ArticleFrontiers in medicine2025
Analysis of risk factors and prevention strategies of shoulder joint stiffness after traumatic proximal humeral fracture in patients with osteoporosis.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To explore the risk factors of shoulder stiffness after traumatic proximal humeral fracture in patients with osteoporosis, and to develop targeted prevention strategies to provide a basis for clinical optimization of perioperative management. Method: A retrospective analysis of 236 patients with osteoporosis and proximal humeral fractures treated from January to December 2024 was performed. According to whether shoulder stiffness occurred at 6 months after surgery, they were divided into stiffness group (119 cases) and non-stiffness group (117 cases). Clinical data such as age, body mass index (BMI), smoking history, and preoperative physical therapy were collected. Univariate and multivariate logistic regression analysis were used to analyze risk factors. Results: The incidence of shoulder stiffness was 50.4%. Univariate analysis showed that the stiffness group was older (52.83 ± 6.65 years vs. 43.31 ± 6.48 years), P24 kg/m Conclusion: Patients with osteoporosis undergoing surgery for proximal humeral fractures may develop shoulder joint stiffness. To optimize perioperative management, a three-tiered prevention strategy centered on smoking cessation, weight management and early physical therapy is recommended, supplemented by personalized comprehensive preventive measures.
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