부산대학교 도서관

Proximal humerus fractures are a common injury with increasing incidence. The current S1 guideline “Fracture of the humeral head” of the German Trauma Society (DGU), which is the lead organization, states that the majority of these fractures can be treated conservatively. However, the question arises as to how exactly this conservative treatment can be managed. National and international differences in treatment underline inconsistent management and the lack of consensus in the treatment of this very common injury. The following article provides insight into the authors’ experience and presents a possible decision aid suitable for everyday use, with which this steadily increasing type of injury can be successfully treated conservatively. The experience is based on a patient flow of more than 200 patients per year at a level 1 trauma center, of which between 01/2016 and 09/2021 about 80% could be successfully treated conservatively each year and were systematically followed up in a prospective observational study, the Hannover Humerus Registry (ClinicalTrials.gov Identifier: NCT03060876).