Interventions for treating proximal humeral fractures in adults (Updated)

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Surgery does not result in a better outcome for most people with a displaced proximal humeral fracture involving the humeral neck and probably increases the need for future surgery. However, the evidence supporting this conclusion does not cover the treatment of high energy trauma, fracture dislocations or two-part tuberosity fractures. There is insufficient evidence to inform choices between different non-surgical, surgical, or rehabilitation interventions, including timing of mobilisation, for these fractures.

Shoulder fractures are common in older people. The management (including surgery) of fractures of the proximal humerus fractures varies widely. Non-surgical treatment usually involves supporting the injured arm in a sling for a few weeks. Surgical treatment usually involves reduction and internal fixation of the fracture or, less commonly, replacement with a hemiarthroplasty. This review assessed the evidence supporting the various treatment and rehabilitation interventions for proximal humeral fractures in adults.

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