heal within 6-8 weeks, and this will be checked with an xray and examination. It will take several more months to regain full movement and strength and in some people the shoulder may always be stiff or weak.
You can start light activities such as washing, dressing and eating etc when you feel able to. To return to driving you need to be comfortable and strong enough to control the vehicle safely, for most people this is after around 6-8 weeks.
If you have a desk-based job you can return whenever you feel comfortable and able to manage. For a more physical job, heavy lifting or sports it is likely to be 12 weeks before you are ready.
How do they fix a fractured shoulder?
The surgeon will make a cut over your shoulder to realign the bone fragments and then usually fix them in place with a metal plate and screws. Occasionally large bolts are used instead of plates and sometimes, if the shoulder is severely injured, you may benefit from a shoulder replacement instead of repairing it.
After surgery you will rest in a sling but begin light activities as soon as you are ready. There are still restrictions on what you can do to protect the fixation while the fracture heals during the first 6-8 weeks.
