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ESTES recommendations on proximal humerus fractures in the elderly

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

The section for the skeletal trauma and sport’s injuries of the European Society for Trauma and Emergency Surgery (ESTES) appointed a task force group to reach a consensus among European countries on proximal humeral fractures.

Material/Methods

The task force group organized several consensus meetings until a paper with final recommendations was confirmed during the ESTES Executive Board meeting in Berlin on 25 October 2018.

Conclusion

The Recommendations compare conservative and four possible operative treatment options (ORIF, nailing, hemi- and total reverse arthroplasty) and enable the smallest common denominator for the surgical treatment among ESTES members.

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Abbreviations

AVM:

Avascular necrosis

BMD:

Bone mineral density

DEXA:

Dual energy X-ray absorptiometry

HRMRI:

High-resolution magnetic resonance imaging

ICF:

International Classification of Functioning, Disability and Health

Micro-QCT:

Micro-quantitative computed tomography

ORIF:

Open reduction and internal fixation

PHN:

Proximal humerus nail

ROM:

Range of motion

RSA:

Reverse shoulder arthroplasty

UBE:

Upper body ergometer

WHO:

World Health Organization

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Authors and Affiliations

  1. Medical Coordinator, Trauma Centre Northern Netherlands, University Medical Center Groningen, Groningen, The Netherlands

    Klaus W. Wendt

  2. Clinic for Orthopedic and Trauma Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany

    Martin Jaeger

  3. Department of Trauma Surgery, Maastricht University Medical Center, Maastricht, The Netherlands

    Jan Verbruggen

  4. Department of Traumatology, UZ Leuven, Leuven, Belgium

    Stefaan Nijs

  5. Conciliation Board of Medical Liability Cases Germany, Hannover, Germany

    Hans-Jörg Oestern

  6. University Clinic for Trauma Surgery, Medical University of Vienna, Vienna, Austria

    Richard Kdolsky

  7. Medical Faculty, University of Ljubljana, Ljubljana, Slovenia

    Radko Komadina

Authors
  1. Klaus W. Wendt
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  2. Martin Jaeger
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  3. Jan Verbruggen
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  4. Stefaan Nijs
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  5. Hans-Jörg Oestern
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  6. Richard Kdolsky
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  7. Radko Komadina
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Corresponding author

Correspondence to Radko Komadina.

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Wendt, K.W., Jaeger, M., Verbruggen, J. et al. ESTES recommendations on proximal humerus fractures in the elderly. Eur J Trauma Emerg Surg 47, 381–395 (2021). https://doi.org/10.1007/s00068-020-01437-7

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  • DOI: https://doi.org/10.1007/s00068-020-01437-7

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