ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2025
Changing Demographic and Treatment Trends of Proximal Humerus Fractures: A TriNetX Analysis of 74,781 Patients.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Comparison of postoperative infection risk with and without topical vancomycin in adult posterior spinal fusion: a propensity-matched cohort study of 126,910 patients.Spine deformity · 2026Article
- Complication rates following total shoulder arthroplasty for osteoarthritis versus proximal humerus fracture: a propensity-matched cohort comparison of 9,190 patients.Journal of shoulder and elbow arthroplasty · 2026Article
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5 authors.
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Abstract
introductionAs the US population continues to age and diversify, so have treatment strategies for proximal humerus fractures (PHFs). The primary hypothesis of this study is that PHFs are increasing in prevalence with an associated increase in the rate of its surgical management.
methodsThe TriNetX US Collaborative Network database was queried for all patients diagnosed with PHFs between 2016 and 2022. Current Procedural Terminology codes were used to group patients into cohorts based on surgical versus nonsurgical treatment. Incidence and treatment rate differences were analyzed between demographic groups such as age, sex, and ethnicity.
resultsA total of 74,781 PHFs were identified and analyzed between 2016 and 2022. The average overall PHF surgical incidence rate between 2016 and 2022 was 10.5%. Open reduction and internal fixation (ORIF) was the most common surgical treatment (68.5%). Overall utilization of total shoulder arthroplasty (TSA/rTSA) surgical techniques increased from 2016 to 2022 for all fracture types (P < 0.0001), while ORIF (P = 0.0079) and hemiarthroplasty (P = 0.0432) utilization decreased. Women were less likely to undergo surgical treatment than men (odds ratio [OR], 0.9490; P < 0.05). White patients were more likely to receive surgical treatment than Black (OR, 0.7688; P < 0.0001) and Asian patients (OR, 0.7770; P = 0.0043).
conclusionSurgical management strategies have changed with TSA/rTSA becoming more frequently used for all fracture types with a decline in the utilization of ORIF and hemiarthroplasty. This study suggests a shift in surgical treatment strategies between 2016 and 2022, and reflects increased utilization of arthroplasty procedures for fracture management.
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