PROXIMAL HUMERUS FRACTURE DISLOCATIONS: OUTCOMES OF MANAGEMENT
Version 2 2024-06-03, 16:38Version 2 2024-06-03, 16:38
Version 1 2023-03-01, 21:57Version 1 2023-03-01, 21:57
conference contribution
posted on 2024-06-03, 16:38authored byF Cosic, N Kirzner, E Edwards, Richard PageRichard Page, L Kimmel, B Gabbe
Proximal humerus fracture dislocations are amongst the most severe proximal humerus injuries, presenting a challenging management problem. The aim of this study was to report on the long-term outcomes of the management of proximal humerus fracture dislocations.Patients with a proximal humerus fracture dislocation managed at a Level 1 trauma centre from January 2010 to December 2018 were included. Patients with an isolated tuberosity fracture dislocation or a pathological fracture were excluded. Outcome measures were the Oxford Shoulder Score (OSS), EQ-5D-5L, return to work, and radiological outcomes. Complications recorded included further surgery, loss of position/fixation, non-union/malunion, and avascular necrosis.A total of 69 patients were included with a proximal humerus fracture dislocation in the study period; 48 underwent surgical management and 21 were managed with closed reduction alone. The mean (SD) age of the cohort was 59.7 (±20.4), and 54% were male. Overall patients reported a mean OSS of 39.8 (±10.3), a mean EQ-5D utility score of 0.73 (±0.20), and 78% were able to return to work at a median of 1.2 months. There was a high prevalence of complications in both patients managed operatively or with closed reduction (25% and 38% respectively). In patients undergoing surgical management, 21% required subsequent surgery.Patient reported outcome measures post proximal humerus fracture dislocations do not return to normal population levels. These injuries are associated with a high prevalence of complications regardless of management. Appropriate patient counselling should be undertaken before embarking on definitive management.
History
Alternative title
PROXIMAL HUMERUS FRACTURE DISLOCATIONS: OUTCOMES OF MANAGEMENT
NZOA AOA 2022 : Proceedings of the New Zealand Orthopaedic Association and the Australian Orthopaedic Association Combined Annual Scientific Meeting 2022
Event
The New Zealand Orthopaedic Association and the Australian Orthopaedic Association Combined Annual Scientific Meeting. (2022 : Christchurch, New Zealand)