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Interventions for treating proximal humeral fractures in adults (Review)

Interventions for treating proximal humeral fractures in adults (Review)

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Lundberg 1979 (Cont<strong>in</strong>ued)<br />

Assigned: 20/22<br />

Completed (at 3 months): 20/22<br />

Outcomes Length of follow up: > 1 year (mean 16 months); also assessed at 1 & 3 months<br />

Range of movement: abduction, shoulder elevation - active & passive<br />

Pa<strong>in</strong> (<strong>in</strong>significant, moderate, severe), longstand<strong>in</strong>g<br />

Lift<strong>in</strong>g power of shoulder<br />

Frozen shoulder (secondary)<br />

Neer score (at f<strong>in</strong>al evaluation) <strong>in</strong>clud<strong>in</strong>g failure category<br />

Hand grip strength<br />

Notes No <strong>in</strong>dication <strong>in</strong> the report of any loss to follow up at last follow up (> 1 year).<br />

Risk of bias<br />

Item Authors’ judgement Description<br />

Allocation concealment? Unclear B - Unclear<br />

Revay 1992<br />

Methods Randomisation from closed envelopes<br />

Assessor bl<strong>in</strong>ded<br />

Loss to follow up at 1 year: 1/48<br />

Participants Danderyd Hospital, Danderyd, Sweden<br />

48 patients with 2, 3 or 4 part m<strong>in</strong>imally displaced <strong>proximal</strong> <strong>humeral</strong> <strong>fractures</strong> (< 1 cm or 45 degrees;<br />

Neer Group 1) treated conservatively with sl<strong>in</strong>g immobilisation <strong>for</strong> 1 week.<br />

Excluded: patients with sk<strong>in</strong> diseases and/or chlor<strong>in</strong>e allergy, non-ambulatory<br />

39 female, 9 male; mean age 66 years<br />

<strong>Interventions</strong> <strong>Interventions</strong> started 5-10 days post-<strong>in</strong>jury after removal of sl<strong>in</strong>g.<br />

(1) Swimm<strong>in</strong>g pool tra<strong>in</strong><strong>in</strong>g <strong>in</strong> groups plus <strong>in</strong>structions <strong>for</strong> self tra<strong>in</strong><strong>in</strong>g<br />

(2) Instructions <strong>for</strong> self-tra<strong>in</strong><strong>in</strong>g<br />

Assigned: 25/23<br />

Completed: ?/?<br />

Outcomes Length of follow up 1 year; also assessed at 3 weeks, 2 & 3 months<br />

Pa<strong>in</strong> (analogue scale)<br />

Activities of daily liv<strong>in</strong>g - subjective assessment of 9 activities each rated on a 5 po<strong>in</strong>t scale<br />

Functional scale - 6 po<strong>in</strong>t scale<br />

Jo<strong>in</strong>t movement (abduction, flexion, <strong>in</strong>ternal rotation)<br />

Notes Means presented without standard deviations.<br />

Risk of bias<br />

Item Authors’ judgement Description<br />

<strong>Interventions</strong> <strong>for</strong> <strong>treat<strong>in</strong>g</strong> <strong>proximal</strong> <strong>humeral</strong> <strong>fractures</strong> <strong>in</strong> <strong>adults</strong> (<strong>Review</strong>)<br />

Copyright © 2008 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />

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