Emre ÇALIŞAL

Konservatif takip edilen ileri yaş proksimal humerus kırıklı hastaların fonksiyonel sonuçlarının değerlendirilmesi

Amaç: Literatürde radyolojik veriler ile klinik sonuçlar arasındaki bilgiler sınırlı ve tartışmalıdır. Konservatif tedavi edilen inkomplet proksimal humerus kırığı olan ileri yaş hastalarda radyolojik veriler ile fonksiyonel sonuçlarının kısa-orta dönem sonuçlarını incelemeyi amaçladık. Yöntem: Çalışmamıza, konservatif olarak tedavi edilen, tek taraflı izole, inkomplet proksimal humerus kırığı tanısı almış 65 yaş üstü 114 hasta dahil edildi. Tüm hastaların demografik özellikleri, radyolojik verileri ve klinik skorları kaydedildi. Kırıklar Neer sınıflamasına göre sınıflandırıldı. Fonksiyonel sonuçların değerlendirmesi Quick-Disabilities of Arm, Shoulder, and Hand (Quick-DASH) ve Visual Analog Scale (VAS) ile yapıldı. Bulgular: Hastaların VAS skorları ortalama 3,6 (1,4) ve Quick-DASH skorları ise 34,5 (13,7) idi. VAS ve Quick-DASH skorlarındaki fark sırasıyla kırığın parça sayısı arttıkça istatistiksel olarak anlamlıydı (P=0,02, P=0,04). VAS ve Quick-DASH skorları, kadınlarda sırasıyla istatistiksel olarak anlamlı daha yüksekti (P=0,02, P=0,03). Sigara içen grupta VAS ve Quick-DASH skorları sırasıyla istatistiksel olarak anlamlı değildi(P=0,58, P=0,41). VAS ve Quick-DASH skorları, diyabet ve osteoporozlu hasta grubu lehine sırasıyla istatistiksel olarak anlamlıydı (P

Anahtar Kelimeler:

Proksimal Humerus Kırıkları, Konservatif Tedavi, İleri Yaş Hastalar

An evaluation of functional outcome in elderly patients with proximal humeral fractures treated conservatively

Aim: The relationship between radiological data and the clinical outcomes in elderly patients with incomplete proximal humeral fractures treated conservatively is limited and controversial in the literature. We aimed to report the short-to-mid-term results of the radiological data and functional outcome in these patients. Methods: A total of 114 patients over 65 years of age, diagnosed with unilateral isolated incomplete proximal displaced humerus fractures, and treated conservatively, were recruited in the study. Demographic characteristics, radiological data and clinical scores of all patients were recorded. Fractures were classified according to the Neer classification. Functional evaluation of patients was performed via Quick-Disabilities of Arm, Shoulder, and Hand (Quick-DASH) and Visual Analog Scale (VAS). Results: Mean VAS and Quick-DASH scores of the patients were 3.6 (1.4) and 34.5(13.7), respectively, both of which changed significantly as the number of the parts of fracture increased (P=0.02 and P=0.04, respectively). The VAS and the Quick-DASH scores were significantly higher in females (P=0.02 and P=0.03, respectively), similar among the smokers (P=0.58 and P=0.41, respectively), and significantly higher in diabetic and osteoporotic patients (P

Keywords:

Proximal humerus fractures, Conservative Treatment, Elderly Patients,

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