The Journal of Bone and Joint Surgery (American). 2007;89:44-58.
doi:10.2106/JBJS.G.00648
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Management of Proximal Humeral Fractures Based on Current Literature

Shane J. Nho, MD, MS, Robert H. Brophy, MD, Joseph U. Barker, MD, Charles N. Cornell, MD and John D. MacGillivray, MD

Corresponding author:
Shane J. Nho, MD, MS
The Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021.
E-mail address: nhos@hss.edu

The first 150 words of the full text of this article appear below.


   Introduction
 
Proximal humeral fractures are the second most common upper-extremity fracture and the third most common fracture, after hip fractures and distal radial fractures, in patients who are older than sixty-five years of age1. Although the overwhelming majority of proximal humeral fractures are either nondisplaced or minimally displaced and can be treated with sling immobilization and physical therapy, approximately 20% of displaced proximal humeral fractures may benefit from operative treatment. Many surgical techniques have been described, but no single approach is considered to be the standard of care. Surgeons who treat proximal humeral fractures should be able to identify the fracture pattern and select an appropriate treatment on the basis of this pattern and the underlying quality of the bone. Orthopaedic surgeons should have experience with a broad range of techniques, including transosseous suture fixation, closed reduction and percutaneous fixation, open reduction and internal fixation with conventional and locked-plate fixation, . . . [Full Text of this Article]


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