Orthopaedic Treatment Proximal Humeral Fractures

2017-11-17 03:41:15 | BioPortfolio


Prospective non-randomized, open, unicentric clinical trial to compare two different treatments for Three-four parts fractures of proximal humerus (Neer's Classification) in elderly patients(over 75 years old). Both technics are: Sling inmobilization and shoulder arthroplasty.


The investigators propose an observational study that aims to assess:

- Primarily, the functional results of a cohort of 20 pacients presenting fractures of 3 and 4 parts of proximal humerus (according to (Neer's Classification) that will be treated orthopedically (this is, non-surgically). This patients will be recruited in the emergency room of our center, and after being diagnosed of their fracture, will be treated with a sling for three weeks and subsequent rehabilitation treatment. Our intention is to assess the function of the injured shoulder using functional scales (ASES and Constant score) at the time of one, three, six and twelve months from the date of the trauma.

- Secondly the investigators want to compare the results obtained in this cohort with the results of a historical cohort of patients operated in our center with the same type of fracture. Both types of treatment (non-surgical and shoulder prosthesis) are valid for this type of fracture, and endorsed by the scientific literature.

The investigators consider this to be an observational study since it assigns a single cohort of patients a single treatment (ie non-surgical treatment). The conservative treatment for this fractures is part of routine medical care, and the object of this study is studies the effect of this intervention.

Study Design


Proximal Humeral Fracture


Not yet recruiting


Hospital General Universitario Gregorio Marañon

Results (where available)

View Results


Published on BioPortfolio: 2017-11-17T03:41:15-0500

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Does Teriparatide (rhPTH 1-34) Promote Fracture Healing in Proximal Humeral Fractures?

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PubMed Articles [1791 Associated PubMed Articles listed on BioPortfolio]

Humeral Retroversion and Injury Risk After Proximal Humeral Epiphysiolysis (Little Leaguer's Shoulder).

The increased humeral retroversion on the dominant side of throwing athletes is thought to result from repetitive throwing motion. Little Leaguer's shoulder-a rotational stress fracture of the proxima...

Complications and Long-Term Outcomes of Open Reduction and Plate Fixation of Proximal Humeral Fractures.

The optimal treatment of complex proximal humeral fractures in adults remains controversial. We evaluated the risk of complications and the long-term outcomes in patients with a severely displaced fra...

Complications and Long-Term Outcomes of Open Reduction and Plate Fixation of Proximal Humeral Fractures.

The optimal treatment of complex proximal humeral fractures in adults remains controversial. We evaluated the risk of complications and the long-term outcomes in patients with a severely displaced fra...

Clinical and Radiographic Outcomes After Surgical Treatment of Proximal Humeral Fractures with Head-Split Component.

Head-split fractures are a subgroup of proximal humeral fractures in which the fracture line affects the articular surface. Limited data are available regarding outcomes and risk factors for failure f...

Intramedullary Fixation for Proximal Humeral Fractures.

Proximal humeral fractures are a commonly encountered injury; however, no consensus has been reached for the ideal treatment. Current surgical fixation options include plate, plate with fibular strut ...

Medical and Biotech [MESH] Definitions

Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.

Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)

The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.

Fracture of the lower end of the radius in which the lower fragment is displaced posteriorly.

The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.

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