Management of Proximal Humeral Fractures in Adults .
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Peter Lapner
FRCSC
Associate Professor, University of Ottawa
View MoreThis discussion highlights persistent variability in managing proximal humeral fractures and the need for consistent, evidence-based care. The meta-analysis found no functional or pain advantage of surgery over non-operative treatment, while surgical patients—especially those treated with locked plates—faced markedly higher reoperation risks. Reverse shoulder arthroplasty showed superior outcomes to both non-operative care and hemiarthroplasty in older adults, suggesting a promising but still evolving role. Ongoing multicenter studies aim to clarify treatment pathways for both younger patients needing fixation and older patients who may benefit most from arthroplasty.
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