Evidence map›Paper›PMID 39105844›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Evaluating the association of radiographic parameters of proximal humerus fractures managed conservatively with functional outcomes.

Joshua Song, Lim Chien Joo, Low Chee Chung Jonathan, Sean Wei Loong Ho, Ivan Chua, Ernest Beng Kee Kwek, Bryan Yijia Tan

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Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Joshua SongDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, Singapore, 308433, Singapore. jstham@outlook.com.ORCID http://orcid.org/0000-0003-0708-078X
Lim Chien JooDepartment of Orthopaedic Surgery, Woodlands Health Campus, Singapore, Singapore.
Low Chee Chung JonathanDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Sean Wei Loong HoDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Ivan ChuaDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Ernest Beng Kee KwekDepartment of Orthopaedic Surgery, Woodlands Health Campus, Singapore, Singapore.
Bryan Yijia TanDepartment of Orthopaedic Surgery, Woodlands Health Campus, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTreatment of proximal humerus fractures remains controversial. Understanding the factors that can affect the long-term functional outcomes can aid with management choices. This primary aim of this paper is to evaluate the association of radiographic parameters with functional outcomes.

methodsRadiographic parameters [Caput-collum-diaphyseal (CCD) angles, Y-scapular angles, and humeral head height (HHH)] were studied. The patients were split into varus and valgus groups based on the CCD angles and retroverted and anteverted groups based on Y-scapular angles. Functional outcome was measured by Oxford Shoulder Score (OSS), Constant Shoulder Score (CSS), and quick Disabilities of Arm, Shoulder and Hand score at 1 year follow-up. Intra- and interrater reliability were measured with the intraclass correlation coefficients (ICCs). Receiver operator curve (ROC) analysis and logistic regression analysis defined the optimal value for abnormalities on radiographic evaluation as an outcome predictor.

results111 patients were recruited (mean age 69, 78% female). Median final radiographic assessment was at 7 months. Mean initial/final CCD was 119

conclusionRadiographic parameters whilst having excellent reliability, have a limited ability to predict short-term functional recovery. The extent of retroversion is the most important predictor for functional recovery with 25

Indexed as

RadiographyShoulder FracturesAdultAgedAged, 80 and overConservative TreatmentFemaleHumansMaleMiddle AgedRecovery of FunctionTreatment OutcomeConservativeFunctional outcomesProximal humerus fractureRadiographic parametersReliability

Identifiers

PMID39105844

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.