Management of proximal humerus fractures in adults
The majority of proximal humerus fractures are low-energy osteoporotic injuries in the elderly and their incidence is increasing in the light of an ageing population. The diversity of fracture patterns encountered renders objective classification of prognostic value challenging. Non-operative manage...
Saved in:
Published in | World journal of orthopedics Vol. 5; no. 5; pp. 685 - 693 |
---|---|
Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
United States
Baishideng Publishing Group Inc
18.11.2014
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | The majority of proximal humerus fractures are low-energy osteoporotic injuries in the elderly and their incidence is increasing in the light of an ageing population. The diversity of fracture patterns encountered renders objective classification of prognostic value challenging. Non-operative management has been associated with good functional outcomes in stable, minimally displaced and certain types of displaced fractures. Absolute indications for surgery are infrequent and comprise compound, pathological, multi-fragmentary head-splitting fractures and fracture dislocations, as well as those associated with neurovascular injury. A constantly expanding range of reconstructive and replacement options however has been extending the indications for surgical management of complex proximal humerus fractures. As a result, management decisions are becoming increasingly complicated, in an attempt to provide the best possible treatment for each individual patient, that will successfully address their specific fracture configuration, comorbidities and functional expectations. Our aim was to review the management options available for the full range of proximal humerus fractures in adults, along with their specific advantages, disadvantages and outcomes. |
---|---|
Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 Correspondence to: Asterios Dramis, BM, MSc, MRCS, FEBOT, FRCS (Orth), Senior Trauma Fellow, Department of Trauma and Orthopaedics, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, United Kingdom. ad199@doctors.org.uk Author contributions: Vachtsevanos L, Hayden L, Desai AS, Dramis A contributed to conception and design of the study, analysis and interpretation of data; Vachtsevanos L, Hayden L performed the literature review; Vachtsevanos L drafted the article; Dramis A, Desai AS revised the article; all the authors read and approved the final manuscript. Telephone: +44-12-14403044 Fax: +44-29-20716310 |
ISSN: | 2218-5836 2218-5836 |
DOI: | 10.5312/wjo.v5.i5.685 |