The management of patients over 65 years of age with proximal humerus fractures

Background. In patients older than 65 with osteoporosis, fractures of the proximal end of the humeral bone pose a difficult clinical problem. There is a larger body of opinion, however, favoring conservative treatment, while surgical intervention is most often reserved for complicated fractures.
Material and methods. We studied 186 patients treated in the Traumatology Clinic at the Center for Post-Graduate Medical Education over the last 5 years.
Conclusions. Our analysis showed that in osteoporotic fractures of the proximal epiphysis of the humeral bone there are very limited indications. As a general rule the best effects are achieved by the shortest possible duration of immobilization and early intervention.