"The OTA Resident Research Grant has provided a significant opportunity to transform the care of proximal humerus fractures through our research. Numerous studies have demonstrated that patients with proximal humerus fractures have similar outcomes whether treated with or without surgery. However, conservative treatment often results in higher rates of malunion. Our current understanding of clinically relevant proximal humerus malunion correlates poorly with functional outcomes, making it difficult to clearly identify operative indications. Furthermore, existing research fails to assess the contribution of the scapulothoracic joint on shoulder motion. Thus, the goal of our research is to use biplane radiography to identify the in vivo effects of proximal humerus deformity on glenohumeral and scapulothoracic kinematics. Ultimately, the data gathered from our research may allow better recognition of patients with proximal humerus fractures who would benefit from operative intervention. I am grateful for the OTA's continual support of resident education and research."
The Effect of Proximal Humerus Malunion on Glenohumeral Kinematics
Stephen Chen, MD, University of Pittsburgh Medical Center
Co-Principal Investigators: Gele Moloney, MD, William Anderst, PhD