ReviewCureus2026
Management of Periprosthetic Proximal Humerus Fractures Following Shoulder Arthroplasty: A Systematic Review.
Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Periprosthetic proximal humeral fractures following shoulder arthroplasty are rare but present significant clinical challenges due to variable fracture patterns, stem stability, and patient factors. This systematic review aimed to summarize contemporary evidence on management strategies, including nonoperative treatment, open reduction and internal fixation (ORIF), and revision arthroplasty, and to evaluate outcomes, complications, and factors influencing fracture healing. A comprehensive search of PubMed, Embase, Scopus, and the Cochrane Library identified eight studies meeting the inclusion criteria, encompassing 210 patients with fractures classified using the Cofield or Worland systems. ORIF was the most commonly reported intervention, achieving union rates of up to 93%, while nonoperative management was associated with higher nonunion and malunion rates. Revision arthroplasty provided moderate union rates (~84%) but carried higher complication risks. Successful outcomes were linked to humeral stem stability, fracture displacement, and individualized, fracture-specific management. Current evidence highlights the need for standardized classification systems, prospective multicenter studies, and evaluation of novel fixation techniques to improve union rates and functional recovery in this complex patient population.
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Registered trials
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