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Reverse Shoulder Arthroplasty for Proximal Humerus Fracture

Abstract

Purpose of Review

The purpose of this review is to examine trends, outcomes, and principles in treatment of proximal humerus fractures in the elderly with a critical focus on reverse shoulder arthroplasty as a developing treatment option.

Recent Findings

Recent literature shows an increase in reverse shoulder arthroplasty and a decrease in hemiarthroplasty performed for proximal humerus fractures. More predictable outcomes and lower revision rates are seen in older individuals treated primarily or secondarily with reverse shoulder arthroplasty compared to those treated with hemiarthroplasty.

Summary

We report current and historical treatments, outcomes, and principles in reverse shoulder arthroplasty for treatment of complex, displaced proximal humerus fractures in older individuals (≥ 65 years old).

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Correspondence to Chad M. Myeroff.

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Brandon Kelly, MD and Chad Myeroff, MD declare that they have no conflicts of interest.

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This article is part of the Topical Collection on Reverse Shoulder Arthroplasty

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Kelly, B.J., Myeroff, C.M. Reverse Shoulder Arthroplasty for Proximal Humerus Fracture. Curr Rev Musculoskelet Med 13, 186–199 (2020). https://doi.org/10.1007/s12178-020-09597-0

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Keywords

  • Reverse shoulder arthroplasty
  • Proximal humerus fracture
  • Fragility fracture
  • Fracture sequelae