4-part fracture of surgical neck of unspecified humerus, sequela Save

Understanding 4-Part Fracture of Surgical Neck of Unspecified Humerus, Sequela

A 4-part fracture of the surgical neck of the humerus is a severe injury that can have long-term consequences. It occurs when the humerus bone in the shoulder sustains a break in four different fragments. This type of fracture is often caused by high-energy trauma, such as a car accident or a fall from a significant height.

When left untreated or improperly managed, a 4-part fracture can lead to various complications, commonly referred to as sequela. These complications may include malunion (improper healing), nonunion (failure to heal), avascular necrosis (loss of blood supply to the bone), and shoulder stiffness.

1. Malunion: In some cases, the fractured bone may heal in a misaligned position, causing deformity and affecting the normal functioning of the shoulder joint. This can result in pain, limited range of motion, and difficulty performing daily activities.
2. Nonunion: When a fracture fails to heal properly, it is known as nonunion. This complication can occur due to several factors, including poor blood supply to the fractured area, infection, or inadequate immobilization. Nonunion may require additional surgical intervention to promote bone healing.
3. Avascular Necrosis: Avascular necrosis refers to the death of bone tissue due to a lack of blood supply. When a 4-part fracture damages the blood vessels supplying the humerus, this complication can arise. It can lead to the collapse of the humeral head, resulting in chronic pain and shoulder dysfunction.
4. Shoulder Stiffness: After sustaining a 4-part fracture, the shoulder joint may become stiff and immobile. This can be due to prolonged immobilization or scar tissue formation during the healing process. Physical therapy and rehabilitation are often necessary to regain full range of motion and function in the shoulder.

It is important to seek immediate medical attention if you suspect a 4-part fracture of the surgical neck of the humerus. Early diagnosis and appropriate treatment can help minimize the risk of complications and improve the chances of a successful recovery.

Remember, this article provides general information and does not cover treatment options. Consulting with a healthcare professional is essential for accurate diagnosis and personalized treatment plans.