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Related Concept Videos

Bone Disorders01:29

Bone Disorders

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
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Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

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The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
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Related Experiment Video

Updated: May 15, 2025

Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position

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Proximal Humerus Fractures in the Elderly.

Shailesh Pai1, Mohamed Faheem Kotekar1, Siddharth M Pawaskar1

  • 1Tejasvini Hospital, Mangalore, India.

Indian Journal of Orthopaedics
|April 9, 2025
PubMed
Summary

Managing proximal humerus fractures in elderly patients requires individualized care. Advances in surgical techniques offer improved outcomes for these complex fractures, balancing risks and benefits.

Keywords:
Conservative managementMULTILOC nailOsteoporosisPHILOSProximal humerus fracturesReverse shoulder arthroplasty (RSA)

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Area of Science:

  • Orthopedics
  • Geriatric Medicine
  • Traumatology

Background:

  • Proximal humerus fractures are a common upper limb injury in the elderly, often linked to osteoporosis.
  • Management presents unique challenges due to patient-specific factors and risks.

Purpose of the Study:

  • To review current management strategies for proximal humerus fractures in elderly patients.
  • To evaluate conservative and surgical approaches, including novel techniques.

Main Methods:

  • Literature review of conservative and surgical management options.
  • Analysis of open reduction and internal fixation (ORIF), intramedullary nails, and minimally invasive techniques.

Main Results:

  • Conservative management risks include malunion, nonunion, and stiffness.
  • ORIF is a gold standard for displaced fractures, especially in osteoporotic bone.
  • Newer intramedullary nails and minimally invasive techniques show promise for high-risk patients.

Conclusions:

  • Tailored management is crucial for proximal humerus fractures in the elderly.
  • Advancements in surgical techniques can enhance outcomes for this population.
  • Individualized care is paramount in fracture management.