ReviewCurrent reviews in musculoskeletal medicine2023
Conservative Treatment of Proximal Humerus Fractures: When, How, and What to Expect.
Review in Current reviews in musculoskeletal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses 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
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Is surgical treatment better than non-surgical treatment for proximal humeral fracture in elderly people? A meta-analysis and meta-regression.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Comparison between CFR-PEEK and titanium plate for proximal humeral fracture: A meta-analysis.Joint diseases and related surgery · 2024Pooled it
- Does interferential current provide additional benefit to orthopedic rehabilitation for the patients with proximal humeral fractures? A randomized controlled study.BMC musculoskeletal disorders · 2024Trial
- Management of proximal humerus fractures: a review of contemporary treatment options.JSES reviews, reports, and techniques · 2026Review
- The limited value of routine radiographs in the follow-up treatment of proximal humerus fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- The use of the Neviaser portal for antegrade intramedullary nailing in humerus fractures: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Outcomes of secondary interventions in treatment of post-traumatic stiff shoulder in conservatively managed proximal humeral fractures: a scoping review.Irish journal of medical science · 2026Review
- Excellent clinical and radiological outcome of disabled upper extremity after humerus hypertrophic nonunion with implant failure in geriatric patient treated with compression plate: A case report.Trauma case reports · 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
- Fluoroscopic Evaluation of Reduction and Plate Positioning in Proximal Humerus Fractures: A Case-Control Study Comparing CFR-PEEK and Metallic Plates.The archives of bone and joint surgery · 2026Article
- Review
- Delphi method consensus on radiographic characteristics influencing management decisions for proximal humerus fracture.Journal of orthopaedic surgery and research · 2025Article
- Osteoporotic Fractures of the Proximal Humerus: an In-Depth Review of Current Management Options.Current osteoporosis reports · 2025Review
- The medial versus posterior internal plate fixation in the treatment of closed humeral shaft fracture: a retrospective study.Langenbeck's archives of surgery · 2025Article
- Article
- The feasibility, acceptability, safety, and effects of early weight bearing in humeral fractures - a scoping review.Disability and rehabilitation · 2025Article
- Enhancing the efficacy of traditional Mongolian alcohol-spraying bone-setting therapy for surgical neck fractures of the humerus: the effects and mechanisms of muscular origin-insertion point massage therapy.Frontiers in surgery · 2025Article
- Return to work after proximal humeral fractures: a single center study comparing conservative versus operative treatment.Orthopedic reviews · 2025Article
- Predictive Factors for Poor Prognosis in Non-Surgical Treatment of Proximal Humerus Fractures in Elderly Patients.Cureus · 2024Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of reviewThe key question to answer during the decision-making process for proximal humerus fractures (PHF) is whether the amount of displacement of a specific fracture pattern will be acceptable taking into account the anticipated demands on the patient. The aim of this review article was to provide some clarity regarding the features that contribute to poor clinical outcomes when PHF are treated non-operatively and to review the reported outcomes of conservative treatment. RECENT
findingsConservative treatment for non-displaced or minimally displaced fractures leads to good outcomes in 80% to 90% of patients. However, with increasing fracture complexity and displacement, functional outcomes tend to diminish. In active patients with significant functional demands, the challenge is to predict which fractures will do poorly when treated non-operatively. A better understanding of fracture patterns and fragment displacement may improve treatment indications. To avoid complications related to conservative treatment, surgery should be considered (1) in fractures in which the humeral head is severely compromised (due to fracture-dislocation, severe impaction, or a split of the head itself), (2) in non-impacted fractures with gross instability between the humeral shaft and humeral head, and (3) in those cases in which displacement of the tuberosities or the final shape of the proximal humerus after healing will lead to symptomatic malunion.
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Registered trials
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