To systematically outline the clinical application, biomechanical properties, functional results, and complications associated with standard treatments for elderly proximal humeral fractures.
Approach:
Key Findings:
Proximal humeral fractures account for roughly 10% of all fractures in geriatric populations.
15%-20% of displaced complex fractures require surgical management.
Non-operative management is effective for 80%-85% of minimally displaced fractures.
The Neer classification has limitations in assessing osteoporotic comminuted fractures.
The AO/OTA classification improves upon the Neer system for complex fractures.
Interpretation:
Limitations:
Current research has limitations in assessing the effectiveness of various treatment modalities.
The Neer classification exhibits low inter-observer and intra-observer reliability.
