Epidemiology of proximal humerus fractures

Launonen, Antti P; Lepola, Vesa; Saranko, Aino; Flinkkilä, Tapio; Laitinen, Minna; Mattila, Ville M.

doi:10.1007/s11657-015-0209-4

Cited by 225 publications

(202 citation statements)

References 24 publications

(31 reference statements)

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Section: Introductionmentioning

confidence: 90%

“…Population-based studies estimate similar annual incidence rates in North America and Europe (60 and 82 per 100,000 person years, respectively) [1,2]. The incidence of PHF increases with age and 70.5% occur in women [1,2]. In fact, PHF is the second most common upper extremity fracture in adults 65 years of age and older at which point the annual incidence is 253 per 100,000 person years [1].…”

Section: Introductionmentioning

confidence: 94%

“…Most PHF (62%) are 2-part fractures and 78% are treated non-surgically [2]. The incidence decreases as the severity increases across the spectrum of PHF [3].…”

Section: Introductionmentioning

confidence: 99%

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Rehabilitation of proximal humerus fractures: An environmental scan of Canadian physiotherapy practice patterns

Kwan¹,

MacIntyre²

2017

J Nov Physiother Rehabil

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Background: Proximal humerus fractures (PHFs) are common injuries particularly in older adults. Evidencebased protocols for PHF rehabilitation are lacking and physiotherapists use a variety of interventions.Purpose: To determine practice patterns and perceptions of physiotherapists who treat adults with PHF in Ontario, Canada.Method: A paper and pencil survey asking about respondent demographics and management of Neer Group 1 (minimally/nondisplaced) and complex (displaced 3-and 4-part) PHF was mailed to 875 randomly selected physiotherapists who were registered with the College of Physiotherapists of Ontario in 2013/2014 and working in practice areas likely to be accessed by adults with PHF. Results:The response rate was low (10%); 83 physiotherapists completed the survey -80% had experience managing PHF. Respondents treated 1-5 individuals with PHF annually; more treated Neer Group 1 PHF (89%) than complex PHF (68%). Most individuals with PHF were older than 60 years (64%), female (76%) and accessed physiotherapy through a doctor's referral (91%) more than 1 month post injury (33%). Main fi ndings:Physiotherapists manage PHF using multi-component interventions and a minimum of 76% include the following elements: education and progression of passive, active assisted, active range of motion exercises and muscle retraining to build coordination and strength. Use of other elements was variable. The main factors infl uencing the treatment plan were the ability of the individual with PHF to comply, bone quality, and fracture type. Most respondents were unsure that there is suffi cient PHF rehabilitation literature to guide treatment. Conclusions:This environmental scan is the fi rst North American study to document practice patterns and attitudes of physiotherapists providing PHF rehabilitation. Elements used by physiotherapists in Ontario treating small numbers of individuals with Neer Group 1 or complex PHFs each year align well with the limited PHF rehabilitation literature available. Potential implications:Multi-disciplinary collaborations to design and conduct large, high quality, multi-centre prognostic studies and RCTs that evaluate the effectiveness of key aspects of non-surgical PHF rehabilitation in various patient groups are needed. Meanwhile, consensus guidelines should be developed in the context of regionspecifi c physiotherapy service models to inform best practice in PHF rehabilitation management.

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Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 94%

See 1 more Smart Citation

Rehabilitation of proximal humerus fractures: An environmental scan of Canadian physiotherapy practice patterns

Kwan¹,

MacIntyre²

2017

J Nov Physiother Rehabil

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“…This is expected to increase to 490,000 by the The most common mechanism for fracture of the humerus is a fall directly onto the shoulder or arm with 87% of fractures resulting from a fall from ground level height [1] [3]. The proximal humerus is often fractured in patients with osteoporosis and is the third most common osteoporotic fracture type observed in elderly patients, after wrist and hip fractures [4]. This would largely explain why the incidence between females and males is 3:1 with an exponential increase in incidence as patients become older [2] [3] [4].…”

Section: Introductionmentioning

confidence: 99%

Functional Outcome Following Reverse Total Shoulder Replacement in the Setting of Trauma with Minimum 1 Year Follow-Up

Farrell¹,

McDonald²,

Lunn³

et al. 2018

OJO

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Aims: To evaluate the short term functional outcomes following a reverse total shoulder replacement for complex neck of humerus fractures. Methods: A single centre retrospective case series evaluating all patients who underwent reverse shoulder arthroplasty following a complex neck of humerus fracture. Functional shoulder movements were assessed by two orthopaedic trainees at 1 year follow-up and compared to the opposite shoulder. Subjective assessment was measured using the Disabilities of the Arm, Shoulder and Hand (DASH) score and the Oxford Shoulder Score (OSS). Documentation of any complications was also noted. Findings: The reverse total shoulder replacement showed favourable outcomes both subjectively and objectively. Subjectively patients in this study scored a mean of 27.5 +/− 24.4 (range 0 -57.8) in the DASH and 37.9 +/− 9.2 (range 26 -48) in the OSS. There was a high negative linear correlation between the 2 scoring systems (r = −0.95, p < 0.05) indicating moderate to good shoulder function in most cases. The objective data also showed good functional outcomes with all patients having clinically similar function between the injured and uninjured limb. Conclusion: A reverse total shoulder replacement shows favourable subjective and objective outcomes for complex neck of humerus fractures in the trauma setting.

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“…As FEPU incidem, principalmente, em pacientes idosos, do gênero feminino e por trauma de baixa energia, sendo a queda ao solo a ocorrência mais comum [3][4][5][6] . O impacto dessas fraturas na qualidade de vida dos pacientes é significativo, sem retorno ao nível prévio, mesmo após 24 meses de evolução 7 .…”

Section: Introductionunclassified

Estudo randomizado da osteossíntese das fraturas da extremidade proximal do úmero com placa ou haste intramedular

Gracitelli¹

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DedicatóriaAos meus pais, Luiz Carlos e Daisy, pela minha educação, formação pessoal e pela confiança incondicional. Meu reconhecimento por ensinarem o que é a incansável dedicação pela busca dos nossos sonhos.À minha esposa Patricia, pelo apoio contínuo e compreensão, pelo companheirismo, amizade e por todo o amor dedicado a mim e a nossa família. Sem ela, essa tese jamais teria sido possível.Aos meus filhos, Júlia e Ricardo, por serem a maior felicidade de nossas vidas. AgradecimentosAo meu irmão Guilherme e à minha cunhada Carolina, pelas revisões, sugestões e apoio nas diversas etapas na realização da tese.Aos meus queridos avós e avôs, Jorgina e Américo, Neyde e João Conforto (in memoriam), pela formação de nossa família.A toda família Gracitelli e Baines, pela amizade, compreensão e suporte.Ao Dr. Eduardo Angeli Malavolta, meu agradecimento especial, pela amizade e fundamental dedicação nas infindáveis revisões, discussões e análises da tese.

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Epidemiology of proximal humerus fractures

Abstract: The incidence of proximal humerus fractures increases with age, and we observe a seasonal variation strongly favoring winter months. It is evident that proximal humerus fractures cause considerable morbidity among elderly people and consume health care resources.

Cited by 225 publications

References 24 publications

Rehabilitation of proximal humerus fractures: An environmental scan of Canadian physiotherapy practice patterns

Rehabilitation of proximal humerus fractures: An environmental scan of Canadian physiotherapy practice patterns

Functional Outcome Following Reverse Total Shoulder Replacement in the Setting of Trauma with Minimum 1 Year Follow-Up

Estudo randomizado da osteossíntese das fraturas da extremidade proximal do úmero com placa ou haste intramedular

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