No differences between operative and non-operative treatments of proximal humerus fractures

Launonen, Antti P; Mattila, Ville M.

doi:10.1136/ebmed-2015-110210

Cited by 1 publication

(1 citation statement)

References 9 publications

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“…Fractures of the proximal humerus are demanding and for displaced fractures, the surgical intervention seems to be the appropriate way of treatment [11, 14, 16, 19], although conservative treatment has experienced a renaissance over the last years, especially in non-dislocated fractures [9, 16, 20, 21, 32]. Nevertheless, in fractures with dislocation of the fragments, the locking plate is a widely accepted way of treatment.…”

Section: Discussionmentioning

confidence: 99%

Return to sports after plate fixation of humeral head fractures 65 cases with minimum 24-month follow-up

Ahrens

Martetschläger

Siebenlist

et al. 2017

BMC Musculoskelet Disord

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BackgroundHumeral head fractures requiring surgical intervention are severe injuries, which might affect the return to sports and daily activities. We hypothesize that athletic patients will be constrained regarding their sporting activities after surgically treated humeral head fractures. Despite a long rehabilitation program physical activities will change and an avoidance of overhead activities will be noticed.MethodsCase series with 65 Patients, with a minimum follow-up of 24 months participated in this study. All patients were treated using a locking plate fixation. Their sporting activity was investigated at the time of the injury and re-investigated after an average of 3.83 years. The questionnaire setup included the evaluation of shoulder function, sporting activities, intensity, sport level and frequency evaluation. Level of evidence IV.ResultsAt the time of injury 61 Patients (94%) were engaged in recreational sporting activities. The number of sporting activities declined from 26 to 23 at the follow-up examination. There was also a decline in sports frequency and duration of sports activities.ConclusionThe majority of patients remains active in their recreational sporting activity at a comparable duration and frequency both pre- and postoperatively. Nevertheless, shoulder centered sport activities including golf, water skiing and martial arts declined or were given up.

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