{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:09:33Z","timestamp":1790834973667,"version":"4.1.0"},"reference-count":70,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,5,5]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a4 Multiple studies comparing nonoperative and operative treatment for displaced proximal humeral fractures in the geriatric population have demonstrated minimal differences in functional outcomes. Factors such as surgeon experience as well as the quality and maintenance of the reduction may influence operative outcomes, and their impact on these findings merits further investigation.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a4 In the treatment of 2 and 3-part fractures involving the surgical neck, intramedullary nailing has demonstrated functional outcomes that are comparable with those of open reduction and internal fixation (ORIF).<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a4 In the geriatric population, reverse total shoulder arthroplasty has demonstrated improved functional outcomes, with a decreased rate of reoperation, compared with hemiarthroplasty. Tuberosity repair has been shown to improve functional outcomes and range of motion after both procedures and should be performed at the time of arthroplasty.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a4 Several authors have demonstrated the negative effect of osteopenia on outcomes after ORIF of proximal humeral fractures. Augmentative procedures, including cortical strut augmentation, are being investigated to address this issue; their role in the treatment of these fractures is unclear at this time.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.20.00665","type":"journal-article","created":{"date-parts":[[2021,2,26]],"date-time":"2021-02-26T20:50:54Z","timestamp":1614372654000},"page":"829-836","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":32,"title":["Current Controversies in the Treatment of Geriatric Proximal Humeral Fractures"],"prefix":"10.2106","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5601-7475","authenticated-orcid":false,"given":"Samuel J.","family":"Mease","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Texas Southwestern, Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2276-7814","authenticated-orcid":false,"given":"Matthew J.","family":"Kraeutler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, St. Joseph\u2019s University Medical Center, Paterson, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6480-4230","authenticated-orcid":false,"given":"Daniel C.","family":"Gonzales-Luna","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3595-7158","authenticated-orcid":false,"given":"James M.","family":"Gregory","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0284-3397","authenticated-orcid":false,"given":"Michael J.","family":"Gardner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2448-660X","authenticated-orcid":false,"given":"Andrew M.","family":"Choo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"issue":"8","key":"bib1-20250430","doi-asserted-by":"crossref","first-page":"e242","DOI":"10.1097\/BOT.0000000000000312","article-title":"The epidemiology of upper extremity fractures in the United States, 2009","volume":"29","author":"Karl","year":"2015","journal-title":"J Orthop Trauma."},{"issue":"6","key":"bib2-20250430","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.2106\/00004623-197052060-00001","article-title":"Displaced proximal humeral fractures. 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