Functional outcome following one-part proximal humeral fractures: a prospective study

Journal of Shoulder and Elbow Surgery
Nirmal C TejwaniKenneth A Egol

Abstract

A prospective study was undertaken to determine if patients recover pre-injury level of shoulder function 1 year after 1 part proximal humeral fractures. Of the 67 patients enrolled, 43 were female and 24 male with an average age of 64.8 years (range, 25-90 years). All patients underwent a similar treatment protocol consisting of early therapy for range of shoulder motion and strengthening. Baseline demographics and functional assessment, including the American Shoulder and Elbow Surgeons (ASES) evaluation form and the SF-36, were obtained at the time of injury. Functional and demographic data were evaluated with a Student's t test. Fifty-four patients (80%) completed a 1-year follow-up. By 3 months, all patients attained radiographic and clinical evidence of union and no loss of reduction. At 1 year, the ASES score was similar to pre-injury status (93.7 vs 99.1; P = .12). The range of shoulder motion of the affected side was diminished compared to the unaffected extremity in internal rotation (P < .001) and external rotation (P < .001) but not forward flexion. Patients, who sustain minimally displaced proximal humeral fractures treated nonoperatively, largely returned to preoperative functional status at 1-year follow-up. Pati...Continue Reading

References

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Citations

Oct 8, 2009·Archives of Orthopaedic and Trauma Surgery·Christian BahrsKuno Weise
Aug 3, 2011·Current Reviews in Musculoskeletal Medicine·Craig S Mauro
May 31, 2012·Current Reviews in Musculoskeletal Medicine·Mark J Jo, Michael J Gardner
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Dec 22, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Vamsi Krishna KancherlaOke A Anakwenze
Mar 19, 2011·Clinical Orthopaedics and Related Research·Crispin OngKenneth A Egol
Jun 12, 2018·Obere Extremität·Jonas PogorzelskiPeter J Millett
Oct 2, 2013·The Open Orthopaedics Journal·James C WidnallMohammed Waseem
Oct 1, 2019·The Bone & Joint Journal·Matthijs JacxsensChristian Spross
Jun 15, 2020·International Orthopaedics·Qi SunMing Cai
Jan 5, 2011·The Journal of Bone and Joint Surgery. British Volume·I R MurrayC M Robinson
Jun 16, 2021·The Journal of Bone and Joint Surgery. American Volume·Christian SprossBernhard Jost

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