Studies on patients with a proximal humerus fracture. With special reference to mortality, fragility, morbidity and outcome

Christian Olsson

Studies on patients with a proximal humerus fracture. With special reference to mortality, fragility, morbidity and outcome

Christian Olsson

Orthopedics

Research output: Thesis › Doctoral Thesis (compilation)

Abstract

Fractures of the proximal part of the humerus occur frequently, especially in elderly women. The present thesis summarizes a series of studies analysing the impact on fracture outcome of factors related both to the fracture itself and to the patient. Fracture type based on comminution and dislocation according to the Neer classification system and epidemiological data involving trauma impact, health status, medicine consumption and fragility have been studied in 269 patients who sustained a proximal humerus fracture in Malmö in 1987 and in 100 patients who got a fracture in 1999. The patients were prospectively followed and compared with 613 controls.

It was possible to demonstrate that:

1.There is an increased mortality in male patients with a proximal humerus fracture.

2.Old patients with a proximal humerus fracture have higher coincidental morbidity than their controls.

3.Proximal humerus fractures occur more frequently in patients who have sustained fractures earlier. Also, in these patients, there is an increased risk of subsequent fractures.

4.In patients with a displaced proximal humerus fracture the long-term result is worse than in patients with a minimally displaced fracture.

5.Patients with a proximal humerus fracture and coincidental morbidity have a less favourable long-term outcome.

6.It is possible to predict the long-term result of a proximal humerus fracture after one year.

7.Union with minimally displacement of a proximal humerus fracture does not preclude symptomatic fibrosis.

Original language	English
Qualification	Doctor
Awarding Institution	Department of Clinical Sciences, Malmö
Supervisors/Advisors	[unknown], [unknown], Supervisor, External person
Award date	2005 Apr 28
Publisher	Department of Clinical Sciences, Lund University
ISBN (Print)	91-85439-21-5
Publication status	Published - 2005

Bibliographical note

Defence details

Date: 2005-04-28
Time: 09:00
Place: Malmö University Hospital

External reviewer(s)

Name: Lysholm, Jack
Title: Professor
Affiliation: Phd, MD

---

<div class="article_info">C Olsson, A Nordquist and C Petersson. <span class="article_issue_date">2003</span>. <span class="article_title">Increased mortality after fracture of the surgical neck of the humerus. A case-control study of 253 patients with a 12-year follow-up.</span> <span class="journal_series_title">Acta Orthop Scand</span>, <span class="journal_volume">vol 74</span> <span class="journal_pages">pp 709-712</span>.</div>
<div class="article_info">C Olsson, A Nordqvist and C Petersson. <span class="article_issue_date"></span>. <span class="article_title">Morbidity in patients with a proximal humerus fracture - a population-based casecontrol study of 728 individuals.</span> (manuscript)</div>
<div class="article_info">C Olsson, A Nordquist and C Petersson. <span class="article_issue_date">2004</span>. <span class="article_title">Increased fragility in patients with fracture of the proximal humerus: a case-control study.</span> <span class="journal_series_title">Bone 34</span>, <span class="journal_pages">pp 1072-1077</span>.</div>
<div class="article_info">C Olsson, A Nordquist and C Petersson. <span class="article_issue_date"></span>. <span class="article_title">It is possible to predict the long-term results of a proximal humerus fracture after one year. A 13-year prospective population-based follow-up study of 47 patients.</span> <span class="journal_series_title">Acta Orthop Scand</span>, (inpress)</div>
<div class="article_info">C Olsson and C Petersson. <span class="article_issue_date"></span>. <span class="article_title">The prevalence and significance of comorbidity in patients with a proximal humerus fracture. A population-based prospective study of 100 patients.</span> <span class="journal_series_title">Clinical Orthopaedics and Related Research</span>, (submitted)</div>

Subject classification (UKÄ)

Clinical Medicine

Free keywords

Medicine (human and vertebrates)
outcome
fragility
morbidity
proximal humerus fracture
mortality
Medicin (människa och djur)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Cite this

@phdthesis{1b9fb5b31fc0451aa32fe4fa642f2cb6,

title = "Studies on patients with a proximal humerus fracture. With special reference to mortality, fragility, morbidity and outcome",

abstract = "Fractures of the proximal part of the humerus occur frequently, especially in elderly women. The present thesis summarizes a series of studies analysing the impact on fracture outcome of factors related both to the fracture itself and to the patient. Fracture type based on comminution and dislocation according to the Neer classification system and epidemiological data involving trauma impact, health status, medicine consumption and fragility have been studied in 269 patients who sustained a proximal humerus fracture in Malm{\"o} in 1987 and in 100 patients who got a fracture in 1999. The patients were prospectively followed and compared with 613 controls. It was possible to demonstrate that: 1.There is an increased mortality in male patients with a proximal humerus fracture. 2.Old patients with a proximal humerus fracture have higher coincidental morbidity than their controls. 3.Proximal humerus fractures occur more frequently in patients who have sustained fractures earlier. Also, in these patients, there is an increased risk of subsequent fractures. 4.In patients with a displaced proximal humerus fracture the long-term result is worse than in patients with a minimally displaced fracture. 5.Patients with a proximal humerus fracture and coincidental morbidity have a less favourable long-term outcome. 6.It is possible to predict the long-term result of a proximal humerus fracture after one year. 7.Union with minimally displacement of a proximal humerus fracture does not preclude symptomatic fibrosis.",

keywords = "Medicine (human and vertebrates), outcome, fragility, morbidity, proximal humerus fracture, mortality, Medicin (m{\"a}nniska och djur)",

author = "Christian Olsson",

note = "Defence details Date: 2005-04-28 Time: 09:00 Place: Malm{\"o} University Hospital External reviewer(s) Name: Lysholm, Jack Title: Professor Affiliation: Phd, MD --- <div class={"}article\_info{"}>C Olsson, A Nordquist and C Petersson. <span class={"}article\_issue\_date{"}>2003</span>. <span class={"}article\_title{"}>Increased mortality after fracture of the surgical neck of the humerus. A case-control study of 253 patients with a 12-year follow-up.</span> <span class={"}journal\_series\_title{"}>Acta Orthop Scand</span>, <span class={"}journal\_volume{"}>vol 74</span> <span class={"}journal\_pages{"}>pp 709-712</span>.</div> <div class={"}article\_info{"}>C Olsson, A Nordqvist and C Petersson. <span class={"}article\_issue\_date{"}></span>. <span class={"}article\_title{"}>Morbidity in patients with a proximal humerus fracture - a population-based casecontrol study of 728 individuals.</span> (manuscript)</div> <div class={"}article\_info{"}>C Olsson, A Nordquist and C Petersson. <span class={"}article\_issue\_date{"}>2004</span>. <span class={"}article\_title{"}>Increased fragility in patients with fracture of the proximal humerus: a case-control study.</span> <span class={"}journal\_series\_title{"}>Bone 34</span>, <span class={"}journal\_pages{"}>pp 1072-1077</span>.</div> <div class={"}article\_info{"}>C Olsson, A Nordquist and C Petersson. <span class={"}article\_issue\_date{"}></span>. <span class={"}article\_title{"}>It is possible to predict the long-term results of a proximal humerus fracture after one year. A 13-year prospective population-based follow-up study of 47 patients.</span> <span class={"}journal\_series\_title{"}>Acta Orthop Scand</span>, (inpress)</div> <div class={"}article\_info{"}>C Olsson and C Petersson. <span class={"}article\_issue\_date{"}></span>. <span class={"}article\_title{"}>The prevalence and significance of comorbidity in patients with a proximal humerus fracture. A population-based prospective study of 100 patients.</span> <span class={"}journal\_series\_title{"}>Clinical Orthopaedics and Related Research</span>, (submitted)</div>",

year = "2005",

language = "English",

isbn = "91-85439-21-5",

publisher = "Department of Clinical Sciences, Lund University",

type = "Doctoral Thesis (compilation)",

school = "Department of Clinical Sciences, Malm{\"o}",

}

TY - THES

T1 - Studies on patients with a proximal humerus fracture. With special reference to mortality, fragility, morbidity and outcome

AU - Olsson, Christian

N1 - Defence details Date: 2005-04-28 Time: 09:00 Place: Malmö University Hospital External reviewer(s) Name: Lysholm, Jack Title: Professor Affiliation: Phd, MD --- <div class="article_info">C Olsson, A Nordquist and C Petersson. <span class="article_issue_date">2003</span>. <span class="article_title">Increased mortality after fracture of the surgical neck of the humerus. A case-control study of 253 patients with a 12-year follow-up.</span> <span class="journal_series_title">Acta Orthop Scand</span>, <span class="journal_volume">vol 74</span> <span class="journal_pages">pp 709-712</span>.</div> <div class="article_info">C Olsson, A Nordqvist and C Petersson. <span class="article_issue_date"></span>. <span class="article_title">Morbidity in patients with a proximal humerus fracture - a population-based casecontrol study of 728 individuals.</span> (manuscript)</div> <div class="article_info">C Olsson, A Nordquist and C Petersson. <span class="article_issue_date">2004</span>. <span class="article_title">Increased fragility in patients with fracture of the proximal humerus: a case-control study.</span> <span class="journal_series_title">Bone 34</span>, <span class="journal_pages">pp 1072-1077</span>.</div> <div class="article_info">C Olsson, A Nordquist and C Petersson. <span class="article_issue_date"></span>. <span class="article_title">It is possible to predict the long-term results of a proximal humerus fracture after one year. A 13-year prospective population-based follow-up study of 47 patients.</span> <span class="journal_series_title">Acta Orthop Scand</span>, (inpress)</div> <div class="article_info">C Olsson and C Petersson. <span class="article_issue_date"></span>. <span class="article_title">The prevalence and significance of comorbidity in patients with a proximal humerus fracture. A population-based prospective study of 100 patients.</span> <span class="journal_series_title">Clinical Orthopaedics and Related Research</span>, (submitted)</div>

PY - 2005

Y1 - 2005

N2 - Fractures of the proximal part of the humerus occur frequently, especially in elderly women. The present thesis summarizes a series of studies analysing the impact on fracture outcome of factors related both to the fracture itself and to the patient. Fracture type based on comminution and dislocation according to the Neer classification system and epidemiological data involving trauma impact, health status, medicine consumption and fragility have been studied in 269 patients who sustained a proximal humerus fracture in Malmö in 1987 and in 100 patients who got a fracture in 1999. The patients were prospectively followed and compared with 613 controls. It was possible to demonstrate that: 1.There is an increased mortality in male patients with a proximal humerus fracture. 2.Old patients with a proximal humerus fracture have higher coincidental morbidity than their controls. 3.Proximal humerus fractures occur more frequently in patients who have sustained fractures earlier. Also, in these patients, there is an increased risk of subsequent fractures. 4.In patients with a displaced proximal humerus fracture the long-term result is worse than in patients with a minimally displaced fracture. 5.Patients with a proximal humerus fracture and coincidental morbidity have a less favourable long-term outcome. 6.It is possible to predict the long-term result of a proximal humerus fracture after one year. 7.Union with minimally displacement of a proximal humerus fracture does not preclude symptomatic fibrosis.

AB - Fractures of the proximal part of the humerus occur frequently, especially in elderly women. The present thesis summarizes a series of studies analysing the impact on fracture outcome of factors related both to the fracture itself and to the patient. Fracture type based on comminution and dislocation according to the Neer classification system and epidemiological data involving trauma impact, health status, medicine consumption and fragility have been studied in 269 patients who sustained a proximal humerus fracture in Malmö in 1987 and in 100 patients who got a fracture in 1999. The patients were prospectively followed and compared with 613 controls. It was possible to demonstrate that: 1.There is an increased mortality in male patients with a proximal humerus fracture. 2.Old patients with a proximal humerus fracture have higher coincidental morbidity than their controls. 3.Proximal humerus fractures occur more frequently in patients who have sustained fractures earlier. Also, in these patients, there is an increased risk of subsequent fractures. 4.In patients with a displaced proximal humerus fracture the long-term result is worse than in patients with a minimally displaced fracture. 5.Patients with a proximal humerus fracture and coincidental morbidity have a less favourable long-term outcome. 6.It is possible to predict the long-term result of a proximal humerus fracture after one year. 7.Union with minimally displacement of a proximal humerus fracture does not preclude symptomatic fibrosis.

KW - Medicine (human and vertebrates)

KW - outcome

KW - fragility

KW - morbidity

KW - proximal humerus fracture

KW - mortality

KW - Medicin (människa och djur)

M3 - Doctoral Thesis (compilation)

SN - 91-85439-21-5

PB - Department of Clinical Sciences, Lund University

ER -

Studies on patients with a proximal humerus fracture. With special reference to mortality, fragility, morbidity and outcome

Abstract

Bibliographical note

Subject classification (UKÄ)

Free keywords

UN SDGs

Fingerprint

Cite this