ReviewDeutsches Arzteblatt international2013
The treatment of proximal humeral fracture in adults.
Review in Deutsches Arzteblatt international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.
- Locking plates versus intramedullary nails in the management of displaced proximal humeral fractures: a systematic review and meta-analysis.International orthopaedics · 2018Pooled it
- Displaced three and four part proximal humeral fractures: prospective controlled randomized open-label two-arm study comparing intramedullary nailing and locking plate.International orthopaedics · 2021Trial
- The Treatment of Proximal Humerus Fracture Using Internal Fixation with Fixed-angle Plates.Deutsches Arzteblatt international · 2019Trial
- Trial
- Efficacy comparison of intramedullary nails, locking plates and conservative treatment for displaced proximal humeral fractures in the elderly.Clinical interventions in aging · 2017Trial
- The impact of prior level of care on the course of proximal humeral fractures in older patients: an analysis based on health insurance claims data.BMC health services research · 2026Article
- Osteoporotic Fractures of the Proximal Humerus: an In-Depth Review of Current Management Options.Current osteoporosis reports · 2025Review
- [Decision-making process between plate osteosynthesis vs. endoprosthesis in proximal humerus fractures of the rheumatoid arthritis shoulder].Zeitschrift fur Rheumatologie · 2025Article
- Proximal humerus fracture and acromioclavicular joint dislocation.Innovative surgical sciences · 2024Review
- The surgical treatment of proximal humerus fractures 2010-2019: United States national case volume and incidence trends.JSES reviews, reports, and techniques · 2024Article
- Permissive Weight Bearing in Proximal Humeral Fracture Management: A Survey-Based Inquiry in the Netherlands.Cureus · 2024Article
- Comparison of the ALPS and PHILOS plating systems in proximal humeral fracture fixation - a retrospective study.BMC musculoskeletal disorders · 2023Article
- Comparison of 30-day complications between reverse shoulder arthroplasty and open reduction internal fixation for the treatment of proximal humerus fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- It Is Always the Same-A Complication Classification following Angular Stable Plating of Proximal Humeral Fractures.Journal of clinical medicine · 2023Article
- Statistical Morphology and Fragment Mapping of Complex Proximal Humeral Fractures.Medicina (Kaunas, Lithuania) · 2023Article
- Functional results and unfavorable events after treatment of proximal humerus fractures using a new locking plate system.BMC musculoskeletal disorders · 2023Article
- A Comparison of Complications and Survivorship after Reverse Total Shoulder Arthroplasty for Proximal Humerus Fracture compared with Cuff Tear Arthropathy.The archives of bone and joint surgery · 2023Article
- Advanced CT visualization improves the accuracy of orthopaedic trauma surgeons and residents in classifying proximal humeral fractures: a feasibility study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Conservative treatment of displaced isolated proximal humerus greater tuberosity fractures: preliminary results of a prospective, CT-based registry study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Self-Reduction in Proximal Humerus Fractures through Upright Patient Positioning: Is It up to Gravity?Diagnostics (Basel, Switzerland) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe incidence of proximal humeral fractures lies between 105 and 342 per 100 000 persons per year. Around the world, this type of fracture remains a major challenge for treating surgeons. While non-displaced fractures can be managed conservatively, displaced ones are often treated surgically.
methodsSelective literature review.
resultsThere are still no evidence-based schemes or guidelines for the treatment of proximal humeral fractures, and very few prospective randomized trials are available. The few that have been published recently show a trend in favor of conservative treatment, but they were carried out on small groups of patients and their findings are not directly generalizable. For younger patients, the goal of treatment is generally anatomical repositioning and osteosynthetic stabilization; for older patients, primary treatment with a prosthesis is a further option. Depending on the mode of treatment, complications can arise such as shoulder stiffness, necrosis of the humeral head, pain, infection, loss of reposition, and "cutting out."
conclusionCurrent evidence supports the individualized treatment of proximal humeral fractures. Treatment decisions must always be made jointly with the patient in consideration of his or her individual needs and characteristics. Particularly for elderly patients, the possibility of conservative treatment should be carefully considered. If conservative treatment is not possible, then the type of operation performed should also be a function of the surgeon's individual skills and experience with particular types of implant.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.