Comminuted Proximal Humeral Fractures. A Randomised Study of Surgical Versus Conservative Treatment

Health and Cost Consequenses of Surgical Versus Conservative Treatment for a Comminuted Humerus Fracture. Do Interlocking Plate Surgery Benefit Displaced Proximal Humerus Fractures? A Randomized Clinical Trial

1. Do a standardized surgical treatment of unstable displaced proximal humerus fracture in patients aged over 60 compared to a standardized conservative treatment gain a better functional outcome after one year?
2. Do surgical treatment gain more QALY than conservative treatment after one year?

Inclusion Criteria:

• proximal humerus fracture of AO group B2 or C2 (displaced fracture of extra-articular or articular, bifocal type) admitted in hospital

Exclusion Criteria:

• aged less than 60 year
• patients of non-Scandinavian ethnicity
• previous history of injury or illness of the injured or contralateral shoulder
• injury of other part of the humerus or the contralateral upper extremity,
• alcohol- or drug abuse
• dementia or neurological diseases
• severe cardiovascular disease that would contraindicate surgery