Each ICL360 is a cutting-edge CME course designed to provide a holistic learning experience, featuring curated video content sourced from expert-selected Instructional Course Lectures enhanced with insightful commentary and comprehensive assessment questions. This all-encompassing course goes beyond traditional learning by offering a complete 360° perspective on orthopedic topics. Explore additional resources, including full-text readings from the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), technique videos from Orthopaedic Video Theater (OVT), and links to external literature and PubMed. Elevate your clinical decision-making skills and gain a well-rounded understanding of essential orthopedic concepts with ICL360.
This Instructional Course Lecture (ICL) reviews the complexities associated with the management of proximal humerus fractures, which are a considerable treatment challenge in orthopaedic surgery. The evolving surgical and nonsurgical treatment paradigms are explored, with an extensive review of treatment modalities tailored to the unique needs of various patient demographics. The lecture explains various surgical techniques, including open reduction and internal fixation (ORIF), reverse total shoulder arthroplasty (RTSA), and hemiarthroplasty, and provides a critical analysis of the outcomes of these techniques based on recent advances and long-term research.
Editor
Jonah Hebert-Davies, MD, FAAOS
Learning Objectives
Evaluate indications for the nonsurgical and surgical management of proximal humerus fractures, incorporating patient age, physiologic status, and fracture complexity.
Discuss optimal surgical techniques for open reduction and internal fixation of proximal humerus fractures, focusing on medial calcar restoration and anatomic reduction.
Assess the appropriate use of reverse total shoulder arthroplasty versus hemiarthroplasty in older adults with a complex proximal humerus fracture based on current evidence and long-term outcomes.
Apply the Neer classification system to effectively categorize proximal humerus fractures and guide treatment decisions.
Demonstrate proficiency in the selection and placement of calcar screws to enhance the stability of proximal humerus fracture fixation.
Analyze the advantages and limitations of percutaneous fixation techniques for proximal humerus fractures, considering patient-specific factors, such as bone quality and fracture pattern.
Critically evaluate the long-term outcomes of various surgical approaches for the management of proximal humerus fractures, using emerging research to optimize patient care.
Earn up to 5 AMA PRA Category 1 CME credits™.