Nonoperative Treatment of Proximal Humerus Fractures

Twiss, Todd

doi:10.1007/978-3-319-08951-5_2

Cited by 11 publications

(16 citation statements)

References 134 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fractures of the proximal humerus attribute for five percent of all fractures, and that they are third in prevalence among the foremost familiar forms of fractures. (1,2) The bulk of those fractures are low energy fractures occurring in older patie-nts. (3) Frequency tends to increase with age.…”

mentioning

confidence: 99%

“…Females over the age of sixty with a history of osteoporosis are more commonly affected. (2,4,5) Nearly ¾ of proximal humerus fractures occur in patients older than sixty who have fallen on extended hand. (2,3) Risk factors for proximal humeral fractures embrace older patients, osteoporosis, no history of endocrine replacement medical aid and smoking.…”

mentioning

confidence: 99%

“…(2,4,5) Nearly ¾ of proximal humerus fractures occur in patients older than sixty who have fallen on extended hand. (2,3) Risk factors for proximal humeral fractures embrace older patients, osteoporosis, no history of endocrine replacement medical aid and smoking. (2,3,6) No matter the age of the patient or mode of trauma, a recreation of the painless purposeful amplitude of movement remains the first treatment aim of those fractures.…”

mentioning

confidence: 99%

“…(2,3) Risk factors for proximal humeral fractures embrace older patients, osteoporosis, no history of endocrine replacement medical aid and smoking. (2,3,6) No matter the age of the patient or mode of trauma, a recreation of the painless purposeful amplitude of movement remains the first treatment aim of those fractures. (2) There presently exists many dilemmas like once to perform surgery and that surgery is the most applicable methodology of treatment that has nonetheless to be definitively determined.…”

mentioning

confidence: 99%

“…(2,3,6) No matter the age of the patient or mode of trauma, a recreation of the painless purposeful amplitude of movement remains the first treatment aim of those fractures. (2) There presently exists many dilemmas like once to perform surgery and that surgery is the most applicable methodology of treatment that has nonetheless to be definitively determined. High-level outcome-based mostly studies are presently being performed to assist answer queries.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Drawbacks of conservative treatment of proximal humerus fractures in elderly

Tharwat

Wanis²,

Elsayed

2020

Sohag Medical Journal

View full text Add to dashboard Cite

Background Fractures of proximal humerus are popular in older people. About ¾ of proximal humerus fractures occur in patients older than sixty. Several methods of internal fixation and arthroplasty are used. However conservative treatment continues to be used in this age group, although some complications of conservative management limit its indications. Objective To assess the outcomes of conservative treatment of proximal humerus fractures in elderlypatients. Methods It is a retrospective study of 30 elderly patients (over 50 ys) who suffered from proximal humerus fractures and received conservative treatment using broad arm sling. All patients were subjected to regular clinical and radiological examination to evaluate the time of union, range of motion, residual pain and complications. Results The average follow up time was 6 months. Nine cases(30%) showed nonunion while 11 cases(37%) showed delayed union after 3 months. The results showed8 cases (27%) with a poor range of motion and 13 cases(43%) with an acceptable range of motion while 9 cases (30%)showed a good range of motion. As regards Pain evaluation,8 cases (27%) with moderate pain while 13 cases (43%) with mild pain and 9 cases (30%) showed no pain. There were 4 cases (13%) of malunion, 3 cases (10%) of avascular necrosis of humeral head, 4 cases (13%) of inferior subluxation of the humeral head and 2 cases (7%) of posttraumatic arthritis. Conclusion Conservative treatment of proximal humerus fractures in elderly patients is associated with a significant incidence of unsatisfactory outcomes and should be limited only to patients unfit for surgery.

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Drawbacks of conservative treatment of proximal humerus fractures in elderly

Tharwat

Wanis²,

Elsayed

2020

Sohag Medical Journal

View full text Add to dashboard Cite

show abstract

Fusion of Clinical Data: A Case Study to Predict the Type of Treatment of Bone Fractures

Haq

Wilk

2017

Communications in Computer and Information Science

View full text Add to dashboard Cite

A prominent characteristic of clinical data is their heterogeneity-such data include structured examination records and laboratory results, unstructured clinical notes, raw and tagged images, and genomic data. This heterogeneity poses a formidable challenge while constructing diagnostic and therapeutic decision models that are currently based on single modalities and are not able to use data in different formats and structures. This limitation may be addressed using data fusion methods. In this paper, we describe a case study where we aimed at developing data fusion models that resulted in various therapeutic decision models for predicting the type of treatment (surgical vs. non-surgical) for patients with bone fractures. We considered six different approaches to integrate clinical data: one fusion model based on combination of data (COD) and five models based on combination of interpretation (COI). Experimental results showed that the decision model constructed following COI fusion models is more accurate than decision models employing COD. Moreover, statistical analysis using the one-way ANOVA test revealed that there were two groups of constructed decision models, each containing the set of three different models. The results highlighted that the behavior of models within a group can be similar, although it may vary between different groups.

show abstract

Avascular Necrosis and Posttraumatic Arthritis After Proximal Humerus Fracture Internal Fixation: Evaluation and Management

Cancio-Bello

Barlow

2023

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Nonoperative Treatment of Proximal Humerus Fractures

Cited by 11 publications

References 134 publications

Drawbacks of conservative treatment of proximal humerus fractures in elderly

Drawbacks of conservative treatment of proximal humerus fractures in elderly

Fusion of Clinical Data: A Case Study to Predict the Type of Treatment of Bone Fractures

Avascular Necrosis and Posttraumatic Arthritis After Proximal Humerus Fracture Internal Fixation: Evaluation and Management

Contact Info

Product

Resources

About