Geriatric Proximal Humerus Fractures

Abstract

Abstract
Proximal humerus fractures in the elderly present their own host of treatment difficulties. Multiple medical comorbidities and poor bone stock complicate the surgical decision-making process. In addition, decreased functional reserve and dwindling or limited social supports place a high value on early return of function. Recent technological developments have facilitated increased success with surgical fixation of these fractures. Despite these advances there is still a role for athroplasty and limited fixation with suture for certain fracture patterns.

Keywords
Osteopenia, proximal humerus fracture, non-operative, internal fixation, arthroplasty

Disclosure: Daniel Scott Horwitz, MD, is a consultant for DePuy. Erik Noble Kubiak, MD, and Robert Z Tashjian, MD, have no conflicts of interest to declare.
Received: March 24, 2009 Accepted: April 6, 2009
Correspondence: Daniel Scott Horwitz, MD, University of Utah, Department of Orthopaedics, 590 Wakara Way, Salt Lake City, UT 84108. E: dan.horwitz@hsc.utah.edu