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Orthopedic Trauma Directions 2008; 6(5): 21-28
DOI: 10.1055/s-2008-1038276
DOI: 10.1055/s-2008-1038276
Clinical topic
© Georg Thieme Verlag KG Stuttgart · New York
Proximal humeral fractures. Early versus delayed motion in nonoperative treatment of minimally displaced or impacted fractures
Further Information
Publication History
Publication Date:
18 September 2008 (online)
Summary
The evidence describing early versus delayed motion for minimally displaced fractures of the proximal humerus suggests that for the first 3 – 4 months of follow-up, early motion of the shoulder tended to confer greater overall shoulder function, less pain and greater range of motion than delayed motion. However, at later follow-up, there was no statistical difference in outcomes between early and delayed motion. In one study with 2 year follow-up, one third of the patients in either group reported significant shoulder disability as measured by the Croft shoulder disability questionnaire.