David M. Dines, MD

In my opinion, reverse shoulder prostheses (RSP) should not be used to treat primary proximal humerus fractures. While I agree with Dr. Galatz that in some rare cases, such as fractures associated with massive rotator cuff tears or significant metaphyseal comminution, one could consider the use of a primary RSP, when one considers the technical issues and published results, in the great majority of cases, primary hemiarthroplasty is the procedure of choice.