Humeral shaft fracture

A humeral shaft is a common fracture that occurs in the middle of the upper arm bone (the humerus). This may cause significant pain and make it difficult moving your arms, affecting your day to day activities.

What is a humeral shaft fracture?

A humeral shaft fracture is a break in the middle section of the humerus, the long bone that runs between your shoulder and elbow. These fractures are usually caused by a significant injury, such as a direct blow to the arm or a fall onto an outstretched arm when the elbow is locked. The severity of the fracture can vary, from a small crack in the bone to a more complex injury where the bone fragments have moved out of position. It is important to have a prompt assessment by a consultant as these injuries can sometimes affect nearby nerves or blood vessels, causing altered sensation and difficulty picking and carrying things.

What are the symptoms?

Symptoms can vary depending on the severity of the fracture but may include:

  • Pain in the upper arm
  • Swelling
  • Weakness
  • Difficulty moving the arm
  • A visible deformity of the upper arm
  • Bruising around the injury

 

How is it diagnosed?

Your consultant will begin by talking with you about how the injury happened and how your symptoms are affecting you. They'll then examine your arm, checking the position of the fracture as well as the function of the surrounding nerves and blood vessels.

To understand the full extent of your injury, we may recommend:

  • A detailed medical history
  • Physical examination
  • Assessment of movement where appropriate
  • Checks of circulation and nerve function
  • X-rays to confirm the fracture
  • CT scans where further assessment of the fracture is needed

 

How is it treated?

Your treatment will depend on the type of fracture, whether the bone remains in position and whether there are any associated injuries. Our consultants will explain your options clearly and work with you to recommend the approach that's right for you.

Treatment may include:

  • A splint and sling to support your arm while it begins to heal
  • Pain relief to help keep you comfortable during your recovery
  • Physiotherapy to restore movement, strength and function
  • Surgery where the fracture is unstable, displaced or associated with nerve, blood vessel or joint injuries
  • Some injuries require urgent surgical treatment, particularly if the fracture is associated with an elbow dislocation or damage to nearby nerves or blood vessels.

 

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What is a humeral shaft fracture?

Treatment routes for humeral shaft fracture

Many humeral shaft fractures can be treated successfully without surgery.

This is often suitable if the fracture is stable and the bones remain in good alignment. Treatment usually involves a short period of immobilisation in a splint and sling, followed by a personalised physiotherapy programme to help restore movement, strength and confidence.

The aim is to allow the bone to heal naturally while helping you return safely to your usual activities.

 

Recovery goals after humeral shaft fracture

Early recovery

Recovery initially focuses on:

Reducing pain and swelling Protecting the fracture while it heals Maintaining gentle movement where appropriate Preventing stiffness

Building movement and strength

As healing progresses, rehabilitation aims to:

Restore movement in the shoulder and elbow Improve strength and control Increase confidence using the arm Return to normal daily activities

Returning to the activities you enjoy

The final stage of rehabilitation focuses on:

Building strength for work, sport or recreation Improving function and coordination Returning safely to higher levels of activity where appropriate Reducing the risk of further injury

Working with elbow professionals and teams

Our elbow specialists support professional athletes, sports teams, active individuals and people whose work places high demands on their elbows. Working closely with radiologists, physiotherapists and the wider multidisciplinary team, they provide coordinated care from diagnosis through to rehabilitation, helping each person return safely to sport, work or everyday activities.

 

The same specialist expertise and collaborative approach are available to every patient, whatever your activity level or recovery goals.

Working with elbow professionals and teams

How to pay

We offer flexible options depending on how you choose to access care at Fortius. Whichever option you choose, we’ll help make the process clear and straightforward from the start.

Private medical insurance

Private medical insurance

If your care is covered by private medical insurance, we’ll usually invoice your insurer directly. Please check your policy in advance and request an authorisation code if your insurer requires one. You’ll be responsible for paying any policy excess or costs that aren’t covered by your insurance.

Paying for yourself

Paying for yourself

You don’t need private medical insurance to access care at Fortius. If you’re paying for your own treatment, our team will explain the costs clearly and provide a personalised quote before you decide whether to go ahead.

 

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