Mark Ross, Benjamin Hope, Andy Stokes, Susan Peters, Iain MacLeod, Phillip Duke

Treatment of proximal humeral fractures involves a number of options, both operatively and non-operatively. Within the literature there are virtually no well-constructed scientific trials which clearly demonstrate the best treatment options in displaced three and four part fractures of the proximal humerus. In this fracture pattern, treatment usually consists of hemi-arthroplasty with tuberosity reconstruction. Whilst this gives predictable results in middle-aged patients, the outcomes are variable in elderly patients. In addition to poor restoration of range of movement above chest level, there is also an incidence of persisting pain. The purpose of this study was to review the radiological and clinical outcomes of patients who had a reverse total shoulder arthroplasty performed for shoulder trauma.

Results of this study can be found 📄here.