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April 15, 2026Orthopaedics & Traumatology Surgery & ResearchOpen Access

Proximal Humerus Fractures in Patients Over 65: Management Profile Based on National French PMSI Data

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Authors

PMPierre MuretNMNicolas MolinariENErika Nogué

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Overview

Retrospective analysis reveals treatment approaches and survival rates for fractures in older adults, suggesting a shift towards non-operative care.

Key Points

  • To analyze treatment approaches and mid-term survival for proximal humerus fractures in patients over 65 using national data.
  • Conducted a retrospective review of the French national PMSI database.
  • Identified patients aged 65+ hospitalized for proximal humerus fractures from 2014 to 2023.
  • Analyzed treatment approaches and survival rates using diagnostic codes.
  • 75,495 patients (60.9%) received non-operative treatment.
  • 29,852 patients (24.1%) underwent osteosynthesis.
  • 17,719 patients (14.3%) had primary shoulder arthroplasty.
  • Patient survival at 48 months was 84%.
  • Increasing use of non-operative management and shoulder arthroplasty over time noted.

Cite This Study

Muret et al. (2026) studied this question.

synapsesocial.com/papers/69df2a4be4eeef8a2a6af802https://doi.org/10.1016/j.otsr.2026.104698
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