Shoulder & Humerus – Plating
Plating of the shoulder and humerus is a surgical procedure used to treat fractures of the upper arm bone (humerus)—especially proximal (near the shoulder) and shaft (mid-section) fractures. The technique involves using metal plates and screws to align and fix the broken bone fragments, allowing them to heal in the correct position.
This method is especially beneficial in displaced, comminuted, or unstable fractures, or when the fracture is not suitable for intramedullary (IM) nailing or non-surgical treatment.
Common Indications for Humerus Plating:
- Proximal humerus fractures (near the shoulder joint)
- Complex or comminuted fractures
- Fractures with bone loss or poor alignment
- Shaft fractures not ideal for IM nailing
- Fractures associated with joint dislocation
- Pathological fractures due to bone disease
Procedure Overview:
- Preoperative Assessment: Imaging such as X-rays or CT scans are used to evaluate the fracture and plan the surgery.
- Anesthesia: The procedure is performed under general or regional anesthesia.
- Surgical Exposure & Reduction: The surgeon makes an incision over the fracture site to access and realign the bone fragments.
- Plate Fixation: A metal plate is placed along the bone and fixed using locking or non-locking screws to stabilize the fracture.
- Closure & Recovery: The incision is closed with sutures, and a sling may be applied. Rehabilitation starts early to regain motion and strength.
Do’s After Shoulder/Humerus Plating
- Use a sling or arm support as recommended
- Keep the surgical wound clean and dry
- Follow your physiotherapy plan to regain shoulder and elbow movement
- Take medications as prescribed for pain and swelling
- Attend follow-up visits and imaging to monitor healing progress
- Maintain a nutritious diet to support bone healing
Don’ts After Shoulder/Humerus Plating
- Avoid lifting heavy objects with the operated arm
- Do not skip physical therapy or delay rehab exercises
- Avoid driving or overhead movements until cleared by your doctor
- Do not get the wound wet or apply creams unless prescribed
- Avoid smoking and alcohol, as they can delay bone healing
- Do not ignore signs of infection such as fever, redness, or wound discharge