Abstract
Four-part proximal humeral fractures are frequently treated with shoulder replacement. Outcome of this procedure has not been standardized, and there are controversy data on range of motion (ROM) and active function of the shoulder. The aim of this study is to compare shoulder prosthesis position (SPP) in terms of version of humeral head and height of stem with clinical subjective and objective outcome. Fifty patients were treated with shoulder hemiarthroplasty for four-part proximal humeral fracture or fracture-dislocation of the humeral head. Radiological examination and CT-scan were performed preoperatively and at follow-up. Clinical outcome evaluation included active and passive ROM, and subjective perspective collected through SF-36, OSQ, ASES, and DASH. No significant correlation between stem height and clinical outcome were found. The prosthesis version correlates with all subjective questionnaires. The ROM was not correlated with stem height and prosthesis version. SPP involves clinical outcome, with great relevance of implant version.
| Original language | English |
|---|---|
| Journal | Musculoskeletal Surgery |
| Volume | 95 |
| Issue number | SUPP |
| DOIs | |
| Publication status | Published - 2011 |
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Keywords
- Outcome, humeral fractures, shoulder fracture
- Shoulder arthroplasty
- Tuberosity healing
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
- Medicine(all)
Cite this
Position of shoulder arthroplasty and clinical outcome in proximal humerus fractures. / Padua, Roberto; Padua, L.; Galluzzo, M.; Ceccarelli, E.; Alviti, F.; Castagna, A.
In: Musculoskeletal Surgery, Vol. 95, No. SUPP, 2011.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Position of shoulder arthroplasty and clinical outcome in proximal humerus fractures
AU - Padua, Roberto
AU - Padua, L.
AU - Galluzzo, M.
AU - Ceccarelli, E.
AU - Alviti, F.
AU - Castagna, A.
PY - 2011
Y1 - 2011
N2 - Four-part proximal humeral fractures are frequently treated with shoulder replacement. Outcome of this procedure has not been standardized, and there are controversy data on range of motion (ROM) and active function of the shoulder. The aim of this study is to compare shoulder prosthesis position (SPP) in terms of version of humeral head and height of stem with clinical subjective and objective outcome. Fifty patients were treated with shoulder hemiarthroplasty for four-part proximal humeral fracture or fracture-dislocation of the humeral head. Radiological examination and CT-scan were performed preoperatively and at follow-up. Clinical outcome evaluation included active and passive ROM, and subjective perspective collected through SF-36, OSQ, ASES, and DASH. No significant correlation between stem height and clinical outcome were found. The prosthesis version correlates with all subjective questionnaires. The ROM was not correlated with stem height and prosthesis version. SPP involves clinical outcome, with great relevance of implant version.
AB - Four-part proximal humeral fractures are frequently treated with shoulder replacement. Outcome of this procedure has not been standardized, and there are controversy data on range of motion (ROM) and active function of the shoulder. The aim of this study is to compare shoulder prosthesis position (SPP) in terms of version of humeral head and height of stem with clinical subjective and objective outcome. Fifty patients were treated with shoulder hemiarthroplasty for four-part proximal humeral fracture or fracture-dislocation of the humeral head. Radiological examination and CT-scan were performed preoperatively and at follow-up. Clinical outcome evaluation included active and passive ROM, and subjective perspective collected through SF-36, OSQ, ASES, and DASH. No significant correlation between stem height and clinical outcome were found. The prosthesis version correlates with all subjective questionnaires. The ROM was not correlated with stem height and prosthesis version. SPP involves clinical outcome, with great relevance of implant version.
KW - Outcome, humeral fractures, shoulder fracture
KW - Shoulder arthroplasty
KW - Tuberosity healing
UR - http://www.scopus.com/inward/record.url?scp=84555189314&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84555189314&partnerID=8YFLogxK
U2 - 10.1007/s12306-011-0123-x
DO - 10.1007/s12306-011-0123-x
M3 - Article
C2 - 21479866
AN - SCOPUS:84555189314
VL - 95
JO - Musculoskeletal Surgery
JF - Musculoskeletal Surgery
SN - 2035-5106
IS - SUPP
ER -