Evidence-based Decision-making in Geriatric Proximal Humerus Fractures

Proximal humerus fractures are common among elderly patients and in some cases require operative intervention. Appropriate management of complex fracture patterns remains controversial. Non-operative management and locked plating have been mainstays of treatment in recent decades. Arthroplasty is gaining popularity as a treatment option; however, indications are not well-defined. Individual patient factors, such as pre-injury functionality, expectations, and local bone quality, should be considered when deciding on a treatment plan.