From the Research
The upper extremity should be maintained as non-weight bearing (NWB) for approximately 6 weeks following a humeral fracture, as evidenced by the most recent and highest quality study 1.
Background
The management of humeral fractures involves a period of non-weight bearing to allow for proper healing and minimize the risk of complications. The duration of non-weight bearing can vary depending on the location and severity of the fracture, as well as individual patient factors.
Evidence
A recent case report published in the Journal of Orthopaedic Case Reports 1 described a patient with a humeral shaft and distal humerus fracture who was recommended to be non-weight bearing for 6 weeks. This study provides the most recent and highest quality evidence for the management of humeral fractures.
Rehabilitation
After the initial 6-week period of non-weight bearing, gradual introduction of movement and light use may begin, under the guidance of a healthcare provider or physical therapist 2. This transition helps prevent joint stiffness and muscle atrophy while allowing continued bone healing. Full recovery and return to normal activities often takes 3 to 6 months, depending on the fracture's complexity and the patient's overall health.
Key Points
- Non-weight bearing for approximately 6 weeks following a humeral fracture
- Gradual introduction of movement and light use after 6 weeks
- Full recovery and return to normal activities often takes 3 to 6 months
- Regular follow-up appointments and X-rays are typically scheduled to monitor healing progress and adjust the treatment plan as needed 3
Considerations
It's crucial to follow the specific instructions provided by your orthopedic surgeon or treating physician, as they will tailor the NWB duration and rehabilitation plan to your individual case. The evidence suggests that early weight bearing may be feasible and safe in some cases, but more research is needed to fully understand its effects 4, 2.