McLean AS, et al. - Researchers retrospectively reviewed all hospitalizations of patients with proximal humeral fractures (PHFs) from 2 Australian national healthcare databases from 2008 to 2017 in order to examine the variations in the incidence and management of PHFs across Australia over a 10-year period. The incidence of PHFs increased from 26.8 to 45.7 per 100,000 person-years from 2008 to 2017, respectively. A decline in operative management from 2008 to 2017 was noted, with 32.5% and 22.8% of all PHFs treated operatively in 2008 and 2017, respectively. From 76.6% to 72.6%, open reduction–internal fixation (ORIF) use reduced significantly. Reverse total shoulder arthroplasty (RTSA) use rose significantly from 4.1% to 24.5%. From 19.3% to 3%, hemiarthroplasty (HA) use declined significantly. Thus, the operative management of PHFs reduced significantly from 2008 to 2017, especially in patients aged 65 years or older whereas the incidence of PHFs grew. This decrease in operative management was in part because of an important reduction in ORIF and HA use in patients aged 65 years or older. Moreover, a notable rise in RTSA use was noted.