Short-term outcomes of reverse total shoulder arthroplasty for proximal humerus fractures in patients under 70 versus patients 70 and over

© 2025 The Author(s).

Détails bibliographiques
Publié dans:JSES international. - 2020. - 9(2025), 5 vom: 07. Sept., Seite 1603-1607
Auteur principal: Adu-Kwarteng, Kwabena (Auteur)
Autres auteurs: Amanah, Alaowei Y, Levin, Jay M, Hurley, Eoghan T, Aman, Zachary S, Boachie-Adjei, Yaw D, Klifto, Christopher S, Anakwenze, Oke
Format: Article en ligne
Langue:English
Publié: 2025
Accès à la collection:JSES international
Sujets:Journal Article Age Arthroplasty Fracture Proximal humerus fracture Reverse shoulder arthroplasty Short-term Shoulder arthroplasty
LEADER 01000caa a22002652c 4500
001 NLM393646726
003 DE-627
005 20251008232158.0
007 cr uuu---uuuuu
008 251007s2025 xx |||||o 00| ||eng c
024 7 |a 10.1016/j.jseint.2025.04.028  |2 doi 
028 5 2 |a pubmed25n1593.xml 
035 |a (DE-627)NLM393646726 
035 |a (NLM)41049643 
040 |a DE-627  |b ger  |c DE-627  |e rakwb 
041 |a eng 
100 1 |a Adu-Kwarteng, Kwabena  |e verfasserin  |4 aut 
245 1 0 |a Short-term outcomes of reverse total shoulder arthroplasty for proximal humerus fractures in patients under 70 versus patients 70 and over 
264 1 |c 2025 
336 |a Text  |b txt  |2 rdacontent 
337 |a ƒaComputermedien  |b c  |2 rdamedia 
338 |a ƒa Online-Ressource  |b cr  |2 rdacarrier 
500 |a Date Completed 06.10.2025 
500 |a Date Revised 08.10.2025 
500 |a published: Electronic-eCollection 
500 |a Citation Status PubMed-not-MEDLINE 
520 |a © 2025 The Author(s). 
520 |a Background: This study aims to compare the short-term outcomes of reverse total shoulder arthroplasty (rTSA) in patients with proximal humerus fractures stratified by age into young and elderly cohorts 
520 |a Methods: This retrospective review analyzed patients with a minimum 1-year follow-up who underwent RTSA for proximal humerus fractures, categorizing patients <70 years as young and ≥70 as elderly. The operative and postoperative courses were recorded, including discharge location, range of motion (ROM), and need for revision surgery. Patient-reported outcomes such as Single Assessment Numeric Evaluation (SANE) and Preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) scores were collected. A P value ≤.05 was statistically significant 
520 |a Results: The study consisted of 52 patients (<70 years, n = 22; ≥70 years, n = 30). The <70 group had a higher ROM in forward flexion (141° ± 26° vs. 123° ± 35°; P = .05). ROM in external rotation (34° ± 14° vs. 35° ± 22°; P = .86) and abduction (102° ± 29° vs. 107° ± 46°; P = .79) were similar between the groups. The revision rate was similar between the 2 groups, at 9.1% in the under-70 cohort and 13.3% in the 70 and over cohort (P = .73). Postoperative PROMIS - upper extremity scores were similar between age groups, with mean scores of 35.0 ± 5.7 for the <70 group and 35.3 ± 8.7 for the ≥70 group (P = .96). There was no statistically significant difference in postoperative PROMIS - Physical Function scores, with mean values of 44.8 ± 10.2 in the <70 group and 37.6 ± 9.3 in the ≥70 group (P = .06). In addition, there was no statistically significant difference in postoperative PROMIS - pain interference scores, with mean values of 55.2 ± 9.6 in the <70 group and 54.2 ± 7.7 in the ≥70 group (P = .78). Postoperative SANE scores demonstrated no significant difference between the younger and older cohorts, with mean scores of 73.7 ± 24.4 and 80.0 ± 11.4, respectively (P = .58) 
520 |a Conclusion: There was no difference in short-term postoperative PROMIS - upper extremity, PROMIS - Physical Function, SANE, ROM in external rotation or abduction, pain, and revision rates between patients <70 and ≥70 undergoing RTSA. However, the <70 RTSA group had higher short-term ROM in forward flexion 
650 4 |a Journal Article 
650 4 |a Age 
650 4 |a Arthroplasty 
650 4 |a Fracture 
650 4 |a Proximal humerus fracture 
650 4 |a Reverse shoulder arthroplasty 
650 4 |a Short-term 
650 4 |a Shoulder arthroplasty 
700 1 |a Amanah, Alaowei Y  |e verfasserin  |4 aut 
700 1 |a Levin, Jay M  |e verfasserin  |4 aut 
700 1 |a Hurley, Eoghan T  |e verfasserin  |4 aut 
700 1 |a Aman, Zachary S  |e verfasserin  |4 aut 
700 1 |a Boachie-Adjei, Yaw D  |e verfasserin  |4 aut 
700 1 |a Klifto, Christopher S  |e verfasserin  |4 aut 
700 1 |a Anakwenze, Oke  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t JSES international  |d 2020  |g 9(2025), 5 vom: 07. Sept., Seite 1603-1607  |w (DE-627)NLM307818438  |x 2666-6383  |7 nnas 
773 1 8 |g volume:9  |g year:2025  |g number:5  |g day:07  |g month:09  |g pages:1603-1607 
856 4 0 |u http://dx.doi.org/10.1016/j.jseint.2025.04.028  |3 Volltext 
912 |a GBV_USEFLAG_A 
912 |a SYSFLAG_A 
912 |a GBV_NLM 
912 |a GBV_ILN_50 
912 |a GBV_ILN_65 
912 |a GBV_ILN_350 
951 |a AR 
952 |d 9  |j 2025  |e 5  |b 07  |c 09  |h 1603-1607