Non-Operative vs. Operative Treatment of Pediatric Proximal Humerus Fractures: Surgery Offers No Clinical or Economic Benefit, a Retrospective Study of 152 Children.

ABSTRACT:

Background

Pediatric proximal humerus fractures (PHFs) typically heal well due to their strong remodeling potential, supporting non-operative management even in displaced injuries. However, surgery for Neer-Horowitz grade III-IV fractures has become more frequent despite limited evidence of superior outcomes.

Methods

A retrospective analysis of 152 children (<14 years) treated for isolated PHFs at a tertiary pediatric orthopedic center (2004-2023) was performed. Clinical records and telephone follow-up provided demographic data, fracture classification, management, complications, and functional outcomes (QuickDASH, Tegner, return to sport). A direct cost analysis compared conservative and surgical pathways.

Results

Of 152 patients, 133 were treated non-operatively and

SUBMITTER: Cerasoli T 

PROVIDER: S-EPMC12840326 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature