ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2017
Functional and quality of life outcome after non-operatively managed proximal humeral fractures.
Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 38 citations in OpenAlex.
- Does interferential current provide additional benefit to orthopedic rehabilitation for the patients with proximal humeral fractures? A randomized controlled study.BMC musculoskeletal disorders · 2024Trial
- Systematic review of health utility losses from injuries and violence.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026Article
- Uncemented reverse total shoulder arthroplasty: is it a safe option for elderly patients with proximal humerus fractures?International orthopaedics · 2025Article
- Trend, disparities, and projection analysis of public data on shoulder fractures in Sweden: a retrospective analysis of two hundred and sixty two thousand, four hundred and forty four fractures.International orthopaedics · 2024Article
- Evaluating the association of radiographic parameters of proximal humerus fractures managed conservatively with functional outcomes.Archives of orthopaedic and trauma surgery · 2024Article
- Optimal immobilization position for conservative treatment of proximal humerus fractures by fracture type: a biomechanical cadaveric study.Scientific reports · 2024Article
- Conservative treatment of 3- and 4-part proximal humeral fractures: Can poor outcomes be predicted?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Valgising angular stable plate fixation in the treatment of multifragmentary proximal humeral fractures in elderly patients.Archives of orthopaedic and trauma surgery · 2024Article
- Cement-Augmented Screw Fixation with PHILOS Plating for Osteoporotic Proximal Humeral Fractures: An Observation of Mid- and Long-Term Curative Efficacy.Orthopaedic surgery · 2023Article
- Is malunion of the greater tuberosity after reverse shoulder arthroplasty in patients with complex proximal humerus fracture associated with worse clinical outcomes? A prospective cohort study.Archives of orthopaedic and trauma surgery · 2023Article
- Stabilization of Comminuted Fractures of the Proximal Humerus with Intramedullary Nails and Angularly Stable Locking Plates-Functional Results before and during the SARS-COVID-19 Pandemics.Medicina (Kaunas, Lithuania) · 2023Article
- Conservative Treatment of Proximal Humerus Fractures: When, How, and What to Expect.Current reviews in musculoskeletal medicine · 2023Review
- How age and gender influence proximal humerus fracture management in patients older than fifty years.JSES international · 2022Article
- Trending a decade of proximal humerus fracture management in older adults.JSES international · 2022Article
- Analyzing outcomes after proximal humerus fractures in patients <65 years: a systematic review and meta-analysis.JSES reviews, reports, and techniques · 2021Article
- Bone Allograft and Locking Plate for Severe Proximal Humeral Fractures: Early and Late Outcomes.Medical science monitor : international medical journal of experimental and clinical research · 2021Observational
- Tuberosity union in patients with proximal humerus fractures treated with reverse shoulder arthroplasty: a technical note and exploratory analysis.International orthopaedics · 2020Article
- Mid-term results of minimally invasive deltoid-split versus standard open deltopectoral approach for PHILOS™ (proximal humeral internal locking system) osteosynthesis in proximal humeral fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Longitudinal analysis of health status the first year after trauma in severely injured patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Observational
- Quality of life after fragility fracture in the Russian Federation: results from the Russian arm of the International Cost and Utility Related to Osteoporotic Fractures Study (ICUROS).Archives of osteoporosis · 2020Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFractures of the proximal humerus are common and most often treated non-operatively. However, long-term follow-up studies focusing on functional results and quality of life in patients after this type of fracture are scarce. The primary aim of this study is to report the long-term functional and quality of life outcome in patients with a proximal humeral fracture. MATERIALS AND
methodsA retrospective analysis of all consecutive patients undergoing non-operative treatment for a proximal humeral fracture in a level 2 trauma centre between January 2000 and December 2013 was performed. A database consisting of all relevant demographic, patient and fracture characteristics was created. Subsequently, a questionnaire containing the DASH (Disabilities of the Arm, Shoulder and Hand) score, EuroQol-5D (EQ-5D), VAS (visual analogue scale) score, and subjective questions was sent to all patients.
resultsA total of 410 patients (65 male, 345 female) were included for analyses. Average follow-up was 90 ± 48 months. DASH-scores <15 were considered as good. A median DASH-score of 6.67 [0.83-22.50] was found. A significant lower DASH-score was seen in patients under the age of 65 compared to older patients (p < 0.001). In comparison to an age-matched general Dutch population, Health related Quality of Life (HrQoL) on the EQ-us was not significantly worse in our study population (difference 0.02). Strong (negative) correlation was found between DASH-score and VAS-score, and DASH-score and HrQoL, respectively ρ = -0.534 and ρ = -0.787.
conclusionLong-term functional and quality of life outcomes are good in most patients after proximal humeral fractures, but negatively correlated to each other. LEVEL OF EVIDENCE: Level III.
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