Article

Proximal humeral fractures (PHF)
are the third most common fracture in the elderly with an increased incidence
expected in the coming years with the aging population, causing an important
burden to the healthcare system. The management of PHF is challenging due to its
complexity and the wide variety of fractures and treatment options. The objective of this clinical commentary is to update the available evidence on
clinical presentation, classification, imaging, medical treatment, and
rehabilitation of acute PHF. METHODS / RESULTS : N/A for clinical
commentary. CONCLUSIONS: The first step to a successful management of PHF is the
clinical and radiographic examination of the shoulder, which enables the
physician to classify the fracture and choose the appropriate treatment option.
The Neer and OA classifications are commonly used and are based on the
identification of the fractured parts of the humerus, as well as the displacement
of the fragments. In case of non-displaced or minimally displaced fractures, a
conservative treatment, consisting of initial immobilization and a rehabilitation
program will be chosen. Displaced or unstable fractures will be managed
operatively. Different surgical options exist and will vary according to the
fracture type, patient's age, and functional needs, followed by rehabilitation.
LEVEL OF EVIDENCE: 5.
CI - Copyright (c) 2017 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS