Proximal Humeral Fractures
Fractures of the proximal humerus can occur with low and high energy.
They may be 2, 3 or 4 part fractures.
The treatment for proximal humeral fractures will be dictated by the position of the fracture fragments.
If the fragments are minimally displaced there is good evidence that these do well with non-surgical treatment. This often requires a collar and cuff with the weight of the elbow acting as traction and further aligning the fracture.
In cases where the fragments are very displaced, or where the head of the humerus is in an unacceptable position relative to the shaft then surgery may be recommended.
A detailed medical history and physical examination is also performed to ensure the neurological and status of the upper limb. Any relevant medical conditions are also important when considering whether the fracture should be considered for non-surgical or surgical treatment.