{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T05:30:34Z","timestamp":1739338234318,"version":"3.37.0"},"reference-count":20,"publisher":"Open Medical Publishing","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":" Background<\/jats:title> The treatment of proximal humerus fracture complicated by bone fragility is still controversial. The aim of this study is to compare the Neer classification and the Control Volume severity grade for the accuracy in the selection of the type of treatment and for prognostic evaluation.<\/jats:p> <\/jats:sec> Materials and methods<\/jats:title> We retrospectively collected the records of all patients admitted at the Emergency Department of our Institute, from 2013 to 2020, for a closed displaced proximal humerus fracture further investigated with a CT scan before treatment decision. We selected all patients with a minimum age of 65 years. The included fractures were retrospectively classified according to Neer, and Control Volume severity grade. The included patients were evaluated with Simple Shoulder Test (SST). A statistical analysis was performed to correlate the type of treatment and the clinical results to the Neer classification and the Control Volume severity grade.<\/jats:p> <\/jats:sec> Results<\/jats:title> Sixty-four patients (80%), were available for the telephonically interview at a mean follow up of 4 years and were included. According to the Control Volume model, we identified fracture with a low, medium and high severity grade, in 23 (36%), 13 (20%), and, 28 (44%) cases, respectively. Fifteen patients (23,5%) were conservatively treated, whether fourty-nine patients (76,5%) were operated. We find a statistical correlation between control volume severity grade and type of treatment. No Therapeutic correlation was detected for the Neer classification. A statistical correlation between the severity grade and clinical outcome could be observed only for patients with the same type of treatment.<\/jats:p> <\/jats:sec> Conclusions<\/jats:title> The use of Control Volume severity grade is associated with better therapeutic and prognostic informations in confront to the Neer classification.<\/jats:p> <\/jats:sec>","DOI":"10.52965\/001c.38568","type":"journal-article","created":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T02:11:58Z","timestamp":1665627118000},"source":"Crossref","is-referenced-by-count":0,"title":["Therapeutic and prognostic predictive value of the Control Volume severity grade on proximal humerus fractures due to bone fragility."],"prefix":"10.52965","volume":"14","author":[{"given":"Raffaele","family":"Russo","sequence":"first","affiliation":[{"name":"Pineta Grande Hospital, Castelvolturno (CE) Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Cozzolino","sequence":"additional","affiliation":[{"name":"Pineta Grande Hospital, Castelvolturno (CE) Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe Della","family":"Rotonda","sequence":"additional","affiliation":[{"name":"Pineta Grande Hospital, Castelvolturno (CE) Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Guastafierro","sequence":"additional","affiliation":[{"name":"Pineta Grande Hospital, Castelvolturno (CE) Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Viglione","sequence":"additional","affiliation":[{"name":"Pineta Grande Hospital, Castelvolturno (CE) Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo Francesco","family":"Malfi","sequence":"additional","affiliation":[{"name":"Federico II University Napoli"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Minopoli","sequence":"additional","affiliation":[{"name":"E-LISA, Napoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano","family":"Mottola","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi della Campania \"Luigi Vanvitelli\", Naples, Italy","department":["Department of Orthopaedics"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Mortellaro","sequence":"additional","affiliation":[{"name":"E-LISA, Napoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Livia Renata","family":"Pietroluongo","sequence":"additional","affiliation":[{"name":"E-LISA, Napoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"30777","published-online":{"date-parts":[[2022,10,13]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"publisher","first-page":"e8","DOI":"10.1016\/j.jse.2012.04.002","article-title":"Current strategies for the treatment of proximal humeral fractures: An analysis of a survey carried out at 348 hospitals in Germany, Austria, and Switzerland","volume":"22","author":"Alexander Tepass","year":"2013","journal-title":"Journal of Shoulder and Elbow Surgery","ISSN":"https:\/\/id.crossref.org\/issn\/1058-2746","issn-type":"print"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"215145851775051","DOI":"10.1177\/2151458517750516","article-title":"Proximal Humerus Fractures: Evaluation and Management in the Elderly Patient","volume":"9","author":"Adam Schumaier","year":"2018","journal-title":"Geriatric Orthopaedic Surgery & Rehabilitation","ISSN":"https:\/\/id.crossref.org\/issn\/2151-4593","issn-type":"print"},{"issue":"4","key":"ref3","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1016\/j.jse.2012.06.008","article-title":"Locking plate fixation of fractures of the proximal humerus: analysis of complications, revision strategies and outcome","volume":"22","author":"Bernhard Jost","year":"2013","journal-title":"Journal of Shoulder and Elbow Surgery","ISSN":"https:\/\/id.crossref.org\/issn\/1058-2746","issn-type":"print"},{"issue":"6","key":"ref4","doi-asserted-by":"publisher","first-page":"1090","DOI":"10.2106\/00004623-197052060-00002","article-title":"Displaced proximal humeral fractures. 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