MEDICAL REHABILITATION on PATIENT WITH POST OPEN REDUCTION AND INTERNAL FIXATION DUE TO FRACTURE OF HUMERUS DEXTRA

Abstract

Shoulder region is a complex joint that permit the greatest mobility of any joint in the body. The primary purpose of the shoulder is to put the hand in a position for function. Fracture of proximal humerus account for 5% of injuries to appendicular skeleton. Most are stable, minimally displaced osteoporotic fractures in elderly, and are the result of low energy falls. Surgery is considered in approximately 20% patients, either because they require better shoulder function or the fracture is more complex. Severely displaced fractures may produce skin tenting causing pressure necrosis. Most nerve injuries are direct to brachial plexus or traction injuries to axillary nerve. Motion, strength, and stability are the three components of shoulder function that can be disrupted by acute or chronic injury. All these three can be treated effectively with therapeutic rehabilitation. The goal of rehabilitation is always a functional recovery. In general, shoulder rehabilitation after surgery should begin with early active motion to restore normal shoulder mechanics.