Incidence of proximal humeral fracture complicated with rotator cuff injury and multivariate analysis of postoperative shoulder function
Objective This study was aimed to evaluate the incidence of proximal humeral fracture accompanied by rotator cuff injury and the influencing factors on shoulder joint function recovery.Methods The clinical data of 168 patients with proximal humeral fractures who underwent surgical treatment in our hospital from January 2018 to August 2022 were retrospectively analyzed,and the shoulder joint NEER scores at 1-year follow-up after surgery were recorded.The single factor and logistic multivariate analysis on the indicators that affect NEER scores were performed.Results The incidence rate of proximal humeral fracture with rotator cuff injury was 25.60％(43/168).Univariate analysis showed that age,time to start functional exercise after surgery,fracture classifica-tion,reduction quality,osteoporosis,rotator cuff injury,and anti-osteoporosis drugs were correlated with the excellent rate of postop-erative NEER score(P＜0.05).Logistic regression analysis showed that age,start of functional exercise time after surgery,osteoporo-sis,reduction quality,rotator cuff injury,and anti-osteoporosis drugs were the main factors affecting shoulder joint function after sur-gery for proximal humeral fracture combined with rotator cuff injury(P＜0.05).Conclusion The incidence rate of proximal humeral fracture with rotator cuff injury is high.The recovery of postoperative shoulder joint function is related to a number of factors,and it is necessary for us to find and actively deal with related factors before,during and after surgery,so that patients can obtain satisfactory shoulder joint function.
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