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Effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study
BACKGROUND: Proximal humeral fractures are one of the most common fractures in adults. Some patients treated operatively have restriction in range of motion (ROM) after surgery. This study aimed to evaluate arthroscopic pancapsular release in patients with severe stiffness after treatment with intra...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7479035/ https://www.ncbi.nlm.nih.gov/pubmed/32939483 http://dx.doi.org/10.1016/j.jseint.2020.03.013 |
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author | Hagiwara, Yoshihiro Kanazawa, Kenji Ando, Akira Sekiguchi, Takuya Koide, Masashi Yabe, Yutaka Itoi, Eiji |
author_facet | Hagiwara, Yoshihiro Kanazawa, Kenji Ando, Akira Sekiguchi, Takuya Koide, Masashi Yabe, Yutaka Itoi, Eiji |
author_sort | Hagiwara, Yoshihiro |
collection | PubMed |
description | BACKGROUND: Proximal humeral fractures are one of the most common fractures in adults. Some patients treated operatively have restriction in range of motion (ROM) after surgery. This study aimed to evaluate arthroscopic pancapsular release in patients with severe stiffness after treatment with intramedullary nailing for proximal humeral fractures. METHODS: This study included 12 patients (7 women and 5 men) who underwent arthroscopic pancapsular release in the beach-chair position between May 2015 and February 2018. Intraoperative findings were recorded, and ordinary (with scapulothoracic motion) and true (without scapulothoracic motion) glenohumeral ROMs were measured with a goniometer. The American Shoulder and Elbow Surgeons shoulder score, Shoulder Rating Scale score of the University of California, Los Angeles scoring system, and Constant score were compared before and after the release. The Wilcoxon signed rank and Mann-Whitney U tests were used to analyze data. RESULTS: The average age of the patients was 65.1 years (standard deviation, 9.5 years), and the mean follow-up period after the release was 30.6 months (standard deviation, 11.7 months). All ROMs on the affected side after surgery were significantly greater than those before surgery in all directions. However, ROMs in forward flexion, lateral elevation, and external rotation with the arm at the side and at 90° of forward flexion on the affected side postoperatively were significantly lower than those on the unaffected side. All scores were significantly greater after surgery than before surgery. CONCLUSION: Arthroscopic pancapsular release is effective for patients with proximal humeral fractures treated with intramedullary nailing. |
format | Online Article Text |
id | pubmed-7479035 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-74790352020-09-15 Effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study Hagiwara, Yoshihiro Kanazawa, Kenji Ando, Akira Sekiguchi, Takuya Koide, Masashi Yabe, Yutaka Itoi, Eiji JSES Int Shoulder BACKGROUND: Proximal humeral fractures are one of the most common fractures in adults. Some patients treated operatively have restriction in range of motion (ROM) after surgery. This study aimed to evaluate arthroscopic pancapsular release in patients with severe stiffness after treatment with intramedullary nailing for proximal humeral fractures. METHODS: This study included 12 patients (7 women and 5 men) who underwent arthroscopic pancapsular release in the beach-chair position between May 2015 and February 2018. Intraoperative findings were recorded, and ordinary (with scapulothoracic motion) and true (without scapulothoracic motion) glenohumeral ROMs were measured with a goniometer. The American Shoulder and Elbow Surgeons shoulder score, Shoulder Rating Scale score of the University of California, Los Angeles scoring system, and Constant score were compared before and after the release. The Wilcoxon signed rank and Mann-Whitney U tests were used to analyze data. RESULTS: The average age of the patients was 65.1 years (standard deviation, 9.5 years), and the mean follow-up period after the release was 30.6 months (standard deviation, 11.7 months). All ROMs on the affected side after surgery were significantly greater than those before surgery in all directions. However, ROMs in forward flexion, lateral elevation, and external rotation with the arm at the side and at 90° of forward flexion on the affected side postoperatively were significantly lower than those on the unaffected side. All scores were significantly greater after surgery than before surgery. CONCLUSION: Arthroscopic pancapsular release is effective for patients with proximal humeral fractures treated with intramedullary nailing. Elsevier 2020-05-29 /pmc/articles/PMC7479035/ /pubmed/32939483 http://dx.doi.org/10.1016/j.jseint.2020.03.013 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Shoulder Hagiwara, Yoshihiro Kanazawa, Kenji Ando, Akira Sekiguchi, Takuya Koide, Masashi Yabe, Yutaka Itoi, Eiji Effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study |
title | Effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study |
title_full | Effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study |
title_fullStr | Effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study |
title_full_unstemmed | Effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study |
title_short | Effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study |
title_sort | effects of arthroscopic pancapsular release for proximal humeral fractures treated with intramedullary nailing: a retrospective study |
topic | Shoulder |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7479035/ https://www.ncbi.nlm.nih.gov/pubmed/32939483 http://dx.doi.org/10.1016/j.jseint.2020.03.013 |
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