Shoulder: Trauma

A Prospective Clinical Study of Proximal Humerus Fractures Treated With a Locking Proximal Humerus Plate

Yang H, Li Z, Zhou F, et al (Med School of Nantong Univ, Jiangyin City, Jiangsu Province, China) J Orthop Trauma 25:11-17, 2011^§

Abstract

Objectives

The purpose of this prospective study was to evaluate the safety, efficacy, and functional outcome of the locked proximal humerus plate (LPHP) to treat proximal humerus fractures.

Design

Prospective clinical trial.

Setting

University orthopedic center.

Patients

Over a 25-month period, 64 consecutive patients were treated with a LPHP for an unstable or displaced proximal humerus fracture.

Intervention

Demographic data, trauma mechanisms, surgical approaches, and postoperative complications were collected from medical records. Fracture classification according to the Neer classification, radiographic head–shaft angle, and screw tip–articular surface distance in true anteroposterior and axillary lateral radiographs of the shoulder were measured postoperatively.

Main Outcome Measurements

The functional Outcome was evaluated with a Constant–Murley (CM) evaluation. The CM score is a validated shoulder-specific scoring system in which patients report subjective findings. The physician reported the objective measurements of the shoulder.

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