RSA vs. Nonop for 3 & 4-Part Proximal Humerus Fractures

Reverse Total Shoulder Arthroplasty Versus Nonoperative Treatment of 3 & 4-Part Proximal Humerus Fractures

There is currently no consensus amongst orthopedic specialists on the best way to treat 3- and 4-part proximal humerus fractures. No surgery and surgery with a type of shoulder replacement called a reverse total shoulder arthroplasty are two options that many orthopedists use. This study is being performed to evaluate the differences in short- and long-term pain and functional outcomes between patients who are treated with these two different options.

Inclusion criteria

• Displaced 3- and 4-part proximal humerus fractures.
• Age greater than or equal to 65 years old.

Exclusion Criteria

• Less than 65 years old.
• Medical comorbidities precluding surgical treatment or anesthesia
• Dementia or inability to provide adequate follow up.
• Pathologic fractures
• Open fractures
• Associated injuries: fracture dislocations, multiple or complex injuries of the ipsilateral limb, complete brachial plexopathy, vascular injury and polytrauma.