Reverse shoulder arthroplasty for four-part proximal humerus fracture in elderly patients: can a healed tuberosity improve the functional outcomes?

Background The purpose of this study was to investigate whether healed tuberosities yield better rotational range of motion (ROM) and functional outcomes compared with unhealed tuberosities after reverse shoulder arthroplasty in elderly patients with comminuted proximal humerus fractures. Methods Th...

Full description

Saved in:
Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2017-07, Vol.26 (7), p.1216-1221
Main Authors: Chun, Yong-Min, MD, PhD, Kim, Doo-Sup, MD, PhD, Lee, Doo-Hyung, MD, PhD, Shin, Sang-Jin, MD, PhD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
arthroplasty
Arthroplasty, Replacement, Shoulder - methods
Case-Control Studies
Female
fracture
Fractures, Comminuted - diagnostic imaging
Fractures, Comminuted - surgery
Health Services for the Aged
Humans
Male
Orthopedics
Proximal humerus
Range of Motion, Articular
Recovery of Function
repair
Retrospective Studies
shoulder
Shoulder Fractures - diagnostic imaging
Shoulder Fractures - surgery
tuberosity
Visual Analog Scale
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background The purpose of this study was to investigate whether healed tuberosities yield better rotational range of motion (ROM) and functional outcomes compared with unhealed tuberosities after reverse shoulder arthroplasty in elderly patients with comminuted proximal humerus fractures. Methods This study included 38 patients who underwent reverse arthroplasty because of 4-part proximal humerus fractures; 14 patients had healed tuberosities (group A) and 24 patients had unhealed tuberosities (group B). Functional assessments included visual analog scale pain score, American Shoulder and Elbow Surgeons score, Constant score, and active ROM. Results There were no significant differences in the patients' demographics between the 2 groups. At final follow-up, no significant differences were found between groups in visual analog scale score (group A, 1.4; group B, 1.6; P  = .647), American Shoulder and Elbow Surgeons score (74.3 and 70.7; P  = .231), and Constant score (67.9 and 63.9; P  = .228) and ROM with forward flexion and internal rotation. However, in external rotation, there was a significant difference between groups (29° and 10° in external rotation with the elbow at the side [ P  
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2016.11.034