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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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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 Upper Limb: Humerus01:19

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Bones of the Upper Limb: Ulna01:15

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The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
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Related Experiment Video

Updated: Jan 11, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
04:41

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

831

Proximal Humerus Fracture: Fix, Replace, or Let Heal.

Ian R Penvose1, E Scott Paxton2

  • 1Department of Orthopedics, Brown University William Alpert School of Medicine, RI, USA.

The Orthopedic Clinics of North America
|November 16, 2025
PubMed
Summary
This summary is machine-generated.

Proximal humerus fractures are common in older adults. Acute reverse total shoulder arthroplasty (rTSA) may offer better outcomes for range of motion and fewer complications compared to delayed surgery.

Keywords:
FractureHemiarthroplastyHumerusOpen reduction and internal fixationProximalReverse total shoulder arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Geriatric Medicine
  • Traumatology

Background:

  • Proximal humerus fractures are prevalent, particularly in the aging demographic.
  • Treatment necessitates a personalized strategy considering patient age, activity, and health status.

Purpose of the Study:

  • To review current treatment modalities for proximal humerus fractures.
  • To evaluate the efficacy of acute versus delayed reverse total shoulder arthroplasty (rTSA).

Main Methods:

  • Literature review of recent studies on proximal humerus fracture management.
  • Comparative analysis of surgical interventions including open reduction internal fixation, hemiarthroplasty, and rTSA.

Main Results:

  • Nonoperative management is a common approach.
  • Acute rTSA shows potential for improved range of motion and reduced complications compared to delayed procedures.
  • Treatment selection is guided by fracture complexity and individual patient factors.

Conclusions:

  • Optimal management of proximal humerus fractures requires tailoring treatment to patient-specific factors.
  • Acute rTSA presents a promising option for specific patient populations, potentially enhancing functional recovery.
  • Aligning treatment with patient goals is crucial for satisfactory outcomes.