Proximal humeral fractures: pin, plate, or replace.
Proximal humeral fractures are becoming increasingly common in individuals older than 60 years, with only fractures of the hip and distal radius occurring with a higher frequency. Most proximal humeral fractures can be managed without surgery; however, if a fracture is displaced or angulated, surgical treatment may be required. There are four main options for the surgical management of proximal humeral fractures: minimally invasive percutaneous reduction and fixation, open reduction and periarticular plating, hemiarthroplasty, and reverse total shoulder arthroplasty.
Professor and Chairman, Department of Orthopaedic Surgery, George Washington University, Washington, DC.
Robert J
RJ
Neviaser
Herbert
H
Resch
Andrew S
AS
Neviaser
Lynn A
LA
Crosby
D019643:Arthroplasty, Replacement / Q000379:methods*; D001858:Bone Nails; D001860:Bone Plates; D003657:Decision Making; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D012784:Shoulder Fractures / Q000601:surgery*