{
  "abstract": "Background/Objectives: Concomitant hip and proximal humerus fractures create a demanding rehabilitation scenario in older adults. We described unadjusted functional trajectories following clinically selected proximal humerus management and explored the relationship between baseline independence and treatment allocation. Methods: We retrospectively reviewed 4776 hip-fracture presentations (2011–2023); 55 patients aged > 65 years had synchronous proximal humerus fractures. All hip fractures were surgically treated; 13 proximal humerus fractures were managed operatively and 42 non-operatively. Barthel Index was assessed before fracture, at 30 days, and at six months. Results: Mean pre-fracture Barthel scores were 98.5 ± 3.8 and 79.5 ± 20.8 in the operative and non-operative groups, respectively. At 30 days, scores were 85.4 ± 6.9 versus 60.5 ± 23.9; at six months, scores were 93.5 ± 5.2 versus 70.2 ± 25.0. Mean absolute change from baseline at six months was −5.0 versus −9.3 points. Conclusions: Patients selected for surgery were more independent before injury and remained more independent at follow-up. Marked pre-injury differences and confounding by indication prevent any inference about the independent effect of proximal humerus surgery.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedic Surgery and Traumatology, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain",
    "Universidad Complutense de Madrid, 28040 Madrid, Spain",
    "Shoulder and Elbow Unit, Department of Orthopaedic Surgery and Traumatology, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Borja Lara-Galdón",
      "orcid": "0009-0006-3150-4166"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "José María Hernández-Mateo"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Lourdes Prats-Peinado",
      "orcid": "0000-0003-4109-3373"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Álvaro Guzmán-Sánchez"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Carmen Begara-Bretón"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Mikel Aburto-Bernardo"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Ángel Pérez-Martín"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Fausto López-Mombiela"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ebk0x1qx8s6eh.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15218361",
  "fulltext_url": null,
  "id": "ebk0x1qx8s6eh",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/21/8361",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Hip and Femur Fractures"
    ]
  ],
  "openalex": "W7224005892",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-27",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/ebk0x1qx8s6eh.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:01Z",
      "native_id": "10.3390/jcm15218361",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/21/8361"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Hip and Femur Fractures",
      "subfield": "surgery"
    }
  ],
  "title": "Functional Trajectories Following Clinically Selected Management of Concomitant Proximal Humerus Fractures in Geriatric Hip-Fracture Patients: A Retrospective Cohort Study",
  "title_text": "Functional Trajectories Following Clinically Selected Management of Concomitant Proximal Humerus Fractures in Geriatric Hip-Fracture Patients: A Retrospective Cohort Study",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:01Z",
  "url": "https://research.draconitic.com/paper/ebk0x1qx8s6eh",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}