Treatment of proximal humerus fractures in the elderly

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Treatment of proximal humerus fractures in the elderly

A proximal humerus fracture typically occurs when an elderly woman falls directly onto her shoulder or on her outstretched arm. Local pain in the shoulder and immobility of the upper arm raise a suspicion of a significant injury. Other bone and tendon injuries in the shoulder region as well as dislocation of the shoulder should be considered on differential diagnosis. Diagnosis is achieved by p...

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Percutaneous Treatment of Proximal Humerus Fractures

P roximal humerus fractures are common, and about 80% are well managed nonsurgically. The remaining 20% present a therapeutic challenge because surgical stabilization is necessary to ensure healing and to optimize function. The priorities in surgical stabilization of proximal humerus fractures are (1) restoring the anatomic relationship between the tuberosities and the articular head fragment a...

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The reverse shoulder prosthesis in the treatment of fractures of the proximal humerus in the elderly.

We have previously described the short-term outcome of the use of reverse shoulder arthroplasty in the treatment of acute complex proximal humeral fractures in the elderly. We now report the clinical and radiological outcome of 36 fractures at a mean of 6.6 years (1 to 16). Previously, at a mean follow-up of 6 years (1 to 12) the mean Constant score was 58.5; this was reduced to 53 points with ...

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Proximal Humerus Fractures: Evaluation and Management in the Elderly Patient

Introduction Proximal humerus fractures are common in the elderly. The evaluation and management of these injuries is often controversial. The purpose of this study is to review recent evidence and provide updated recommendations for treating proximal humerus fractures in the elderly. Methods A literature review of peer-reviewed publications related to the evaluation and management of proxima...

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Nonoperative Treatment of Proximal Humerus Fractures

Proximal humerus fractures are common but debilitating injuries, which result in significant dysfunction for the patient and both diagnostic and treatment challenges for the physician. Knowledge of the complex bone and soft tissue anatomy of the shoulder is paramount in successful treatment of proximal humerus fractures. Proximal humerus fractures account for 5 % of all fractures, and they are ...

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ژورنال

عنوان ژورنال: Acta Orthopaedica

سال: 2015

ISSN: 1745-3674,1745-3682

DOI: 10.3109/17453674.2014.999299