Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures

Robert T. Goldman, Kenneth J. Koval, Frances Cuomo, Maureen A. Gallagher, Joseph D. Zuckerman

Research output: Contribution to journalArticle

203 Scopus citations


Twenty-six hemiarthroplasties were performed for acute three- and four-part proximal humerus fractures between March 1986 and December 1991. Postoperative pain, active range of motion, and function were evaluated in 22 patients at a mean follow-up period of 30 months (range 12 to 66 months) with the American Shoulder and Elbow Surgeons evaluation from. Seventy-three percent of patients reported only slight or no pain. Active forward elevation averaged 107°, external rotation averaged 31°, and the average internal rotation was to the second lumbar vertebra. Strength and stability were rarely problematic. Seventy-three percent of patients reported difficulty with at least three of 15 functional tasks tested. Lifting, carrying a weight, and using the hand at or above shoulder level were the most common limitations. This study indicates that hemiarthroplasty for acute three- and four-part fractures generally can be expected to result in painfree shoulders. However, recovery of function and range of motion are much less predictable.

Original languageEnglish (US)
Pages (from-to)81-86
Number of pages6
JournalJournal of Shoulder and Elbow Surgery
Issue number2
Publication statusPublished - Jan 1 1995
Externally publishedYes


ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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