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Ms.Kim Reiser - Mountain Hiker More
I continue to be excited and thankful about my progress. At the end of week 4, I was hiking at the edge of the wilderness again and doing stream crossings in the crystal clean mountain water. (photo attached) During the 6th week, my hiking time was up to 8 hours on relatively easy terrain along the headwaters of the Dearborn river. My quads and hamstrings are building strength daily and the ROM is almost back to normal. I still am challenged by a full squat but I keep working on it each day using props for support.
Shoulder Fractures
Most fractures of the shoulder were left to heal by itself by immobilising the arm. Though healing was not a problem, the resultant stiffness is a huge handicap for the patient. Plate and screw fixation commonly employed in other joint fractures , was unpopular in shoulder fractures because they caused enormous problems by interfering with the blood supply to the shoulder.
Recent Advance
Minimal and less invasive techniques have been developed specific for the shoulder like the plant ton plate which preserves the blood supply to the bones and at the same time stabilises the fracture adequately to permit early exercises. These techniques are performed without opening the skin or by employing a mini-incision only. Sometimes in elderly patient a hemi-replacement is the best solution to treat very comminuted fractures.
