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Analysis of institutional authors

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Proximal humeral fractures treated conservatively settle during fracture healing.

Publicated to:JOURNAL OF ORTHOPAEDIC TRAUMA. 29 (2): e24-30 - 2015-02-06 29(2), DOI: 10.1097/bot.0000000000000244

Authors: Foruria, Antonio M; Marti, Milagros; Sanchez-Sotelo, Joaquin

Affiliations

Fdn Jimenez Diaz, Dept Orthoped Surg, E-28040 Madrid, Spain - Author
Hospital Universitario Fundacion Jimenez Diaz - Author
La Paz Univ Hosp, Dept Radiol, Madrid, Spain - Author
Mayo Clin, Dept Orthoped Surg, Rochester, MN USA - Author

Abstract

Determine the relative position of the main fractured fragments of proximal humerus fractures treated conservatively to compare displacement at 2 time points: injury (0), and 1 year later (1).Prospective, comparative cohort study.Level I trauma center.Eighty-nine prospectively enrolled adults.Six weeks of sling immobilization and a home-based program rehabilitation protocol started 2 weeks after injury.Standardized radiographs of injured shoulders were obtained in all patients at times 0 and 1. Computed tomography scans were also obtained at these times in 73 cases. Forty-two computer-assisted measurements of displacement were performed at times 0 and 1 and then compared. Factors related to progression of displacement were analyzed.Ninety percent of fractures were classified into 1 of 4 patterns: posteromedial (varus) impaction (46), lateral (valgus) impaction (13), isolated greater tuberosity (15), and anteromedial impaction (6). Head-shaft displacement increased over time. In posteromedial impaction fractures, average fracture settling included 9 degrees in varus, 7 degrees in retroversion, and 3.2 mm in posterior shortening. In valgus-impacted fractures, a decrease in valgus tilt and a tendency toward a more anterior orientation of the articular surface was observed. Greater tuberosity displacement increased more than 5 mm in less than 20% of cases. Age and initial displacement were related to progression of displacement.Proximal humerus fractures treated conservatively settle at the head-shaft junction during healing. Substantial additional displacement of tuberosities was seldom observed.Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Keywords

AdultAgedAged, 80 and overBracesConservative treatmentFemaleFracture healingHumansImmobilizationMaleMiddle agedPrognosisProspective studiesProximal humeral fracturesRisk factorsShoulder fractures

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal JOURNAL OF ORTHOPAEDIC TRAUMA due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2015, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Surgery. Notably, the journal is positioned above the 90th percentile.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations from Scopus Elsevier, it yields a value for the Field-Weighted Citation Impact from the Scopus agency: 1.3, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 5.02 (source consulted: Dimensions Jun 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-17, the following number of citations:

  • WoS: 13
  • Scopus: 18
  • Europe PMC: 9
  • OpenCitations: 20

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-17:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 90.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 90 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 5.2.
  • The number of mentions on the social network X (formerly Twitter): 9 (Altmetric).

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: United States of America.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (FORURIA DE DIEGO, ANTONIO MARIA) .

the author responsible for correspondence tasks has been FORURIA DE DIEGO, ANTONIO MARIA.