Evidence map›Paper›PMID 42307705›Full record

ReviewIrish journal of medical science2026

Outcomes of secondary interventions in treatment of post-traumatic stiff shoulder in conservatively managed proximal humeral fractures: a scoping review.

Yi Zhang, Niloufar Sadeh, Owen Mitchell, Michael Wilson, Robert Moverley

Abstract readReview
PubMed Publisher
In one paragraph

Review in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

The trial behind it

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Yi ZhangTrauma and Orthopaedics, University Hospitals Dorset, Bournemouth, United Kingdom. 94.zhangyi@gmail.com.
Niloufar SadehTrauma and Orthopaedics, University Hospitals Dorset, Bournemouth, United Kingdom.
Owen MitchellDorset County Hospital, Trauma and Orthopaedics, Dorchester, England.ORCID http://orcid.org/0009-0007-7450-3865
Michael WilsonTrauma and Orthopaedics, University Hospitals Dorset, Bournemouth, United Kingdom.
Robert MoverleyTrauma and Orthopaedics, University Hospitals Dorset, Bournemouth, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThere is no current gold standard in treating post-traumatic stiff (PTS) shoulder complicating conservatively managed proximal humeral fractures (PHFs). This scoping review seeks to present available outcome evidence in this cohort of patients.

methodsPubmed, Google Scholar and Cochrane review databases were searched for any studies that included PTS due to conservatively managed PHFs. Data extracted included a breakdown of the number of stiff shoulders, type of intervention, outcomes of intervention.

resultsOf the 886 stiff shoulders included, 236 were classified as PTS and 57 were specified to be conservatively managed PHFs. Of the 14 studies, 10 were on arthroscopic capsular release, 2 were on manipulation under anaesthesia (MUA) and the remaining 2 were on hydrodilatation. Majority of the studies showed significant improvement in range of motion and objective scoring. However, the clinical implications are limited since outcome data specific to conservatively managed PHFs are scarce.

conclusionThis review presents a gap of knowledge in managing PTS secondary to conservatively managed PHFs. Although positive, no specific outcome data could be drawn for the 57 PHFs as they were all presented as part of the data in all papers. More studies, especially those of a comparative nature, need to be carried out to elicit the gold standard of treatment for this cohort of patients.

Indexed as

Capsular releaseHydrodilatationManipulationProximal humeral fractureShoulder stiffness

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.