Related Experiment Video
Updated: Jan 15, 2026

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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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Team Approach: Reverse Shoulder Arthroplasty in the Setting of a 4-Part Proximal Humerus Fracture with Vascular
Lindsey G Droz1, Alex M Meyer, Matthew J Brown
1Duke University Medical Center, Department of Orthopaedic Surgery, Durham, North Carolina.
JBJS Reviews
|October 7, 2025
Summary
Proximal humerus fractures (PHFs) with vascular injury require prompt recognition and multidisciplinary care. A combined surgical approach for complex PHFs with vascular compromise, including reverse total shoulder arthroplasty (RSA), can lead to successful outcomes.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Trauma Management
Background:
- Proximal humerus fractures (PHFs) are common, especially in the elderly.
- Vascular injuries associated with PHFs increase healthcare burden and mortality.
- Optimal management of complex PHFs, particularly those with vascular compromise, remains debated.

