title: [Proximal humerus fractures. Decisive factors for therapy choice, treatment and complications].
abstract: The majority of proximal humerus fractures are treated conservatively resulting in satisfying results. Fractures which need to be treated operatively are challenging for the therapist, postoperative treatment and the patient. It is inadequate to establish a therapy concept only by using radiological images and the resulting classification. Factors which take the patient, the injury and the surgeon into consideration have to be included in the decision-making process. Operative reconstruction results in a high rate of complications. This could be the reason why even complex fractures are treated conservatively by some therapists, especially in older patients. Locking plates are used increasingly. Specific complications, such as primary or secondary screw perforation result in a high rate of revision surgery.
authors.affiliation: Orthopädie und Unfallchirurgie, Sports Clinic München, Ottobrunnerstraße 55, Munich, Germany. Volker.Braunstein@sportsclinicgermany.com
authors.forename: V
authors.initials: V
authors.lastname: Braunstein
mesh_terms: D001863:Bone Screws / Q000009:adverse effects*; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000295:instrumentation*; D006801:Humans; D019736:Prostheses and Implants; D012784:Shoulder Fractures / Q000175:diagnosis / Q000601:surgery*; D014950:Wounds, Penetrating / Q000209:etiology* / Q000517:prevention & control*
references.citation: Eur J Orthop Surg Traumatol. 2013 Aug;23(6):699-704
references.pmid: 23412173
references.citation: Am J Sports Med. 2004 Sep;32(6):1466-73
references.pmid: 15310572
references.citation: Aging Clin Exp Res. 2013 Aug;25(4):447-52
references.pmid: 23760947
references.citation: Clin Orthop Relat Res. 2013 Jan;471(1):39-43
references.pmid: 22752734
references.citation: Acta Chir Orthop Traumatol Cech. 2012;79(4):307-16
references.pmid: 22980928
references.citation: Acta Orthop. 2007 Jun;78(3):424-9
references.pmid: 17611859
references.citation: Unfallchirurg. 2011 Dec;114(12):1075-8, 1081-2
references.pmid: 22108771
references.citation: J Orthop Trauma. 2010 Jul;24(7):400-6
references.pmid: 20577069
references.citation: J Bone Joint Surg Am. 2007 Dec;89(12):2582-90
references.pmid: 18056488
references.citation: Injury. 2011 Apr;42(4):408-13
references.pmid: 21176833
references.citation: Unfallchirurg. 2011 Dec;114(12):1051-8
references.pmid: 22108769
references.citation: Unfallchirurg. 2011 Dec;114(12):1059-67
references.pmid: 22139058
references.citation: Indian J Orthop. 2013 Mar;47(2):156-60
references.pmid: 23682177
references.citation: J Shoulder Elbow Surg. 2004 Jul-Aug;13(4):427-33
references.pmid: 15220884
references.citation: J Bone Joint Surg Am. 2008 Feb;90(2):233-40
references.pmid: 18245580
references.citation: Arch Orthop Trauma Surg. 1989;108(6):339-41
references.pmid: 2695009
references.citation: Arthroscopy. 1999 Nov-Dec;15(8):827-35
references.pmid: 10564860
references.citation: Clin Orthop Relat Res. 1994 Oct;(307):27-36
references.pmid: 7924043
references.citation: J Bone Joint Surg Am. 1970 Sep;52(6):1077-89
references.pmid: 5455339
references.citation: Injury. 1989 Jul;20(4):195-9
references.pmid: 2592091
references.citation: Unfallchirurg. 2000 Nov;103(11):945-8
references.pmid: 11142882
references.citation: J Bone Joint Surg Am. 1997 Feb;79(2):203-7
references.pmid: 9052540
references.citation: J Bone Joint Surg Br. 2002 May;84(4):504-8
references.pmid: 12043768
references.citation: Osteoporos Int. 2005 Mar;16 Suppl 2:S65-72
references.pmid: 15526090
references.citation: Cochrane Database Syst Rev. 2012 Dec 12;12:CD000434
references.pmid: 23235575
references.citation: J Bone Joint Surg Br. 2011 Jan;93(1):1-11
references.pmid: 21196536
references.citation: Injury. 2013 Apr;44(4):456-60
references.pmid: 23043975
references.citation: Clin Orthop Relat Res. 2005 Jan;(430):176-81
references.pmid: 15662321
references.citation: J Orthop Trauma. 2009 Feb;23(2):113-9
references.pmid: 19169103
references.citation: J Shoulder Elbow Surg. 2003 Nov-Dec;12(6):578-88
references.pmid: 14671522
references.citation: J Shoulder Elbow Surg. 2013 Apr;22(4):542-9
references.pmid: 22959524
references.citation: Bull NYU Hosp Jt Dis. 2012;70(1):25-34
references.pmid: 22894692
references.citation: Orthop Traumatol Surg Res. 2012 Oct;98(6):715-9
references.pmid: 23000039
references.citation: Acta Orthop Scand. 2001 Aug;72(4):365-71
references.pmid: 11580125
references.citation: J Shoulder Elbow Surg. 2007 Mar-Apr;16(2):143-5
references.pmid: 17399621
references.citation: J Bone Joint Surg Am. 1993 Dec;75(12):1751-5
references.pmid: 8258544