{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T19:25:40Z","timestamp":1783711540320,"version":"3.55.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>Summary:<\/jats:title>\n          <jats:p>Proximal humerus fractures account for approximately 5% of all fractures and they are the third most common fracture seen in the elderly population. Complex fracture patterns, including 3-parts and 4-parts, have traditionally been amendable to shoulder hemiarthroplasty. However, several limiting factors, including poor patient satisfaction and low functional outcomes have guided further exploration for other treatment options. Reverse shoulder arthroplasty (RSA) has began to expand its traditional indications of rotator cuff arthropathy, massive rotator cuff tears, failed shoulder arthroplasties, and proximal humerus fracture sequelae. Overall, consistently improved functional outcomes are reported in RSA studies, including an increased postoperative range of motion, specifically external rotation. RSA has began to have a clinically significant role in the management of acute, complex proximal humerus fractures. Our video demonstrates the key features associated with positive patient outcomes, concluding with postoperative clinical videos.<\/jats:p>","DOI":"10.1097\/bot.0000000000000607","type":"journal-article","created":{"date-parts":[[2016,7,23]],"date-time":"2016-07-23T02:09:35Z","timestamp":1469239775000},"page":"S9-S10","source":"Crossref","is-referenced-by-count":22,"title":["Reverse Total Shoulder Arthroplasty for a 4-Part Proximal Humerus Fracture"],"prefix":"10.1097","volume":"30","author":[{"given":"Dan","family":"Stahl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guadalupe de la","family":"Fuente","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.jse.2013.10.003","article-title":"Reverse shoulder arthroplasty for proximal humeral fractures: update on indications, technique, and results","volume":"23","author":"Acevedo","year":"2014","journal-title":"J Shoulder Elbow Surg."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1067\/mse.2002.124527","article-title":"Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus","volume":"11","author":"Boileau","year":"2002","journal-title":"J Shoulder Elbow Surg."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"2050","DOI":"10.2106\/JBJS.L.01637","article-title":"Comparison of hemiarthroplasty and reverse shoulder arthroplasty for the treatment of proximal humeral fractures in elderly patients","volume":"95","author":"Cuff","year":"2013","journal-title":"J Bone Joint Surg Am."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1097\/BOT.0000000000000224","article-title":"Reverse total shoulder arthroplasty versus hemiarthroplasty for proximal humeral fractures: a systematic review","volume":"29","author":"Ferrel","year":"2015","journal-title":"J Orthop Trauma."},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.jse.2012.03.011","article-title":"Improvement in shoulder rotation in complex shoulder fractures treated by reverse shoulder arthroplasty","volume":"22","author":"Gallinet","year":"2013","journal-title":"J Shoulder Elbow Surg."},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.otsr.2008.09.002","article-title":"Three or four parts complex proximal humerus fractures: hemiarthroplasty versus reverse prosthesis: a comparative study of 40 cases","volume":"95","author":"Gallinet","year":"2009","journal-title":"Orthop Traumatol Surg Res."},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"e703","DOI":"10.3928\/01477447-20120426-25","article-title":"Hemiarthroplasty versus reverse total shoulder arthroplasty for acute proximal humerus fractures in elderly patients","volume":"35","author":"Garrigues","year":"2012","journal-title":"Orthopedics"},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.1016\/j.jse.2013.08.021","article-title":"Reverse shoulder arthroplasty for treatment of proximal humeral fractures in older adults: a systematic review","volume":"22","author":"Mata-Fink","year":"2013","journal-title":"J Shoulder Elbow Surg."},{"key":"R9-20230828","first-page":"203","article-title":"Proximal humeral fractures: pin, plate, or replace","volume":"64","author":"Neviaser","year":"2015","journal-title":"Instr Course Lect."},{"key":"R10-20230828","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.jse.2014.05.022","article-title":"Reverse shoulder arthroplasty for the treatment of three-part and four-part proximal humeral fractures in the elderly","volume":"24","author":"Ross","year":"2015","journal-title":"J Shoulder Elbow Surg."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00005131-201608001-00004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T06:04:09Z","timestamp":1693202649000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00005131-201608001-00004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000000607","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2016,8]]}}}