Table 3. Clinical Score and ROM before and after Treatment of Acromial Fracture after RTSA.
| Study | No. of fractures | Treatment | ROM (°) | SANE | VAS | ASES score | SST | Constant score | Other | ||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Forward flexion | Abduction | External rotation | |||||||||
| Gillespie et al. (2015)7) | 1 | Conservative | 80 | ||||||||
| Kennon et al. (2017)12) | 9 | Conservative (3), ORIF (5), revision RTSA & ORIF (1) | Conservative: 45→100, ORIF: 70→126.7 | Conservative: 15→75, ORIF: 52.5→90 | Conservative: –2.5→32.5, ORIF: 0.8→29.2 | Conservative: 6→0, ORIF: 9.3→0 | Conservative: 20→75, ORIF: 5.8→80.3 | Conservative: 0.5→8.5, ORIF: 0.2→ 8.8 | Conservative: 10.5→57, ORIF: 10.3→73 | UCLA score conservative: 10→28, ORIF: 7.7→30 | |
| Lopiz et al. (2015)15) | 4 | Conservative (3), ORIF (1) | 58.8→91.3 | 7.5→8.8 | 34.7→66.5 | ||||||
| Stephens et al. (2015)17) | 2 | Conservative | 127.5 | 30 | 1.3 | 95 (Acromion fx) | |||||
| Mulieri et al. (2010)16) | 2 | Conservative | 25 | ||||||||
| Teusink et al. (2014)18) | 25 | Conservative | Acromion fx: improved 29, Spine fx: improved 19 | Acromion fx: 2.4, spine fx: 2.3 | Acromion fx: 59.9, spine fx: 53.8 | ||||||
| Hattrup (2010)9) | 9 | Conservative | 87 | 79 | 36 | 4.1 | 44.5 | 5 | |||
| Hattrup et al. (2012)10) | 3 | Conservative | 113 | 108 | 25 | Pre-RTSA: 27, final: 50 | Pre-RTSA: 1.3, final: 5.3 | ||||
| Ladermann et al. (2009)13) | 2 | Conservative | 120 | 67.5 (n = 1) | |||||||
| Walch et al. (2009)20) | 4 | Conservative (3), ORIF (1) | 81 | 35 | |||||||
| Hess et al. (2018)11) | 3 | ORIF (3) | 53→127 | 52→125 | 60.6 | SSV: 70 | |||||
| Levy et al. (2013)14) | 16 | Conservative | 77 | 64 | 25 | 58 | 5 | 44 | 4 | ||
| Hamid et al. (2011)8) | 8 | Conservative | 71 | 70 | SF-12 mental: 55.4, SF-12 physical: 39.1, DASH score: 42.3 | ||||||
| Wahlquist et al. (2011)19) | 5 | Conservative (2), ORIF (3) | 43→84 | 6.8→0.8 | NFO Conservative: 61, ORIF: 62.7 | ||||||
| Dubrow et al. (2014)6) | 14 | Conservative | 113.3→116.6 | 3.5→2.1 | 67.5→66.9 | ||||||
ROM: range of motion, RTSA: reverse total shoulder arthroplasty, SANE: Single Assessment Numeric Evaluation, VAS: visual analogue scale, ASES: American Shoulder and Elbow Surgeons, SST: Simple Shoulder Test, ORIF: open reduction and internal fixation, UCLA: University of California at Los Angeles, fx: fracture, SSV: Subjective Shoulder Value, SF-12: 12-item Short Form Survey, DASH: Disabilities of the Arm, Shoulder and Hand, NFO: Neer's functional outcomes.