The Benefits and Harms of Early Mobilization and Supervised Exercise Therapy after Non-surgically Treated Proximal Humerus or Distal Radius fracture: A systematic Review and Meta-analysis

Author:

Østergaard Helle K.ORCID,Mechlenburg IngerORCID,Launonen Antti P.ORCID,Vestermark Marianne T.ORCID,Mattila Ville M.ORCID,Ponkilainen Ville T.ORCID

Publisher

Springer Science and Business Media LLC

Subject

Orthopedics and Sports Medicine

Reference39 articles.

1. Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006;37(8):691–7. https://doi.org/10.1016/j.injury.2006.04.130.

2. Launonen AP, Lepola V, Saranko A, Flinkkila T, Laitinen M, Mattila VM. Epidemiology of proximal humerus fractures. Arch Osteoporos. 2015;10:209. https://doi.org/10.1007/s11657-015-0209-4.

3. Rundgren J, Bojan A, Mellstrand Navarro C, Enocson A. Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register. BMC Musculoskelet Disord. 2020;21(1):88. https://doi.org/10.1186/s12891-020-3097-8.

4. Lander ST, Mahmood B, Maceroli MA, Byrd J, Elfar JC, Ketz JP, et al. Mortality rates of humerus fractures in the elderly: does surgical treatment matter? J Orthop Trauma. 2019;33(7):361–5. https://doi.org/10.1097/bot.0000000000001449.

5. • Launonen AP, Sumrein BO, Reito A, Lepola V, Paloneva J, Jonsson KB, et al. Operative versus non-operative treatment for 2-part proximal humerus fracture: a multicenter randomized controlled trial. PLoS Med. 2019;16(7):e1002855. https://doi.org/10.1371/journal.pmed.1002855This recent trial found no benefits of surgical treatment with locking plate compared to non-surgical treatment after 2-part proximal humerus fractures in the elderly. They suggest non-surgical treatment on the majority of the patients with this kind of fracture, which is in line with the conclusion from a Cochrane Review from 2015 by Handoll et al.

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