Difficulty in decision making in the treatment of displaced proximal humerus fractures: the effect of uncertainty on surgical outcomes

• Published in: Journal of shoulder and elbow surgery Vol. 27; no. 3; pp. 470 - 477
• Main Authors: LaMartina, Joey, Christmas, Kaitlyn N., Simon, Peter, Streit, Jonathan J., Allert, Jesse W., Clark, Jonathan, Otto, Randall J., Abdelfattah, Adham, Mighell, Mark A., Frankle, Mark A.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.03.2018
• Subjects: Aged; arthroplasty; Bone Plates; Decision Making; Displaced; evolution; Female; Fracture Fixation, Internal - methods; Hemiarthroplasty - methods; Humans; Male; Middle Aged; Open Fracture Reduction - methods; ORIF; proximal humerus fractures; Range of Motion, Articular; reverse shoulder arthroplasty; Shoulder Fractures - surgery; Surgeons - psychology; Treatment Outcome; Uncertainty; Level IV; reverse shoulder arthroplasty; ORIF; arthroplasty; decision making; Displaced; Decision Analysis Study; evolution; proximal humerus fractures; uncertainty

Decision making in the management of proximal humerus fractures can be difficult in situations in which the surgeon is uncertain of the ideal treatment. Two shoulder surgeons operatively treated 476 proximal humerus fractures from 1998-2014 with open reduction–internal fixation (ORIF), hemiarthropla...