CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONS
ABSTRACT Objective: To predict the risk of osteonecrosis (ON) according to the Neer and Hertel et al. classification for surgically treated proximal humeral fractures after at least one year of follow-up. Methods: This is a retrospective, cross-sectional, and observational cohort study. A total...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2023-07-01
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| Series: | Acta Ortopédica Brasileira |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000500204&tlng=en |
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| author | FABIO FABIAN BUSCARIOLO IGOR ARTHUR COSTA PARRON ELZIR FINIZOLA COSTA JUNIOR MARCOS VINICIUS FELIX SANTANA EDUARDO MISAO NISHIMURA EIFFEL TSUYOSHI DOBASHI |
| author_facet | FABIO FABIAN BUSCARIOLO IGOR ARTHUR COSTA PARRON ELZIR FINIZOLA COSTA JUNIOR MARCOS VINICIUS FELIX SANTANA EDUARDO MISAO NISHIMURA EIFFEL TSUYOSHI DOBASHI |
| author_sort | FABIO FABIAN BUSCARIOLO |
| collection | DOAJ |
| description | ABSTRACT Objective: To predict the risk of osteonecrosis (ON) according to the Neer and Hertel et al. classification for surgically treated proximal humeral fractures after at least one year of follow-up. Methods: This is a retrospective, cross-sectional, and observational cohort study. A total of 44 patients, 16 (36.36%) men and 28 (63.63%) women, with a mean age of 61.36 years, participated in this study. Lesions were categorized according to Neer and Hertel’s classifications, considering the preoperative prognosis for ON. After at least a year of follow-up, patients were reassessed. Data were evaluated using IBM SPSS Statistics®. Results: A total of three patients (6.8%) developed osteonecrosis. Comparisons showed no statistically significant difference, but we observed a superior association of osteonecrosis for the Hertel classification than that of Neer. Conclusion: Both classifications showed a similar ability to identify patients at low risk of developing ON. New studies with a greater number of participants and sample homogeneity may intensify the value of the evaluation of clinical applicability and predictive capacity of the studied classifications with greater significance and correlation. Level of Evidence III, Case Control Study. |
| first_indexed | 2024-03-12T23:09:17Z |
| format | Article |
| id | doaj.art-16d017597572435c868816f94647b774 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-03-12T23:09:17Z |
| publishDate | 2023-07-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-16d017597572435c868816f94647b7742023-07-18T07:47:18ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522023-07-0131310.1590/1413-785220233103e268183CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONSFABIO FABIAN BUSCARIOLOhttps://orcid.org/0000-0002-3213-4260IGOR ARTHUR COSTA PARRONhttps://orcid.org/0000-0002-4789-7519ELZIR FINIZOLA COSTA JUNIORhttps://orcid.org/0000-0002-8068-3440MARCOS VINICIUS FELIX SANTANAhttps://orcid.org/0000-0001-7368-873XEDUARDO MISAO NISHIMURAhttps://orcid.org/0000-0001-9803-8354EIFFEL TSUYOSHI DOBASHIhttps://orcid.org/0000-0001-6735-1401ABSTRACT Objective: To predict the risk of osteonecrosis (ON) according to the Neer and Hertel et al. classification for surgically treated proximal humeral fractures after at least one year of follow-up. Methods: This is a retrospective, cross-sectional, and observational cohort study. A total of 44 patients, 16 (36.36%) men and 28 (63.63%) women, with a mean age of 61.36 years, participated in this study. Lesions were categorized according to Neer and Hertel’s classifications, considering the preoperative prognosis for ON. After at least a year of follow-up, patients were reassessed. Data were evaluated using IBM SPSS Statistics®. Results: A total of three patients (6.8%) developed osteonecrosis. Comparisons showed no statistically significant difference, but we observed a superior association of osteonecrosis for the Hertel classification than that of Neer. Conclusion: Both classifications showed a similar ability to identify patients at low risk of developing ON. New studies with a greater number of participants and sample homogeneity may intensify the value of the evaluation of clinical applicability and predictive capacity of the studied classifications with greater significance and correlation. Level of Evidence III, Case Control Study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000500204&tlng=enHumeral HeadClassificationOsteonecrosisPrognosisHumeral Fractures |
| spellingShingle | FABIO FABIAN BUSCARIOLO IGOR ARTHUR COSTA PARRON ELZIR FINIZOLA COSTA JUNIOR MARCOS VINICIUS FELIX SANTANA EDUARDO MISAO NISHIMURA EIFFEL TSUYOSHI DOBASHI CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONS Acta Ortopédica Brasileira Humeral Head Classification Osteonecrosis Prognosis Humeral Fractures |
| title | CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONS |
| title_full | CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONS |
| title_fullStr | CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONS |
| title_full_unstemmed | CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONS |
| title_short | CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONS |
| title_sort | correlation of osteonecrosis rates in the surgical treatment of proximal humeral fractures according to the neer and hertel classifications |
| topic | Humeral Head Classification Osteonecrosis Prognosis Humeral Fractures |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000500204&tlng=en |
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