Acute proximal humeral fractures: The reverse TSA solution

Proximal humerus fractures represent the third most common fracture in patients above the age of 65. Hemiarthroplasty is currently the accepted gold standard for the treatment of displaced and comminuted fracture patterns. Functional outcomes have been shown to rely upon anatomic reduction and tuberosity union with especially unreliable results in patients with poor bone quality. Studies show that the reverse shoulder arthroplasty for the treatment of proximal humerus fractures is associated with greater range of motion and long-term functional outcomes compared to hemiarthroplasty and thus should be considered in older patients.