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

202 Citations (Scopus)

Abstract

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
Volume4
Issue number2
DOIs
StatePublished - Jan 1 1995
Externally publishedYes

Fingerprint

Shoulder Fractures
Humeral Head
Hemiarthroplasty
Articular Range of Motion
Lumbar Vertebrae
Stress Fractures
Humerus
Recovery of Function
Postoperative Pain
Elbow
Hand
Weights and Measures
Pain

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures. / Goldman, Robert T.; Koval, Kenneth J.; Cuomo, Frances; Gallagher, Maureen A.; Zuckerman, Joseph D.

In: Journal of Shoulder and Elbow Surgery, Vol. 4, No. 2, 01.01.1995, p. 81-86.

Research output: Contribution to journalArticle

Goldman, Robert T. ; Koval, Kenneth J. ; Cuomo, Frances ; Gallagher, Maureen A. ; Zuckerman, Joseph D. / Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures. In: Journal of Shoulder and Elbow Surgery. 1995 ; Vol. 4, No. 2. pp. 81-86.
@article{df6c2f07ce9c4e66957054ad6b755c87,
title = "Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures",
abstract = "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.",
author = "Goldman, {Robert T.} and Koval, {Kenneth J.} and Frances Cuomo and Gallagher, {Maureen A.} and Zuckerman, {Joseph D.}",
year = "1995",
month = "1",
day = "1",
doi = "10.1016/S1058-2746(05)80059-X",
language = "English (US)",
volume = "4",
pages = "81--86",
journal = "Journal of Shoulder and Elbow Surgery",
issn = "1058-2746",
publisher = "Mosby Inc.",
number = "2",

}

TY - JOUR

T1 - Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures

AU - Goldman, Robert T.

AU - Koval, Kenneth J.

AU - Cuomo, Frances

AU - Gallagher, Maureen A.

AU - Zuckerman, Joseph D.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0029262273&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029262273&partnerID=8YFLogxK

U2 - 10.1016/S1058-2746(05)80059-X

DO - 10.1016/S1058-2746(05)80059-X

M3 - Article

C2 - 7600169

AN - SCOPUS:0029262273

VL - 4

SP - 81

EP - 86

JO - Journal of Shoulder and Elbow Surgery

JF - Journal of Shoulder and Elbow Surgery

SN - 1058-2746

IS - 2

ER -