ArticleInternational orthopaedics2014
Trends in epidemiology and patho-anatomical pattern of proximal humeral fractures.
Article in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.
- Complications after non-surgical management of proximal humeral fractures: a systematic review of terms and definitions.BMC musculoskeletal disorders · 2019Pooled it
- Cement augmentation of the proximal humerus internal locking system in elderly patients: a multicenter randomized controlled trial.Archives of orthopaedic and trauma surgery · 2019Trial
- Efficacy comparison of intramedullary nails, locking plates and conservative treatment for displaced proximal humeral fractures in the elderly.Clinical interventions in aging · 2017Trial
- Neurovascular injuries associated with proximal humerus fractures: a review of the current literature.JSES reviews, reports, and techniques · 2026Review
- Effect of reduced orbital rotation on image quality and intra-articular screw detection in intraoperative 3D imaging of proximal humerus plate fixation: a cadaveric study.Journal of orthopaedic surgery and research · 2026Article
- The "Sandwich" technique using a lateral locking plate and intramedullary reconstruction plate with bone cement for osteoporotic proximal humerus fractures: a case series.Frontiers in surgery · 2026Article
- Osteoporotic Fractures of the Proximal Humerus: an In-Depth Review of Current Management Options.Current osteoporosis reports · 2025Review
- Outcomes of Proximal Humeral Fracture Fixation Using Minimally Invasive Plate Osteosynthesis: A Prospective Clinical and Radiographic Study.Journal of orthopaedic case reports · 2025Article
- No obvious time trend in proximal humeral fracture complexity : a cohort study from 1944 to 2020 in Malmö, Sweden.Bone & joint open · 2025Article
- [Osteosynthesis for proximal humeral fractures : Plating, double plating and more].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Comparative finite element analysis: internal fixation plate versus intramedullary nail for neer type III-VI proximal humeral fractur.Journal of orthopaedic surgery and research · 2025Article
- Rehabilitation protocols in proximal humerus fracture management: A systematic review.Shoulder & elbow · 2024Review
- Comparative Analysis of Surgical Approaches in the Treatment of Proximal Humerus Fractures: A Retrospective Study.Journal of pharmacy & bioallied sciences · 2024Article
- Treatment of 2-part, 3-part, and 4-part proximal humerus fractures from 2016 to 2020: A nationally-representative database.Journal of orthopaedics · 2024Article
- Outcomes after salvage reverse shoulder arthroplasty for failed primary fixation or hemiarthroplasty for proximal humerus fractures: A systematic review.Shoulder & elbow · 2023Review
- Treatment of Metaphyseal Defects in Plated Proximal Humerus Fractures with a New Augmentation Technique-A Biomechanical Cadaveric Study.Medicina (Kaunas, Lithuania) · 2023Article
- An updated systematic review and meta‑analysis comparing deltoid‑split approach with deltopectoral approach for proximal humerus fractures.Experimental and therapeutic medicine · 2023Article
- Risk factors for intra-articular involvement in proximal humeral fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Proximal humerus fractures - epidemiology, comparison of mortality rates after surgical versus non-surgical treatment, and analysis of risk factors based on Medicare registry data.Bone & joint research · 2023Article
- Combined Humeral Head and Shaft Fractures: Outcome Following Intramedullary Nailing and Plating.Medicina (Kaunas, Lithuania) · 2023Article
Corrections and comments
- Erratum issuedTanja, Stojicevic [corrected to Stojicevic, Tanja]; Gunnar, Blumenstock [corrected to Blumenstock, Gunnar]; Stig, Brorson [corrected to Brorson, Stig]; Ulrich, Stöckle [corrected to Stöckle, Ulrich]; Bernd, Rolauffs [corrected to Rolauffs, Bernd]; Thomas
Authors and funding
14 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeProximal humeral fractures are common and frequently associated with osteoporosis. Little is known about the association between the patho-anatomical fracture pattern of proximal humeral fractures and patient characteristics. The purpose of this six year longitudinal registry analysis of proximal humeral fractures was to study overall numbers, certain predefined pathoanatomical patterns and distribution compared with specific patient characteristics.
methodsData of patients treated between 2006 and 2011 in a country hospital that provides care >95 % of the city's hospitalised patients with fractures was retrospectively reviewed. Data were analysed according to patient characteristics of age, gender, comorbidity, accompanying injuries and radiological analysis of pathoanatomical fracture patterns based on Neer and Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification.
resultsEight hundred and fifteen proximal humeral fractures (67% women/33% men; mean age 66 years, range 19-99) were analysed. During the study period, an overall increase of 42.5% was found: according to AO classification, 46% were type A, 22% type B and 32% type C. Based on the Neer classification, 86% were displaced, and 49% were complex with more than three parts. Of complex fractures, 57% were female patients >60 years. The number of complex fractures was five times higher in women >60 years than in men of the same age group.
conclusionsAn overall increase of inpatients with displaced proximal tibial fractures was documented. Interestingly, complex displaced proximal humeral fractures, especially in older women with comorbidities, accounted for the majority of cases. These results suggest that health-care planning and hospital-based therapeutic strategies should focus on this patient group.
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