The optimal treatment for proximal humeral fractures is controversial. Few data exist concerning the influence of the surgical approach on the outcome. The purpose of this study was to evaluate the clinical and radiological outcomes of proximal humeral fractures treated with locking plate fixation through a deltopectoral vs an anterolateral deltoid-splitting approach. Of 86 patients who met the...

This study aims to investigate the effect of upper extremities exercise based on mirror therapy in postoperative recovery shoulder function breast cancer patients. A total 120 patients were selected from January 2021 December and randomly divided into control group (60 cases) observation by random number table method. The was given conventional intervention, while additionally therapy. Constant...

BACKGROUND The results of open and arthroscopic instability repairs have been shown to be equivalent in recent literature. PURPOSE To compare the time to recurrence (TTR) of instability and disease-specific outcome measures in patients undergoing open and arthroscopic Bankart repair. STUDY DESIGN Cohort study; Level of evidence, 3. METHODS Patients with recurrent traumatic anterior should...

Objectives: To compare the effect of graded physiotherapeutic training of the rotator cuff versus arthroscopic subacromial decompression in patients with subacromial impingement. Methods: Randomised controlled trial with 12 months’ follow up in a hospital setting. Ninety consecutive patients aged 18 to 55 years were enrolled. Symptom duration was between six months and three years. All fulfille...

We chose 60 patients with shoulder joint injury that have received arthroscopic anchor implantation fixation treatment in Southwest Hospital from January 2012 to October 2015 and divided them into a control group and an observation group equally, using computer single-blind randomized method. Patients with shoulder joint injury in the control group have received conservative treatment, while pa...

In order to compare the outcome from surgical repair and physiotherapy, 103 patients with symptomatic small and medium-sized tears of the rotator cuff were randomly allocated to one of the two approaches. The primary outcome measure was the Constant score, and secondary outcome measures included the self-report section of the American Shoulder and Elbow Surgeons score, the Short Form 36 Health ...

Background. The purpose of this study was to report our experience with shoulder hemiarthroplasty in the context of old trauma. Methods. 33 patients with failed treatment for a complex proximal humeral fracture underwent prosthetic hemiarthroplasty. There were 15 men and 18 women with a mean age of 58.1 years. The average period from initial treatment was 14.9 months. Sequelae included 11 malun...

BACKGROUND AND PURPOSE The diagnosis and treatment of isolated greater tuberosity fractures of the proximal humerus is not clear-cut. We retrospectively assessed the clinical and radiographic outcome of isolated greater tuberosity fractures. PATIENTS AND METHODS 30 patients (mean age 58 (26-85) years, 19 women) with 30 closed isolated greater tuberosity fractures were reassessed after an aver...

A number of surgical procedures have been described for reconstruction of the disrupted acromioclavicular (AC) joint. Among these is the use of anchor sutures tied over a small button plate. The present study aims to evaluate the preliminary results with this technique in 15 patients with a mean age of 31 years (range: 19-48 years). The shoulder was evaluated clinically using the Constant-Murle...

Whether operative treatment for complex proximal humeral fractures has a greater benefit over nonoperative treatment is uncertain. The authors conducted a meta-analysis to include all randomized controlled trials (RCTs) to determine the advantages and disadvantages of operative vs nonoperative treatment. Multiple databases, online registries of RCTs, and proceedings from major meetings were sys...