ArticleOTA international : the open access journal of orthopaedic trauma2025
Proximal humerus fractures: Treatment controversies.
Article in OTA international : the open access journal of orthopaedic trauma, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Management of proximal humerus fractures: a review of contemporary treatment options.JSES reviews, reports, and techniques · 2026Review
- Staged reverse shoulder arthroplasty with structural allograft-prosthesis composite and lower trapezius tendon transfer for massive proximal humeral bone loss following gunshot injury: a case report.Journal of surgical case reports · 2026Article
- Regional anesthesia strategies for proximal humerus fracture surgery: anatomical considerations, diaphragm-sparing techniques, and expert perspectives-a narrative review.Langenbeck's archives of surgery · 2026Review
- 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
- The masquelet technique for severe open fractures: current insights.Journal of orthopaedic surgery and research · 2026Review
- Proximal Humerus Fractures - A Contemporary Narrative Review of Management Strategies.Orthopedic reviews · 2026Article
- Long-term functional outcomes of Aequalis fracture hemiarthroplasty for proximal humerus fracture: a retrospective case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The treatment of proximal humerus fractures is challenging, and significant controversy exists even regarding which patients are indicated for surgical treatment. When surgery is indicated, open reduction and internal fixation is the most common type of treatment. Arthroplasty is reserved for unreconstructible fractures. Hemiarthroplasty may not provide good, reliable function but may be the best option in younger or middle-aged patients when fracture fixation is not feasible. While several studies reported no benefit of surgical treatment in elderly patients, more recent literature showed better outcomes with reverse total shoulder arthroplasty.
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Registered trials
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