PROXIMAL HUMERUS FRACTURES​

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Proximal humerus fractures—breaks occurring near the top of the arm bone—are common after falls, especially in older adults or individuals with osteoporosis. These injuries can vary widely in severity, from simple cracks to complex, displaced fractures requiring surgical intervention.

At Modern Orthopedics, we offer immediate, surgeon-led assessment and modern treatment options to restore shoulder function safely and efficiently.

 

Understanding Proximal Humerus Fractures

These fractures occur in the upper portion of the humerus and often involve the:

• Greater tuberosity

• Lesser tuberosity

• Surgical neck

• Anatomic neck

Fractures may be:

• Non-displaced

• Minimally displaced

• Displaced or multi-part

• Associated with rotator cuff injuries

Accurate classification is essential for determining treatment.

 

Common Causes

• Falls from standing height (most common)

• Sports injuries

• Motor vehicle collisions

• High-energy trauma

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Symptoms

• Acute shoulder pain

• Swelling and bruising

• Inability to lift the arm

• Visible deformity in severe cases

• Pain with minimal movement

 

Concierge Diagnostic Evaluation

Your evaluation includes:

• Detailed physical examination

• Immediate X-ray interpretation

• Assessment of fracture pattern and displacement

• Consideration of bone quality

• Personalized guidance on surgical vs non-surgical options - you will receive expert clarity from your first visit.

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Non-Surgical Management of Proximal Humerus Fractures

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Most proximal humerus fractures—particularly non-displaced or minimally displaced patterns—can be treated without surgery using:

• Sling immobilization

• Early guided physical therapy

• Pain management

• Close radiographic monitoring

This approach typically leads to excellent outcomes.

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Surgical Management

 

Surgery may be recommended for:

• Displaced fractures

• Multi-part fractures

• Head-splitting patterns

• Fractures with severe angulation

• Injuries in active, high-demand individuals

 

Surgical options include:

• Plate fixation

• Intramedullary nailing

• Reverse total shoulder arthroplasty (in select patients)

 

Dr. Barrett specializes in shoulder replacement for fracture, offering advanced reconstruction techniques for patients with complex injuries or poor bone quality.

 

Recovery Expectations

• Non-surgical patients often regain motion gradually over 6–12 weeks

• Surgical patients typically begin early motion under supervision

• Full recovery may take several months, depending on severity

Our practice supports you closely throughout your healing process.

 

Schedule an Appointment

Serving Cupertino, Los Gatos, Campbell, Saratoga, and South San Jose.

📅 Same-week evaluations available
📞 Call: 408-353-0203