Evidence-based Decision-making in Geriatric Proximal Humerus Fractures.

Abstract

Proximal humerus fractures are common among elderly patients and in some cases require operative intervention. Appropriate management of complex fracture patterns remains controversial. Non-operative management and locked plating have been mainstays of treatment in recent decades. Arthroplasty is gaining popularity as a treatment option; however, indications are not well-defined. Individual patient factors, such as pre-injury functionality, expectations, and local bone quality, should be considered when deciding on a treatment plan.