Rehabilitation of two-part fractures of the neck of the humerus (two-year follow-up)

Stephen Hodgson, Sue Mawson, John Saxton, David Stanley

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41 Citations (Scopus)

Abstract

The 2-year results of a randomized, prospective, controlled trial of minimally displaced proximal humeral fractures treated either by immediate physiotherapy (group A) or after 3 weeks of immobilization (group B) are reported. At 1 year shoulder disability, as measured with the Croft shoulder disability questionnaire, was found in 42.8% of patients in group A and 72.5% in group B (P <.01). By 2 years, shoulder disability in group A remained unchanged (43.2%) but had reduced in group B (59.5%). This difference was not statistically significant. Immediate physiotherapy after a minimally displaced proximal humeral fracture results in faster recovery, with maximal functional benefit being achieved at 1 year. Delayed rehabilitation by 3 weeks of shoulder immobilization produces a slower recovery, which continues for at least 2 years after the time of injury.
Original languageEnglish
Pages (from-to)143-145
JournalJournal of Shoulder and Elbow Surgery
Volume16
Issue number2
Early online date30 Mar 2007
DOIs
Publication statusPublished - Mar 2007

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