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September 2, 2026Orthopedic ReviewsOpen Access

Proximal Humerus Fractures – A Contemporary Narrative Review of Management Strategies

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Authors

UBUmair BaigBBBasel BalbisiRPReece Patel

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Overview

Narrative review reveals variable management strategies for proximal humerus fractures in adults, highlighting tailored interventions balancing conservative care, fixation, and arthroplasty.

Key Points

  • To provide an evidence-based and pragmatic clinical framework for managing proximal humerus fractures in adults by synthesizing current literature with clinical practice.
  • Conducted a comprehensive literature search across PubMed, Embase, and the Cochrane Library for studies published between 2000 and 2025.
  • Synthesized findings from randomized controlled trials, systematic reviews, meta-analyses, and key cohort studies evaluating operative and non-operative interventions.
  • Undisplaced fractures reliably achieve favorable outcomes with conservative management, whereas biomechanically unstable fracture-dislocations and displaced humeral shaft injuries generally require early operative intervention.
  • Intermediate fractures represent a clinical grey zone where management must be individualized based on age, functional demand, and bone quality, favoring early fixation in younger reconstructable cases and arthroplasty in complex elderly fractures.

Cite This Study

Baig et al. (2026) studied this question.

synapsesocial.com/papers/6a97e318c562ede874ec7bcbhttps://doi.org/10.52965/001c.168220
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