Response to 'Does primary treatment of proximal humerus fractures show favourable functional outcomes over secondary treatment with reverse shoulder arthroplasty?'.

Autor: Spek, Reinier WA, Ring, David, van den Bekerom, Michel PJ
Předmět:
Zdroj: Shoulder & Elbow; Oct2024, Vol. 16 Issue 5, p569-570, 2p
Abstrakt: The article in the "Shoulder & Elbow" journal responds to a study comparing primary treatment of proximal humerus fractures with reverse shoulder arthroplasty (RSA) within 3 months of fracture to treatment provided more than 3 months after fracture. The study found better external rotation and forward flexion with no differences in complications or patient-reported outcome measures. However, the authors raise concerns about psychosocial factors, biomechanical stability, the potential for avoiding surgical procedures with non-operative treatment, and the impact of medical comorbidities on outcomes. They suggest that a randomized controlled trial is needed to fully evaluate the merits of different treatment strategies. [Extracted from the article]
Databáze: Complementary Index