Document Detail

Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures.
MedLine Citation:
PMID:  7600169     Owner:  NLM     Status:  MEDLINE    
Twenty-six hemiarthroplasties were performed for acute three- and four-part proximal humerus fractures between March 1986 and December 1991. Postoperative pain, active range of motion, and function were evaluated in 22 patients at a mean follow-up period of 30 months (range 12 to 66 months) with the American Shoulder and Elbow Surgeons evaluation form. Seventy-three percent of patients reported only slight or no pain. Active forward elevation averaged 107 degrees, external rotation averaged 31 degrees, and the average internal rotation was to the second lumbar vertebra. Strength and stability were rarely problematic. Seventy-three percent of patients reported difficulty with at least three of 15 functional tasks tested. Lifting, carrying a weight, and using the hand at or above shoulder level were the most common limitations. This study indicates that hemiarthroplasty for acute three- and four-part fractures generally can be expected to result in painfree shoulders. However, recovery of function and range of motion are much less predictable.
R T Goldman; K J Koval; F Cuomo; M A Gallagher; J D Zuckerman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  4     ISSN:  1058-2746     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    1995 Mar-Apr
Date Detail:
Created Date:  1995-08-07     Completed Date:  1995-08-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  81-6     Citation Subset:  IM    
Shoulder Service, Hospital for Joint Diseases Orthopaedic Institute, New York, USA.
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MeSH Terms
Aged, 80 and over
Follow-Up Studies
Middle Aged
Pain, Postoperative
Range of Motion, Articular
Shoulder Fractures / surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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