Shoulder Fractures
Conditions
Keywords
proximal humeral fracture
Brief summary
Hypothesis: The investigators want to study whether parathyroid hormone improves healing of humerus after a fracture. The investigators will assess healing of the humerus with Constant score.
Interventions
Saline injection daily for 8 weeks.
100 micrograms of 1-84 parathyroid hormone daily for 8 weeks, subcutaneous injection.
Sponsors
Study design
Eligibility
Inclusion criteria
* proximal humeral fracture eligible for conservative treatment. * able to understand the protocol * signs an informed consent
Exclusion criteria
* liver disease * kidney disease * severe osteoporosis * malignant disease * bone metabolic disease * oral treatment with bisphosphonates during the last 3 months. * treatment with Denosumab during the last 6 months. * intravenous treatment with bisphosphonates during the last 12 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in constant score | 5, 8, 11, 23, and 104 weeks. | Constant score summarizes the function of the arm using a questionnaire (activities of daily living - ADL) and functional testing of the arm. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Oxford Shoulder Score | 5, 8, 11, 23, and 104 weeks. | Oxford shoulder score is a questionnaire that assesses the function of the arm through the evaluation of the participant. |
| Changes in bone formation evaluated by X-ray. | 5, 8, 11, 23, and 104 weeks. | — |
| Changes in biochemical bone markers | 0, 5, 25 weeks | sodium, potassium, creatinine, liver enzymes, vitamin D, parathyroid hormone, alkaline phosphatase, hemoglobin, magnesium, calcium, zinc. |
| Changes in regulatory T lymphocytes | 0, 8, 24 weeks | Regulatory CD3+CD4+CD25+Foxp3+ T lymphocytes. |
Countries
Denmark