You are viewing the 1st of the 2 courses UPMC Physician Resources permits you to view without registering. To have full access to our FREE courses on our website, please register or log in now.

In this issue of Orthopaedic Grand Rounds, Dr. Ivan Tarkin focuses on the anatomy preservation in the active elderly after upper extremity fragility fracture. 

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Discuss anatomy-preserving techniques for peri-articular fractures of the proximal and distal humerus in the elderly.
  • Identify when open reduction internal fixation (ORIF) is preferable to arthroplasty for proximal and distal humeral fracture.
  • Review strategies for successful ORIF in fragility fractures of the proximal and distal humerus.

Reading Resources:

  1. Novel Arthroplasty Strategies for Proximal Humeral Fracture/Dislocations. Sarah Henry, Daiji Kano, Dana Farrell, James Irrgang, Ivan Tarkin, MD. Presented at ISTA 2014 (International Society for Technology in Arthroplasty).
  2. James IB, Farrell DJ, Evans AR, Siska PA, Tarkin IS. Open Reconstruction of Complex Proximal Metadiaphyseal Fragility Fractures of the Humerus. Geriatr Orthop Surg Rehabil. 2014 Mar; 5(1):9-13.
  3. Leigey DF, Farrell DJ, Siska PA, Tarkin IS. Bicolumnar 90-90 Plating of Low-Energy Distal Humeral Fractures in the Elderly Patient. Geriatr Orthop Surg Rehabil. 2014 Sep; 5(3):122-6.
  4. Illical EM, Farrell DJ, Siska PA, Evans AR, Gruen GS, Tarkin IS. Comparison of Outcomes After Triceps Split Versus Sparing Surgery for Extra-Articular Distal Humerus Fractures. Injury. 2014 Oct; 45(10):1545-8.


Dr. Tarkin has reported no relevant relationships with any entities producing health care goods or services.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.5) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 11/10/15 | Last Modified On: 11/10/15 | Expires: 11/10/16

This course has been expired.