Pain in the arm after Open reduccion and Internal fixation of a humerus fracture


Q: Shattered humerus in left arm 10 july 2011,had orif surgery which was more complicated than anticipaited on 22 august 2011, im still in terrible pain,muscle spasms and feelings as to electric shocks ,the pain goes to my wrist and fingers and stiffness,although i do exercises on my arm


A:    Possibly you are experiencing a complication of the fracture: Radial nerve injury , which occurs in up to 18% of humeral shaft fractures. Most of these nerve injuries are neurapraxic (reversible nerve damage) or axonotmetic  (reversible axonal damage)types, 90% of which resolve to at least grade IV strength in 3-4 months. Four months has been noted to be an adequate period for humeral shaft fractures to heal. The nonunion rate reportedly varies from 1-15%. The other complication is the  nonunion  for humeral shaft fractures and it has  been associated with transverse fractures, as well as with such factors as fracture distraction, soft-tissue interposition, inadequate shoulder immobilization, and decreased shoulder motion. Medical factors that decrease the union rate include diabetes mellitus, corticosteroid use, older age, poor nutritional status, obesity. ORIF with compression plates and screws, with or without the aid of bone grafting, is considered to be the treatment of choice for most established nonunions. I can recommend you a re evaluation by your orthopedic surgeon and keep doing rehab to increase the range of motion, control pain, use therabands of progressive strenghts and start flexibility and stretching exercise to progressively built muscle strenght and mobility (i.e. towel behind back, finger walking up the wall, etc.).

Related Q&A

Q: Hi I Hited my head little hard in the bottom of pool now Iam having neck pain as well as top of the head swollen

Q: I was inner tubing down a steep hill and fell off onto a patch of ice. I hit my elbow directly. I am able to move my ...

Q: Hello, My mother had severe pain and numbness in legs around 2 months ago. She was not able to walk freely. Spine ...

Q: RN of 27 years lifted a patient falling out of a w/c. That was the 13th. Increasing abdominal, hip, thigh pain despit...

Q: Im a 43 year old male and about a day and a half ago I started experiencing a dull pain from my scrotum (or left test...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon