Article

Proximal humerus fractures account for up to 10% of all fractures; however, the
literature lacks any detailed nonoperative management protocols or treatment
progression guidelines that are based on large randomized controlled trials.
Several studies support conservative treatment of minimally displaced fractures,
yet they do not document the specific interventions used nor do they provide
rationale for progression. This case report describes the conservative
rehabilitation of a patient following a traumatic, minimally displaced, two-part
proximal humerus fracture. The patient was a 58-year-old female who was referred
to physical therapy 4 weeks following arm sling immobilization with the primary
goal of returning to full-time employment as a retail associate. Outcome measures
included the McGill Pain Questionnaire, a numeric pain rating scale, and
goniometric range of motion. Upon discharge the patient had zero complaints of
pain, improved range of motion, and increased strength, and she returned to her
prior level of function. The interventions used along with rationale are
described in detail. The plan of care for this patient may be used as a framework
for further research to determine the true effectiveness of nonoperative
treatment.

Langue : ANGLAIS