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Start in sitting with your arm supported on a pillow. Slide the sling over your wrist and thumb into the thumb-loop. Slide the sling over your forearm so that your elbow fits snuggly into the corner of the sling. Take the shoulder strap across your back and over your injured shoulder. Feed the strap through the ring and attach it back to itself.

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The humerus is the arm bone between your shoulder and your elbow. There are two types of humerus fractures based on the location of the break (s). Trauma from a fall or accident are often the cause of this type of fracture. Treatment varies depending on the type and severity of the break but may include the use of a sling, brace, splint or cast.

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In some cases of proximal humerus fractures, a collar and cuff sling is used instead. They provide less support but allow the weight of the arm to provide gentle traction which can help improve the alignment of the fracture. 2. Medication.

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Today you have been fitted with a collar and cuff sling. It works best with your arm hanging under your clothes next to your skin. A fractured neck of humerus will heal better if you allow your arm to relax into the sling and: • Avoid pillows or any supports under your elbow. • Avoid lying flat in bed.

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Fractured Neck of Humerus You have been put in a collar and cuff sling because you have broken the long bone of your upper arm. The weight of the arm keeps the bone in the right place so you do not need a plaster of Paris. Your forearm and hand may be swollen and bruised for a number of weeks; this is normal.

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Injuries: If you hurt your shoulder, elbow, arm, or wrist, you might need to be put in a sling for a while as you recover.Slings are often used for sprains, dislocations, and tears (e.g., rotator cuff). Fractures: If you have a broken shoulder fracture, elbow, or wrist, it's important to limit your arm movements to make sure the broken bones can heal properly.

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Proximal Humeral Fracture Page 3 of 8 You should use your collar and cuff (sling) for 3 weeks. This should help your fracture to heal. After 3 weeks, you slowly reduce use of the sling if your pain allows, but when resting you can use the sling for 6 weeks. Exercises 1. Pendular Swings Stand with your unaffected hand leaning on a sturdy

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Fractured Humerus Royal United Hospitals Bath NHS Foundation Trust 01225 428331 www.ruh.nhs.uk . Care of a humeral fracture in a collar and cuff If you have a fractured humerus you will probably have a collar and cuff sling applied. This is designed so that gravity can allow the bone to stay in as good a.

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Proximal humerus fractures are described as 11 fractures with further subdivision into unifocal extra-articular denoted as 11-A, bifocal extra-articular denoted as 11-B and articular fractures denoted as 11-C.. Hanging casts are perceived to be less useful than simple collar and cuff slings, as they do not seem to improve reduction and may.

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Most proximal humerus fractures do not need surgery but this depends on the type of injury. In some instances, surgery is required to fix the fracture or replace the joint. Your doctor will discuss this with you. Sling. Most fractures involve a short period of immobilisation, usually wearing a collar and cuff for comfort.

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Reduction is seldom required for humeral shaft fractures. Fractures will usually "hang out" (i.e. under influence of gravity) to good alignment and apposition using a collar and cuff. Mid-shaft humeral fractures should be followed up in fracture clinic at 1 week. Spiral fractures of the humerus in toddler age and younger are strongly linked.

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Humeral head-split fractures, in which a portion of the humeral head breaks and disrupts the cartilage of the joint. Displaced fractures in younger patients. Fractures involving the attachments of the rotator cuff. See Rotator Cuff Injuries. Proximal humerus fracture surgery, like all types of surgery, carries some risks, such as infection.

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Figure 1: A patient with a proximal humerus fracture. Front and side pictures show the swelling and bruising down the arm. Figure 2: Skeleton model showing the proximal humerus and three other bones of the shoulder. Figure 3: X-ray of a normal shoulder. The shoulder joint is between part of the scapula or shoulder blade (blue line) and the.

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Proximal Humerus Fracture Page 4 of 8 Please follow the rehabilitation plan shown below This gives you an idea of where you are on your journey to recovery. The exercises can be adapted by your physio to suit your needs as required. Weeks since injury Rehabilitation Plan 1-3 • Wear the collar and cuff (sling) all the time, even at night in bed.

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- Collar and cuff sling - Hanging arm cast; Pictures - Thumbs up sign for radial nerve motor function - Thumb extension against resistance - OK sign to assess median nerve - Weak OK sign. Fractures of the humerus can occur proximally, at the shaft, or distally. The majority of both proximal and midshaft humerus fractures are nondisplaced and.

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preference, the sling is secured by a 'swathe'. In others, a 'collar and cuff' is used instead of a sling. A well-positioned sling and swathe should look like diagram 1a. Diagram 1b shows a sling without a swathe, and diagram 1c shows a collar and cuff. In the following sections we tell you things you should DO, including some tips on pain