Functional Trajectories Following Clinically Selected Management of Concomitant Proximal Humerus Fractures in Geriatric Hip-Fracture Patients: A Retrospective Cohort Study
- 1Department of Orthopaedic Surgery and Traumatology, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain
- 2Universidad Complutense de Madrid, 28040 Madrid, Spain
- 3Shoulder and Elbow Unit, Department of Orthopaedic Surgery and Traumatology, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain
Abstract
Background/Objectives: Concomitant hip and proximal humerus fractures create a demanding rehabilitation scenario in older adults. We described unadjusted functional trajectories following clinically selected proximal humerus management and explored the relationship between baseline independence and treatment allocation. Methods: We retrospectively reviewed 4776 hip-fracture presentations (2011–2023); 55 patients aged > 65 years had synchronous proximal humerus fractures. All hip fractures were surgically treated; 13 proximal humerus fractures were managed operatively and 42 non-operatively. Barthel Index was assessed before fracture, at 30 days, and at six months. Results: Mean pre-fracture Barthel scores were 98.5 ± 3.8 and 79.5 ± 20.8 in the operative and non-operative groups, respectively. At 30 days, scores were 85.4 ± 6.9 versus 60.5 ± 23.9; at six months, scores were 93.5 ± 5.2 versus 70.2 ± 25.0. Mean absolute change from baseline at six months was −5.0 versus −9.3 points. Conclusions: Patients selected for surgery were more independent before injury and remained more independent at follow-up. Marked pre-injury differences and confounding by indication prevent any inference about the independent effect of proximal humerus surgery.
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BibTeX
@article{laragaldon2026functional,
title = {{Functional Trajectories Following Clinically Selected Management of Concomitant Proximal Humerus Fractures in Geriatric Hip-Fracture Patients: A Retrospective Cohort Study}},
author = {Borja Lara-Galdón and José María Hernández-Mateo and Lourdes Prats-Peinado and Álvaro Guzmán-Sánchez and Carmen Begara-Bretón and Mikel Aburto-Bernardo and Ángel Pérez-Martín and Fausto López-Mombiela},
journal = {Journal of Clinical Medicine},
year = {2026},
month = oct,
doi = {10.3390/jcm15218361},
url = {https://www.mdpi.com/2077-0383/15/21/8361},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Functional Trajectories Following Clinically Selected Management of Concomitant Proximal Humerus Fractures in Geriatric Hip-Fracture Patients: A Retrospective Cohort Study
AU - Borja Lara-Galdón
AU - José María Hernández-Mateo
AU - Lourdes Prats-Peinado
AU - Álvaro Guzmán-Sánchez
AU - Carmen Begara-Bretón
AU - Mikel Aburto-Bernardo
AU - Ángel Pérez-Martín
AU - Fausto López-Mombiela
PY - 2026
DA - 2026/10/27
JO - Journal of Clinical Medicine
DO - 10.3390/jcm15218361
UR - https://www.mdpi.com/2077-0383/15/21/8361
AB - Background/Objectives: Concomitant hip and proximal humerus fractures create a demanding rehabilitation scenario in older adults. We described unadjusted functional trajectories following clinically selected proximal humerus management and explored the relationship between baseline independence and treatment allocation. Methods: We retrospectively reviewed 4776 hip-fracture presentations (2011–2023); 55 patients aged > 65 years had synchronous proximal humerus fractures. All hip fractures were surgically treated; 13 proximal humerus fractures were managed operatively and 42 non-operatively. Barthel Index was assessed before fracture, at 30 days, and at six months. Results: Mean pre-fracture Barthel scores were 98.5 ± 3.8 and 79.5 ± 20.8 in the operative and non-operative groups, respectively. At 30 days, scores were 85.4 ± 6.9 versus 60.5 ± 23.9; at six months, scores were 93.5 ± 5.2 versus 70.2 ± 25.0. Mean absolute change from baseline at six months was −5.0 versus −9.3 points. Conclusions: Patients selected for surgery were more independent before injury and remained more independent at follow-up. Marked pre-injury differences and confounding by indication prevent any inference about the independent effect of proximal humerus surgery.
SN - 2077-0383
ER -