Comparing the outcomes of non-surgical versus surgical treatment of shoulder fractures with different shoulder replacements

Outcome following reverse shoulder arthroplasty for acute proximal humerus fractures with different humerus inclination angles versus non-surgical treatment

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN85422168

Enrollment

Registered

2021-07-08

Start date

2021-09-01

Completion date

Unknown

Last updated

2025-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Proximal humeral fracture type Neer 3 & 4 Injury, Occupational Diseases, Poisoning Fracture of upper end of humerus

Interventions

90 patients are randomized to one of three groups: Group 1: non-surgical treatment (rehabilitation only) Group 2: surgical replacement with a 155-degree inclination angle Group 3: surgical replacement

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Proximal humerus fracture type Neer 3 & 4 2. Older than 60 years

Exclusion criteria

Exclusion criteria: 1. Age younger than 60 years 2. Conditions where surgery is mandatory 3. Patients who can't answer questions because of the effects of dementia

Design outcomes

Primary

Measure	Time frame
Measured at 3, 12 and 24 months: 1. Quality of life measured using the Western Ontario Osteoarthritis score (WOOS) 2. Pain, activities of daily living, range of movement and strength measured by specially trained physiotherapists with the Constant Murley (CS) score 3. Quality of life measured using the Subjective Shoulder Value (SSV) questionnaire 4. Bone healing response evaluated using x-ray as union/non-union/pseudarthrosis in the non-surgical group and status of healing of the tuberosities as healed, displaced over 5 mm or resorbed	—

Measure

Time frame

Measured at 3, 12 and 24 months: 1. Quality of life measured using the Western Ontario Osteoarthritis score (WOOS) 2. Pain, activities of daily living, range of movement and strength measured by specially trained physiotherapists with the Constant Murley (CS) score 3. Quality of life measured using the Subjective Shoulder Value (SSV) questionnaire 4. Bone healing response evaluated using x-ray as union/non-union/pseudarthrosis in the non-surgical group and status of healing of the tuberosities as healed, displaced over 5 mm or resorbed

—

Secondary

Measure	Time frame
Complications and revisions reported in medical records within the 2 years of follow up	—

Countries

Denmark

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026