Outcomes of non-arthroplasty surgical treatment of proximal humeral head fractures
ABSTRACT OBJECTIVE: This study aimed to assess the outcomes of patients with humeral head fractures treated by reduction and osteosynthesis. METHOD: A total of 53 shoulders (52 patients) with humeral head fractures were operated between October 1996 and December 2009. Patients previously treated...
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Thieme Revinter Publicações Ltda.
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000500527&lng=en&tlng=en |
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| author | Alberto Naoki Miyazaki Pedro Doneux Santos Guilherme do Val Sella Denis Cabral Duarte Giovanni Di Giunta Sergio Luiz Checchia |
| author_facet | Alberto Naoki Miyazaki Pedro Doneux Santos Guilherme do Val Sella Denis Cabral Duarte Giovanni Di Giunta Sergio Luiz Checchia |
| author_sort | Alberto Naoki Miyazaki |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE: This study aimed to assess the outcomes of patients with humeral head fractures treated by reduction and osteosynthesis. METHOD: A total of 53 shoulders (52 patients) with humeral head fractures were operated between October 1996 and December 2009. Patients previously treated with primary arthroplasty and/or those who had less than two years follow-up were excluded. A total of 34 shoulders of 34 patients were therefore reassessed. In the sample studied, 23 patients were male and mean age was 47 years. Cases were assessed based on the UCLA score. RESULTS: Mean post-operative follow-up was 50 months. Twelve patients evolved with excellent outcome, seven good, five regular, and ten with poor outcome (55.8% satisfactory and 44.2% unsatisfactory outcomes). Mean UCLA score was 26 points. Mean post-operative range of motion measurements was 117° elevation, 36° LR and L1 MR. At the immediate post-operative radiography, anatomic reduction was evident in 17 patients (50%). Necrosis was detected in 18 patients, six Grade II and 12 Grade III cases. Female gender and anatomically reduced fractures were statistically better at UCLA scale (p = 0.01 and p = 0.0001 respectively). CONCLUSIONS: Female patients had a higher mean UCLA score than male patients (p = 0.01). Anatomically reduced fractures had higher UCLA scores (p = 0.0001) and lower necrosis rate (p = 0.0001). Reconstruction of humeral head fractures had a satisfactory outcome in 55.8% of cases and should be indicated in young and active patients. |
| first_indexed | 2024-03-08T07:07:59Z |
| format | Article |
| id | doaj.art-b472ce9acff346adac63de6af8cdaed1 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:05:43Z |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-b472ce9acff346adac63de6af8cdaed12024-04-03T10:34:48ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-437851552753410.1016/j.rboe.2016.08.011S0102-36162016000500527Outcomes of non-arthroplasty surgical treatment of proximal humeral head fracturesAlberto Naoki MiyazakiPedro Doneux SantosGuilherme do Val SellaDenis Cabral DuarteGiovanni Di GiuntaSergio Luiz ChecchiaABSTRACT OBJECTIVE: This study aimed to assess the outcomes of patients with humeral head fractures treated by reduction and osteosynthesis. METHOD: A total of 53 shoulders (52 patients) with humeral head fractures were operated between October 1996 and December 2009. Patients previously treated with primary arthroplasty and/or those who had less than two years follow-up were excluded. A total of 34 shoulders of 34 patients were therefore reassessed. In the sample studied, 23 patients were male and mean age was 47 years. Cases were assessed based on the UCLA score. RESULTS: Mean post-operative follow-up was 50 months. Twelve patients evolved with excellent outcome, seven good, five regular, and ten with poor outcome (55.8% satisfactory and 44.2% unsatisfactory outcomes). Mean UCLA score was 26 points. Mean post-operative range of motion measurements was 117° elevation, 36° LR and L1 MR. At the immediate post-operative radiography, anatomic reduction was evident in 17 patients (50%). Necrosis was detected in 18 patients, six Grade II and 12 Grade III cases. Female gender and anatomically reduced fractures were statistically better at UCLA scale (p = 0.01 and p = 0.0001 respectively). CONCLUSIONS: Female patients had a higher mean UCLA score than male patients (p = 0.01). Anatomically reduced fractures had higher UCLA scores (p = 0.0001) and lower necrosis rate (p = 0.0001). Reconstruction of humeral head fractures had a satisfactory outcome in 55.8% of cases and should be indicated in young and active patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000500527&lng=en&tlng=enEpiphyses/injuriesFracture fixation, internalShoulder fractures/surgeryShoulder/surgeryTreatment outcomeAdult |
| spellingShingle | Alberto Naoki Miyazaki Pedro Doneux Santos Guilherme do Val Sella Denis Cabral Duarte Giovanni Di Giunta Sergio Luiz Checchia Outcomes of non-arthroplasty surgical treatment of proximal humeral head fractures Revista Brasileira de Ortopedia Epiphyses/injuries Fracture fixation, internal Shoulder fractures/surgery Shoulder/surgery Treatment outcome Adult |
| title | Outcomes of non-arthroplasty surgical treatment of proximal humeral head fractures |
| title_full | Outcomes of non-arthroplasty surgical treatment of proximal humeral head fractures |
| title_fullStr | Outcomes of non-arthroplasty surgical treatment of proximal humeral head fractures |
| title_full_unstemmed | Outcomes of non-arthroplasty surgical treatment of proximal humeral head fractures |
| title_short | Outcomes of non-arthroplasty surgical treatment of proximal humeral head fractures |
| title_sort | outcomes of non arthroplasty surgical treatment of proximal humeral head fractures |
| topic | Epiphyses/injuries Fracture fixation, internal Shoulder fractures/surgery Shoulder/surgery Treatment outcome Adult |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000500527&lng=en&tlng=en |
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