One Versus 3-Week Immobilization Period for Nonoperatively Treated Proximal Humeral Fractures: A Prospective Randomized Trial.
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OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2021;9(17):16 J Bone Joint Surg Am. 2021 Aug 18;103(16): 1491-1498.Exclusive Author Interview
What this means for my practice?
In patients with nonoperative proximal humerus fractures, a one week immobilization period provides similar functional outcomes and pain levels without increasing complication rates when compared to a three week period of immobilization.
Study Summary
One hundred and forty-three patients with nonoperative proximal humerus fractures were randomized to receive 1-week immobilization (n=67) or 3-week immobilization (n=76). Outcomes of interest included the visual analogue pain scale (VAS), functional outcomes measured with the Constant score and Simple Shoulder Test (SST) and complications. No significant differences were found in pain or functional scores at any time point up to 2 years follow-up. Similarly, no differences in complications were found between the two groups.
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