Functional outcomes in proximal humerus fractures: a prospective registry-based analysis


  • Tashfeen Ahmad Department of Surgery and Biological and Biomedical Sciences, Aga Khan University, Karachi, Pakistan
  • Zehra Abdul Muhammad Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan
  • Amna Haroon 3rd Year MBBS Student, Jinnah Medical and Dental College, Karachi, Pakistan



Objective: To evaluate clinical and functional outcomes of proximal humerus fractures managed with different procedures and determining factors influencing outcomes.

Methods: Data of this prospective cohort was obtained from the orthopaedic trauma registry at a tertiary care Hospital from June 2015 to October 2019. Sixty-nine adult patients with proximal humerus fracture managed either surgically or non-operatively were identified. Functional and clinical outcomes had been assessed using Quick Disability of the Arm, Shoulder and Hand score. Outcomes were assessed up to 12 months follow-ups and were compared between different treatment groups and between isolated versus proximal humerus with additional upper limb fractures.

Results: In the 69 patients, 31 (45%) belonged to >55 years age group. Fifty-eight (84%) patients were operated of which 43 (62%) underwent Proximal Humeral Internal Locking System procedure. There was non-significant difference in clinical and functional outcomes between isolated versus proximal humerus fractures associated with other upper limb fractures at follow-ups 6 weeks onwards. At 3 months follow-up, there was significantly better outcomes in all treatment groups compared to PHILOS with bone graft/BMP (p=0.004-0.035). Males had significantly better recovery at 3 months as compared to females (p=0.04).




How to Cite

Tashfeen Ahmad, Zehra Abdul Muhammad, & Amna Haroon. (2021). Functional outcomes in proximal humerus fractures: a prospective registry-based analysis. Journal of the Pakistan Medical Association, 71(7), 1870–1874.



Research Article