2026-04-14T18:22:24Zhttps://uvadoc.uva.es/oai/request

oai:uvadoc.uva.es:10324/643432024-04-18T19:01:42Zcom_10324_1191com_10324_931com_10324_894col_10324_1379

Aguado Hernández, Héctor José Ariño, Blanca Moreno-Mateo, Fernando Bustinza, Elías Y Simón Pérez, Clarisa Martínez Zarzuela, Mario García-Virto, Virginia Ventura, Paula S. Martín Ferrero, Miguel Ángel 2024-01-10T11:10:18Z 2024-01-10T11:10:18Z 2018 Aguado HJ, Ariño B, Moreno-Mateo F, Bustinza EY, Simón-Pérez C, Martínez-Zarzuela M, García-Virto V, Ventura PS, Martín-Ferrero MÁ. Does an early mobilization and immediate home-based self-therapy exercise program displace proximal humeral fractures in conservative treatment? Observational study. J Shoulder Elbow Surg. 2018 Nov;27(11):2021-2029. doi: 10.1016/j.jse.2018.04.001. 1058-2746 https://uvadoc.uva.es/handle/10324/64343 10.1016/j.jse.2018.04.001 2021 11 2029 Journal of Shoulder and Elbow Surgery 27 Background: Nonoperative management of proximal humeral fractures (PHFs) is the most common treatment, but its functional outcome may improve with early mobilization. In frail osteoporotic patients, quick recovery of prefracture independency is mandatory. This study assessed fracture displacement in PHFs managed with conservative treatment after early mobilization and a home-based self-exercise program. Methods: We retrospectively analyzed the radiologic displacement of fracture fragments of PHFs treated conservatively with early mobilization and a home-based self-exercise program. Results: Included were 99 patients with 26 one-part, 32 two-part, 32 three-part, and 9 four-part PHFs managed conservatively, followed by early mobilization and a home-based self-exercise program. In the x-ray examinations, the head displaced from varus into valgus 55° ± 23° to 42° ± 22°, in the normal range of anatomic values. The medial hinge displaced from medial to the diaphysis (+1 ± 6 mm) to lateral to the head (-0.6 ± 6 mm). The greater tuberosity displaced cranially from -1 ± 7 mm to 2 ± 5 mm. The Constant score at the 1-year follow-up was 79.69 ± 16.3. Discussion and conclusions: The home-based self-exercise program for conservative treatment of PHFs displaces the head-diaphysis angle and the medial hinge toward anatomic reduction, but there is a risk of greater tuberosity cranial displacement. Functional results are fairly good, allowing frail patients to keep on with their independency and life style. Because a large number of patients might need further physiotherapy, the quality of the home-based self-exercises should be supervised. spa info:eu-repo/semantics/openAccess info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by-nc-nd/4.0/ Attribution-NonCommercial-NoDerivatives 4.0 Internacional Does an early mobilization and immediate home-based self-therapy exercise program displace proximal humeral fractures in conservative treatment? Observational study info:eu-repo/semantics/article