Rehabilitation Following Displaced Proximal Humerus Fractures
Shoulder Fractures
About this trial
This is an interventional treatment trial for Shoulder Fractures focused on measuring Proximal humerus fractures, Proximal humeral fractures, Randomized controlled trial, Shoulder fractures, Non-operative treatment, Rehabilitation
Eligibility Criteria
Inclusion Criteria:
• Patients aged 60 years or above with displaced PHFs (Neer's definition) including 2-, 3-, or 4-part fractures after a low energy trauma will be recruited.
Prior to first visit in the outpatient clinic all patients with PHFs will be screened for eligibility based on initial radiographs and medical records by an experienced orthopaedic consultant (senior author SB) at Zealand University Hospital, Køge, Denmark. The senior author classifies fracture categories.
• Patients should be cognitively capable of answering patient-reported outcome measures.
Exclusion Criteria:
- Dependent on daily personal care for basic activities of daily living
- Diagnosed with dementia or institutionalized
- Does not understand written and spoken guidance in Danish
- Pathological fracture or previous fracture in the same proximal humerus
- Concomitant injury or fracture.
- Polytrauma, high-energy trauma, or multiple fractures
- Fracture dislocation or articular surface fracture
- Isolated tuberosity fracture
- Fractures not expected to heal by non-surgical treatment (no bony contact between head and shaft in both views)
- The senior author considers the patient unsuitable to attend the study for medical reasons (substance abuse, affective or psychotic disorders, apoplexy, chronic pain, malignant disease)
- Symptomatic glenohumeral osteoarthritis, rheumatoid arthritis, or rotator cuff-arthropathy
Sites / Locations
- Department of Orthopaedics, Zealand University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
One-time physiotherapy instruction
Usual rehabilitation care
One-time physiotherapy instruction and no usual rehabilitation care
One-time physiotherapy instruction and usual rehabilitation care