Table V.
Outcomes of nonoperative and surgical treatment in patients with a PSD (n = 44).
| Variable | Nonoperative |
Surgical |
P value |
|---|---|---|---|
| 12 shoulders | 35 shoulders | ||
| Mean age at injury (range) | 45.9 (29.0-77.0) | 44.4 (28.0-63.0) | .67 |
| Male | 9 (75.0%) | 31 (88.6%) | .27 |
| Right-sided fracture | 4 (33.3%) | 20 (57.1%) | .24 |
| Number of associated injuries | 3 (3/4 shoulders) | 5 (3/5 shoulders) | .67 |
| Fracture displacement > 5 mm | 0/2 (0.0%) | 3/3 (100.0%) | .10† |
| Open surgical treatment | n/a | 35 (100.0%) | n/a |
| Arthroscopic surgical treatment | n/a | 0 (0.0%) | n/a |
| Delayed treatment (> 6 weeks) | 0/12 (0.0%) | 0/13 (0.0%) | n/a |
| Mean years of follow-up (range) | 2.2 (0.82-3.0) | 2.7 (0.3-3.2) | .09 |
| Return to work | 2/2 (100.0%) | NR | n/a |
| Return to daily life activities | 2/2 (100.0%) | 2/2 (100.0%) | n/a |
| Pain | 1/1 (100.0%) | 1/5 (20.0%) | .33† |
| Mean VAS pain | NR | 0.6 ± 0.8 | n/a |
| Restricted movement | 7/10 (70.0%) | 33/35 (94.3%) | .051 |
| Full strength | 3/3 (100.0%) | 1/1 (100.0%) | n/a |
| Satisfaction | 1/1 (100.0%) | 1/1 (100.0%) | n/a |
| Mean of PROMs (range) | 92.0 (92.0-92.0) | 81.9 (81.2-97.0) | .007 |
| Nonunion | 0/2 (0.0%) | 0/2 (0.0%) | n/a |
| Complications∗ | 2 (16.7%) | 6 (17.1%) | .97 |
| Secondary surgery | 2 (16.7%) | 0 (0.0%) | .061† |
PROMs, patient-reported outcome measures; NR, not reported; n/a, not applicable.
Data are expressed as number of shoulders with percentages. If data are missing, the total number of shoulders within a variable is reported after the slash. The P-values of the unadjusted regression analysis are presented.
Studies by Nardo et al and Nové-Josserand et al were excluded since data on initial treatment was not extractable per case.
Mean of PROMs of 1 shoulder were described in the nonoperative group and 23 shoulders in the surgical group.
Significant P-values are indicated in bold.
Closed reduction group: iatrogenic fracture (n = 1) and redislocation requiring surgery (n = 1). Surgery group: humeral head necrosis (n = 4) and dorsal suture anchor perforation (n = 1). One patient suffered an iatrogenic brachial plexus injury (n = 1) after initial reduction, before she underwent surgery.
Data were analyzed using a Fisher's exact test.