Fracture of the Humerus Shaft with Type II Diabetes
             -a case conference in Shinjuku vocational school-

                               Presented by Inoue

Department of Judo Therapy with Samoncho Judoseifuku sejyutusyo and Samoncho clinic
Date: Aug/9 wed, 2006

Case:
      Male 65 y.o. with Type II diabetes mellitus.
Injury factor:
      Tumble down the stairs at the train station.
Background:
      Patient visited our clinic to ask 3rd opinion about his fracture.
      HbA1C: 8.6 % Fasting blood sugar level: 260 mg/dl
Treatment:
    Took conservative treatment after obtained informed consent.

Course of blood suger level:
     HbA1C => 7.8 % after 8 W with medicine, 6.9 % after 11 W with medicine.
      Fasting blood sugar level => 119 mg/dl after 8 W with medicine, 116 mg/dl after 11 W with medicine.

Repo. program:
    Set-up for Manual treatment with Clinic staff, Dr. Nr.

C arm observation:
    Manual treatment with Dr. and Nr.

Fixasion;
  Gypsum, Brace

X-p:
    First day before Repo.(A-P, Lateral) and after Repo. Process from 2 W to 12 W with A-P view and Lateral view.

B mode Ultra sound observation:
    3W after Repo. 4W3W after Repo. 8W after Repo.

For restoration:
   Pully exercise

Report;
We have experienced a case of humeral shaft fracture with type II diabetes and reported long-term results over 3 months.
Clinical good results were obtained in this cases.
There was no ADL restriction.
In this case, secure manual reduction and control of blood sugar level with hyperglycemia were needed.
It is interesting to note that callus formation was different from that of normal case.