TY - JOUR
T1 - Proximal humerus fractures should be treated with a reverse shoulder replacement
AU - Cagle, Paul J.
AU - Flatow, Evan L.
AU - Parsons, Bradford O.
PY - 2014/3
Y1 - 2014/3
N2 - Historically, fractures of the proximal humerus not amendable to closed treatment or internal fixation have been treated with hemiarthroplasty. Clinical outcomes following hemiarthroplasty have been variable and difficult to predict. Results are often correlated with increasing age, tuberosity healing, and tuberosity position. Reverse shoulder arthroplasty has demonstrated effectiveness in elderly patients with rotator cuff arthropathy and has been increasingly employed for complex fractures in older patients. Several small trials have compared the reverse arthroplasty and hemiarthroplasty for acute fractures, and reverse shoulder arthroplasty has demonstrated more reproducible results in elderly patients.
AB - Historically, fractures of the proximal humerus not amendable to closed treatment or internal fixation have been treated with hemiarthroplasty. Clinical outcomes following hemiarthroplasty have been variable and difficult to predict. Results are often correlated with increasing age, tuberosity healing, and tuberosity position. Reverse shoulder arthroplasty has demonstrated effectiveness in elderly patients with rotator cuff arthropathy and has been increasingly employed for complex fractures in older patients. Several small trials have compared the reverse arthroplasty and hemiarthroplasty for acute fractures, and reverse shoulder arthroplasty has demonstrated more reproducible results in elderly patients.
KW - Hemiarthroplasty
KW - Proximal humerus fracture
KW - Reverse shoulder arthroplasty
KW - Shoulder arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=84904308156&partnerID=8YFLogxK
U2 - 10.1053/j.sart.2014.02.003
DO - 10.1053/j.sart.2014.02.003
M3 - Article
AN - SCOPUS:84904308156
SN - 1045-4527
VL - 25
SP - 17
EP - 21
JO - Seminars in Arthroplasty JSES
JF - Seminars in Arthroplasty JSES
IS - 1
ER -