Conservative Treatment of Proximal Humeral Fractures - Immobilization for 1 Week Compared to Three Weeks: Prospective Randomized Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Shoulder Fractures
- Sponsor
- Hospital del Mar
- Enrollment
- 130
- Locations
- 1
- Primary Endpoint
- pain (analogical pain scale)
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Optimal treatment of proximal humeral fractures is yet to be defined. Many of them can be treated non-operatively. The question remains on how long do we have to immobilize non-operatively treated proximal humeral fractures?
Detailed Description
There is still controversy on best treatment of proximal humeral fractures. While some authors propose surgical treatment other advocate for conservative treatment. Traditionally, fractures treated non-operatively undergo a 3-week period of immobilization followed by progressive rehabilitation program. Nevertheless, there is little evidence to support a 3-week immobilization period. The purpose of this study is to bring evidence to support either a 1-week immobilization or 3-week immobilization period in non-operatively treated proximal humeral fractures.
Investigators
Carlos Torrens
Medical Doctor
Hospital del Mar
Eligibility Criteria
Inclusion Criteria
- •Patients ≥ 60 yo and \< 85 yo
- •Acute fractures less than 1 week evolution
- •Conservative treatment decided by orthopedic surgeon
- •Contact between humeral head and humeral shaft.
- •No gleno-humeral dislocation
- •No previous surgery
Exclusion Criteria
- •Cognitive impairment
Outcomes
Primary Outcomes
pain (analogical pain scale)
Time Frame: 1 year
pain assessment through all the follow-up through the analogical pain scale
Secondary Outcomes
- fragment displacement assessed through X-Ray exam(3 months)
- functional outcome(1 year)