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Want to consult for shoulder surgery
Hi Doctor My friends mother recently fell at her home and has injured her shoulder. The doctor has advised surgery as her shoulder bones are broken. She is 63 years old and a diabetic. Could you please suggest the necessary. I have attached an x-ray for same. Thanks in Advance!
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Results of surgery may not be better than those of conservative treatment in a elderly patient with diabetes and associated problems.
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Hi. X-rays certainly shows fracture in her arm bone upper end. In young persons this fracture is commonly treated with surgical reduction and stabilisation but in older individuals with poor general conditions, poor bone quality, medical co existing conditions the choice of management is more conservative than Surgical. She can be given a shoulder sling for few days till pain is high. Then she should be put on Physio to mobilise the joint and gradually increase to regain the strength of muscles. Final results are almost similar to that surgical intervention.
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Surgery needed
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In a UK study, this type of fractures treated with or without surgery for same results. There is risk of stiffness for overhead activities even after surgery. She needs weekly X-rays for two weeks. She needs regular rehabilitation and physio now. Opinion given by Dr Sivaraman B, Shoulder Consultant, OMR, Chennai
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Yes surgery is required
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.