Not All Proximal Humerus Fractures Do Well Without Surgery: Anterior Translation Predicts the Need for Surgery.

Objectives: To evaluate the effect of translation on a large series of low-energy proximal humerus fractures initially treated nonoperatively.

Design: Retrospective multicenter analysis.

Setting: Five level-one trauma centers.

Risk factors for loss of reduction following locked plate fixation of proximal humerus fractures in older adults.

Purpose: To identify characteristics associated with loss of reduction following open reduction and locked plate fixation (ORIF) of proximal humerus fractures in older adults and determine if loss of reduction affects patient reported outcomes (PROs), range of motion (ROM), and complication rates during the first postoperative year.

Methods: Patients >55 years old who underwent proximal humerus ORIF were reviewed. Patient and fracture characteristics were recorded.

Options for Failed Rotator Cuff Repair.

Failed rotator cuff repairs can pose a clinical challenge to the treating orthopedic surgeon. There are many nonsurgical and surgical options available to address the failed rotator cuff repair. Surgical options include revising the primary repair, partial or nonanatomic repair, tendon transfer, biological augmentation or use of tissue-engineered grafts for reconstruction, or total joint arthroplasty (typically with a modern reverse total shoulder arthroplasty system).