Barger J, Zhang D, Stenquist DS, et al. - This study was carried out to assess the relationship among global, upper extremity-specific, and shoulder-specific patient-reported outcome metrics (PROMs) in patients undergoing reverse total shoulder arthroplasty (rTSA) for proximal humerus fracture (PHF) as well as the responsiveness of these PROMs as assessed by floor and ceiling effects. Researchers assumed that patients’ post-operative outcome would be best reflected by a combination of these metrics. The study enrolled 30 individuals with a history of rTSA for ipsilateral PHF filled out the following outcome questionnaires at a minimum of 3 years post-op: EQ-5D, EQ-5D VAS, PROMIS physical function, DASH, SSV, Shoulder Pain and Disability Index, and ASES. Using the Spearman correlation coefficient, correlation between metrics was evaluated. They further evaluated responsiveness by comparing the proportion of patients reaching floor or ceiling values using McNemar’s test. For shoulder interventions, the DASH score has been shown to be valid and responsive, and the findings illustrate that it associates strongly with overall quality of life. It has been reported that shoulder-specific metrics are valid and responsive for shoulder interventions but correlate less with global quality of life. For PHF, an optimal PROM strategy in rTSA might involve both DASH and a shoulder-specific score. Based on the evaluation of floor and ceiling effects, none of these metrics should be excluded for poor responsiveness.