Nonoperative treatment of proximal humerus fractures in the elderly.
Proximal humerus fractures are common and occur in approximately 70% of the cases beyond the age of 60 with a peak incidence over the age of 80. A number of randomized studies and meta-analyses have so far failed to demonstrate the superiority of surgery over nonoperative treatment in the elderly. I...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 51; no. 1; pp. 1 - 19 |
|---|---|
| Autores principales: | , |
| Formato: | algorithm diagnostic images pictorial review tables/charts Journal Article |
| Publicado: |
Springer Nature
7/7/2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186464542&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186464542 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: 7/7/2025 vid: 51 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 186464542 186464542 186464542 10.1007/s00068-025-02912-9 186464542 ppf: 1 ppct: 18 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Nonoperative treatment of proximal humerus fractures in the elderly. aug: au: Razaeian, Sam Krettek, Christian affil: https://ror.org/00f2yqf98 Department of Trauma Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany sug: subj: Shoulder Fractures Therapy Conservative Treatment Algorithms Medical Practice, Evidence-Based Humeral Fractures Orthopedic Surgery Postoperative Complications Reoperation Aged Aged, 80 and Over Aged: 65+ years Aged, 80 & over ab: Proximal humerus fractures are common and occur in approximately 70% of the cases beyond the age of 60 with a peak incidence over the age of 80. A number of randomized studies and meta-analyses have so far failed to demonstrate the superiority of surgery over nonoperative treatment in the elderly. In addition, according to the latest systematic Cochrane Review, evidence still reveals that surgery might be associated with higher complication, and revision surgery rates. However, it remains unclear how exactly this evidence out of "controlled" trial conditions can be incorporated into a decision aid suitable for everyday clinical practice. The following review article aims to present a possible treatment algorithm that takes current best evidence into account, and provides guidance on how this steadily increasing type of injury might be successfully treated nonoperatively in the elderly in daily clinical practice. pubtype: Academic Journal doctype: algorithm diagnostic images pictorial review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|