Rehabilitation Features for Patients with Diaphyseal Humerus Fractures During Conservative Treatment

Abstract

Aim: Determination of the key criteria for selecting the optimal physical rehabilitation scheme depending on the chosen method of conservative treatment. Materials and Methods: The study involved 53 patients with diaphyseal humerus fractures. In all cases, conservative functional treatment methods have been applied. Results: Based on the applied methods of conservative treatment, four clinical groups for medical rehabilitation have been identified: A, B, C, D, each containing 2 subgroups, depending on the relationship between the bone fragments and the sites of muscle attachment in the diaphyseal segment of the humerus. Subgroup “1” involved patients with diaphyseal humerus fractures, where the fragments serve as the sites of attachment for muscles. Subgroups “2” encompassed cases with fractures in the specified area, where the fragments do not serve as the sites of muscle insertion. The assessment of the functional activity of the elbow and shoulder joints was performed using the MEPS and CMS scales, respectively. Conclusions: The anatomical and topographical features of the muscle component are crucial for selecting the optimal tactics for conducting rehabilitation measures.