{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T19:52:20Z","timestamp":1792353140887,"version":"4.4.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Proximal humerus fractures (PHF) are the third most common osteoporotic fracture. Non-operative management and reverse total shoulder arthroplasty (rTSA) have become the mainstay of management for elderly patients, however there is yet to be a consensus on the best treatment modality. This systematic review aims to compare the clinical outcomes of non-operative management and rTSA in the management of PHF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review was performed in accordance with PRISMA guidelines. A search was conducted using MEDLINE, CINAHL, EMBASE and CENTRAL databases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study analysed the results of 536 study participants published in the 9 studies. There was statistically significant improvement in forward elevation in the rTSA cohort (105 vs 83.3, p&lt;0.01). Patients who underwent a rTSA also had a statistically significant reduction in VAS scores (1.4 vs 2.3, p = 0.02).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The greatest differences in range of motion and VAS scores were observable within the first 3 months of follow-up. However, the translation of these results to functional outcomes is still yet to be determined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>rTSA may provide earlier pain relief and range of motion. This may be key treatment consideration in functionally active patients who would like to prioritise early return to activity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536261488187","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T19:03:11Z","timestamp":1789066991000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Reverse total shoulder arthroplasty vs non-operative management for proximal humerus fracture: Systemic review and meta-analysis of comparative studies"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8866-8480","authenticated-orcid":false,"given":"Fatiha","family":"Chowdhury","sequence":"first","affiliation":[{"name":"Concord Repatriation General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6626-5736","authenticated-orcid":false,"given":"Mohammad","family":"Cheik-Hussein","sequence":"additional","affiliation":[{"name":"Specialty Orthopaedics Upper Limb Surgery Research Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Sadat Farshidfar","sequence":"additional","affiliation":[{"name":"Specialty Orthopaedics Upper Limb Surgery Research Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"James Jenkins","sequence":"additional","affiliation":[{"name":"Specialty Orthopaedics Upper Limb Surgery Research Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Baba","sequence":"additional","affiliation":[{"name":"Specialty Orthopaedics Upper Limb Surgery Research Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.00793"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2022.05.006"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.03.005"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000194672.79634.78"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2021.08.006"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.122.BJR-2022-0275.R1"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.sart.2021.11.003"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.07.019"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2024.02.023"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002559"},{"issue":"01","key":"e_1_3_4_12_2","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1055\/s-0043-1777433","article-title":"Fracturas de la extremidad proximal de h\u00famero en tres y cuatro fragmentos en el anciano: \u00bfTratamiento conservador o artroplastia reversa?","volume":"65","author":"Del Coro Solans Lopez M","year":"2024","unstructured":"Del Coro Solans Lopez M, Conde CR, Gonz\u00e1lez JC\u00c1, et al. Fracturas de la extremidad proximal de h\u00famero en tres y cuatro fragmentos en el anciano: \u00bfTratamiento conservador o artroplastia reversa? Revista Chilena De Ortopedia Y Traumatolog\u00eda [Internet] 2024; 65(01): e1\u2013e8, Available from: https:\/\/doi.org\/10.1055\/s-0043-1777433","journal-title":"Revista Chilena De Ortopedia Y Traumatolog\u00eda [Internet]"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.06.024"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2024.08.082"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.10.013"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261488187","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536261488187","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261488187","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T16:17:31Z","timestamp":1789316251000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536261488187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/10225536261488187"],"URL":"https:\/\/doi.org\/10.1177\/10225536261488187","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"article-number":"10225536261488187"}}