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Orthopaedic trauma

Upper Limb Fractures

OVERVIEW

Upper limb fractures refer to breaks or cracks in the bones comprising the arm, shoulder, elbow and hand. These fractures can range from simple hairline cracks to more complex breaks involving multiple fragments. Dr du Plessis emphasizes the importance of accurate diagnosis and tailored treatment plans to ensure optimal recovery and functionality.

Types of upper limb fractures:

Dr du Plessis deals with a spectrum of upper limb fractures, each requiring a nuanced approach:

  1. Clavicle fractures: Often caused by a direct blow to the shoulder, clavicle fractures are common and may involve a simple crack or a complete break.
  2. Humerus fractures: Fractures of the upper arm bone can occur near the shoulder or the elbow, presenting a diverse set of challenges in treatment.
  3. Radius and ulna fractures: These fractures typically occur in the forearm and may result from a fall onto an outstretched hand or a direct impact.
  4. Hand and wrist fractures: Dr du Plessis addresses fractures in the intricate structures of the hand and wrist, which may involve the metacarpals, phalanges, or carpal bones.

Causes of upper limb fractures:

Upper limb fractures can arise from various causes, including:

  1. Trauma: Accidents, falls, and sports injuries are common culprits.
  2. Osteoporosis: Weakened bones due to conditions like osteoporosis may increase the susceptibility to fractures.
  3. Overuse or repetitive stress: Continuous stress on the upper limb, as seen in certain occupations or sports, can lead to fractures over time.
SYMPTOMS
Recognizing the signs of upper limb fractures is crucial for prompt intervention:
  • Pain and swelling: Immediate pain and swelling at the site of the fracture are common indicators.
  • Limited range of motion: Difficulty moving the affected limb may signal a fracture.
  • Deformity: Visible deformity or an abnormal alignment of the limb can be indicative of a fracture.
TREATMENT
Dr du Plessis adopts a personalized approach to treatment, considering factors such as the type and severity of the fracture, the patient's overall health, and lifestyle. Treatment options include:

Conservative treatment:

For less severe fractures, immobilization through casting or splinting may be sufficient, allowing natural healing over time.
SURGERY
In complex fractures or cases where conservative methods prove inadequate, surgical intervention may be necessary. Dr du Plessis employs advanced techniques such as internal fixation or external fixation to realign and stabilize the fractured bones.

FAQ

How long does the recovery process take for upper limb fractures?
The duration of recovery varies depending on the type and severity of the fracture, the chosen treatment approach, and individual factors such as the patient's overall health. Dr du Plessis provides personalized recovery plans, including rehabilitation exercises, to optimize healing and restore function.
Is physical therapy necessary after the treatment of an upper limb fracture?
Physical therapy is often a crucial component of the recovery process after an upper limb fracture. It helps improve range of motion, strength, and function. Dr du Plessis works closely with physical therapists to design customized rehabilitation programs tailored to each patient's needs.
How can I prevent upper limb fractures?
While some accidents are unavoidable, measures can be taken to reduce the risk of upper limb fractures. This includes maintaining overall bone health, incorporating strength training exercises, using protective gear in sports, and practising caution in activities that pose a risk of falls or trauma.

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    PUBLICATIONS

    Assessment of the Reliability and Reproducibility of the Langenskiöld
    Classification in Blount’s Disease

    DU PLESSIS J, Firth GB, Robertson A. Assessment of the reliability and reproducibility of the Langenskiöld classification in Blount's disease. Journal of Pediatric orthopedics. Part B. 2019 Nov 12.

     

    The Impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg

    Foster M, Du Plessis J, Jansen van Vuuren M, Jingo M, Pietrzak JR. The impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg. SA Orthopaedic Journal. 2022;21(2):70-5.

    Short term results following two stage revision for periprosthetic joint infection

    DU PLESSIS, J et al. Short-term results following two-stage revision for periprosthetic joint infection. South African Orthopaedic Journal, [S.l.], v. 19, n. 2, p. 64-69, may 2020

     

    Comparison of visual estimations of distal radius fracture radiographic parameters between different levels of orthopaedic doctors.

    Naidoo V, Milner B, du Plessis J. SA Orthop J. 2025;24(1):26-31. http://dx.doi.org/10.17159/2309-8309/2025/v24n1a4