Comparative analysis of the shoulder’s funcionality in patients undergoing proximal humerus osteosynthesis with fixed angle plate and locking screws

Abstract

Objective: To compare the scales of UCLA-modified Constant-Murley and the functional assessment of the shoulder patient undergoing osteosynthesis of the proximal humerus with fixed angle plate (PHILOS). Method: From September 2007 to June 2011 were selected HNMD in 10 patients treated, 20% were male with a mean age of 42.5 years and 80% female with a mean age of 60.5 years. The postoperative mean follow-up was 9 month and based on Neer classification, two patients had a fracture in three parts, 8 in 2 parts and no fracture in four parts. The functional assessment of the shoulder of patients compared using the scales UCLA and Constant-Murley. Results: The average overall score of UCLA was 23.5 points (8-35) and Constant-Murley score 50.7 points or classified as medium (bad - excellent). All fractures showed union, three patients after one year postoperative had the material synthesis removed by presenting subacromial impingement. Conclusion: It observed that the scale Constant-Murley is most suitable for evaluating the functionality of the shoulder in patients undergoing osteosynthesis of the proximal humerus, as assessed pain and range of motion more efficient and reliable.