2021
DOI: 10.1007/s00264-021-04945-2
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Radiographic parameter(s) influencing functional outcomes following angular stable plate fixation of proximal humeral fractures

Abstract: Purpose Radiographic parameters which correlate with poor clinical outcome after proximal humeral fractures could be helpful indicators to answer the question which patients should be followed up closer. Moreover, during surgery, radiographic parameters correlating with unfavourable outcome should be avoided. The primary aim of the study was to compare radiographic measurements between the injured and the contralateral, uninjured shoulder. The secondary aim was to correlate these radiographic par… Show more

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Cited by 5 publications
(6 citation statements)
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References 37 publications
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“…An abnormal neck-shaft angle could change the biomechanical characteristics of the shoulder, which would limit the restoration of shoulder function. Ahrend et al [1] reported that an inferior outcome in the long term was associated with a lower neck- [32]. In the present study, the ROC curve demonstrated that an immediate postoperative neck-shaft angle less than 130°was associated with a poor functional score, which was reconfirmed by a further logistic regression analysis.…”
Section: Factors Associated With Poor Functional Scoressupporting
confidence: 81%
See 1 more Smart Citation
“…An abnormal neck-shaft angle could change the biomechanical characteristics of the shoulder, which would limit the restoration of shoulder function. Ahrend et al [1] reported that an inferior outcome in the long term was associated with a lower neck- [32]. In the present study, the ROC curve demonstrated that an immediate postoperative neck-shaft angle less than 130°was associated with a poor functional score, which was reconfirmed by a further logistic regression analysis.…”
Section: Factors Associated With Poor Functional Scoressupporting
confidence: 81%
“…An abnormal neck-shaft angle could change the biomechanical characteristics of the shoulder, which would limit the restoration of shoulder function. Ahrend et al [1] reported that an inferior outcome in the long term was associated with a lower neck-shaft angle. Similarly, another study explored the clinical importance of serial neck-shaft angle changes after ORIF and found that functional scores were negatively associated with change in the neck-shaft angle [32].…”
Section: Discussionmentioning
confidence: 99%
“…Other radiographic parameters such as lateral humeral offset, head diameter, head height , perpendicular height, neck shaft angle are reported to be related to functional outcome. [60] In our study, there is no significant difference between the two groups.…”
Section: Discussioncontrasting
confidence: 48%
“…Humeral head preserving surgery remains the current state-of-the-art surgery for younger patients in the case of a fracture [ 1 , 2 ]. Likewise, arthroplasty of the shoulder joint is increasingly gaining importance in the treatment of degenerative and traumatic shoulder pathologies, especially in older patients [ 3 , 4 , 5 , 6 ]. In order to achieve an optimal postoperative result, the best possible reconstruction of the physiological shoulder morphology is required for both joint-preserving and joint-replacing therapy [ 7 , 8 ].…”
Section: Introductionmentioning
confidence: 99%
“…In this context, reconstruction of the humeral offset (HO) and glenoidal offset (GO) has a major influence on undisturbed function after joint replacement [ 7 , 8 , 14 ]. A higher lateral glenoidal humeral offset (LGHO) in native shoulder joints is associated with better clinical function and a higher range of motion [ 4 ].…”
Section: Introductionmentioning
confidence: 99%