Proximal humeral fractures are common especially in the elderly population. The majority of these fractures are minimally displaced and may be treated non-operatively. There is however a controversy about which fractures that need surgery and randomised trials have not been able to show a clinically important advantage in patient reported outcome measures for those operated. The trend is therefore that also displaced and comminute fractures are treated non-operatively. There is however very little scientific support for how the non-operative treatment should be designed and performed. Therefore this prospective multicenter study is aiming at investigating the benefit of a four week immobilisation orthosis as compared to early range of motion exercises for those patients not assigned for surgery one week after the trauma.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
400
Application of orthosis and start of rehabilitation after four weeks.
Lars Adolfsson
Linköping, Sweden
RECRUITINGUnion of fracture
recording of fracture union on radiological images
Time frame: Followed 12 months
Oxford shoulder score
Shoulder specific patient reported outcome measure, PROM, with a maximum score of 48 points
Time frame: 12 months
Numerical pain reporting scale
Patient reported outcome measure of pain at rest, at night and during activity in scales with 10 steps grading subjective assessment of pain
Time frame: 12 months
Quick DASH
Patient reported outcome measure of shoulder function in a 11-item PROM
Time frame: 12 months
Global assessment of improvement
Patient rated assessment of global improvement in a numeric scale with 7 steps
Time frame: 12 months
Shoulder range of motion
The elevation, abduction, internal and external rotation of the injured shoulder
Time frame: 12 months
Hanna C Björnsson Hallgren, MD, PhD
CONTACT
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