Observational studyActa orthopaedica2022
Epidemiology and trends in management of acute proximal humeral fractures in adults: an observational study of 137,436 cases from the Danish National Patient Register, 1996-2018.
Observational study in Acta orthopaedica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison between arthroplasty and non-operative treatment for proximal humeral fractures: a systematic review and meta-analysis.Frontiers in medicine · 2024Pooled it
- Neurovascular injuries associated with proximal humerus fractures: a review of the current literature.JSES reviews, reports, and techniques · 2026Review
- Influence of allograft augmentation on surgical outcomes and complications in proximal humerus fractures: a matched-pair analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Locked Plate Fixation of Proximal Humerus Fractures in Non-elderly Adults: Analysis of Short-Term Outcomes.Cureus · 2026Article
- Comparison of functional outcomes between medialized and lateralized reverse shoulder prostheses in acute proximal humerus fractures.Journal of orthopaedic surgery and research · 2026Article
- Incidence of proximal humerus fracture among older adults in Oslo, Norway varies by country background, marital status, and season.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Imaging-based assessment of fracture stability does not reliably predict outcomes in patients with two-part proximal humeral fractures and may lead to unnecessary surgeries.EFORT open reviews · 2026Review
- External Fixation in the Treatment of Proximal Humeral Fractures: A Retrospective Single-Center Case Series.Journal of clinical medicine · 2026Article
- Mortality in patients over 65 with proximal humerus fractures: a systematic review of 414,379 shoulders with meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 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
- Treatment and prognosis of proximal humerus fracture in older adults: a retrospective cohort study using health insurance claims database.BMC geriatrics · 2026Article
- 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
- Fewer major complications but more pain in reverse shoulder arthroplasty compare with open reduction internal fixation in closed proximal humerus fracture: a National database study.Journal of orthopaedic surgery and research · 2026Article
- Article
- Osteoporotic Fractures of the Proximal Humerus: an In-Depth Review of Current Management Options.Current osteoporosis reports · 2025Review
- Article
- Increased all-cause mortality following proximal humerus fractures in Danish adults: a register-based matched cohort study of 93,952 fracture cases and 469,760 controls.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Article
- Table Slide Shoulder Flexion test for early assessment following proximal humeral fracture: development and reliability.BMC musculoskeletal disorders · 2025Article
- No obvious time trend in proximal humeral fracture complexity : a cohort study from 1944 to 2020 in Malmö, Sweden.Bone & joint open · 2025Article
- Nonoperative treatment of proximal humerus fractures in the elderly.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeProximal humeral fractures (PHF) can be managed surgically or non-surgically. Locking plates have been the preferred head-preserving surgical technique while hemiarthroplasty (HA) or reverse shoulder arthroplasty (RSA) have been used in joint replacement surgery. We describe the epidemiology and trends in management of acute PHF in Denmark with a focus on (i) changes in the incidence of PHF; (ii) changes in the proportion of surgical cases; and (iii) changes in preferred surgical techniques. PATIENTS AND
methodsData on diagnoses and interventions was retrieved from the Danish National Patient Register. Patients aged 18 years and above were included. Surgical treatment was defined as the diagnosis of PHF combined with a predefined surgical procedure code within 3 weeks of injury. Data on plate osteosynthesis, HA, RSA, and "other techniques" was retrieved. Non-surgical treatment was defined as no relevant surgical procedure code within 3 weeks.
resultsWe identified 137,436 PHF (72% women) in the Danish National Patient Register. The overall mean incidence was 138/100,000/year (500 for women 60 years or above). Non-surgical treatment accounted for 119,966 (87%). The 17,470 surgical procedures included 42% locking plates, 34% arthroplasties, and 25% other techniques. The rate of surgery declined from 17% in 2013 to 11% in 2018.
interpretationThe overall incidence of PHF remained stable between 1996 and 2018 but the absolute number increased. The approach to PHF remains predominantly non-surgical. The number of surgeries in Denmark have decreased since 2013, especially for locking plates and HA, while RSA is increasingly used.
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