![]() Over the past decade, there has been ongoing controversy about the relative merits of operative versus nonoperative treatment for proximal humeral fractures, as well as uncertainty about whether better results are achieved with internal fixation or hemiarthroplasty. In this circumstance, there is a high incidence of associated injuries, including neurovascular lesions of the injured arm and injuries of the cervical spine and chest. The proximal humerus may also be fractured in younger patients, usually as the result of high-energy trauma. Their incidence is increasing with the aging of the population. Proximal humerus fractures represent up to 5% of all fractures, and they most often occur in an elderly person with osteoporosis as the result of a fall. ![]() Internal fixation is done to support the bone at the site of injury.Proximal Humerus Fractures and Shoulder Dislocations Michael J.
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