Key result
Managing osteoporotic proximal humeral fractures requires individualization based on fracture characteristics and patient comorbidities.
Why the study?
The indications for surgery for proximal humeral fractures in elderly patients with osteoporosis are controversial and require review of surgical considerations.
This review outlines surgical considerations for treating proximal humeral fractures in older adults with osteoporosis, highlighting the controversy and variables influencing treatment choice.
Clinicians should individualize surgical decisions for osteoporotic proximal humeral fractures; this review leaves open optimal strategies pending higher-level evidence.
Proximal humeral fracture is a common injury in middle-aged and elderly people, especially elderly patients with osteoporosis due to bone loss, which can lead to fractures due to low-energy injury. As the population ages, the prevalence of proximal humeral fractures is likely to continue to increase. In the absence of open or neurovascular injury, the indications for surgery for proximal humeral fractures are controversial. Typically, the same fracture type can be treated non-surgically, with open reduction internal fixation, or joint replacement, depending on several variables including patient age, comorbidities, activity level, and treatment expectations. The purpose of this paper is to review surgical considerations in the surgical treatment of proximal humeral fractures in older adults with osteoporosis.
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Yunlu Wang (2023) conducted a review in Proximal humeral fractures in elderly osteoporotic patients. Surgical and conservative treatments was evaluated. Treatment of proximal humeral fractures in older osteoporotic patients should be individualized based on fracture characteristics, patient comorbidities, and functional expectations.
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