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

S. A. Hodgson; S. J. Mawson; J. M. Saxton; D. Stanley

doi:10.1016/j.jse.2006.06.003

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

S. A. Hodgson, S. J. Mawson, J. M. Saxton, D. Stanley

Rehabilitation

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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 language	English
Pages (from-to)	143-145
Number of pages	3
Journal	Journal of Shoulder and Elbow Surgery
Volume	16
Issue number	2
DOIs	https://doi.org/10.1016/j.jse.2006.06.003
Publication status	Published - 2007

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10.1016/j.jse.2006.06.003

Cite this

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title = "Rehabilitation of two-part fractures of the neck of the humerus (two-year follow-up)",

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.",

author = "Hodgson, {S. A.} and Mawson, {S. J.} and Saxton, {J. M.} and D. Stanley",

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T1 - Rehabilitation of two-part fractures of the neck of the humerus (two-year follow-up)

AU - Hodgson, S. A.

AU - Mawson, S. J.

AU - Saxton, J. M.

AU - Stanley, D.

PY - 2007

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N2 - 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.

AB - 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.

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DO - 10.1016/j.jse.2006.06.003

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JO - Journal of Shoulder and Elbow Surgery

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