Proximal humerus fractures are most common in elderly population following a fall, or in younger patients after a traumatic accident (Jo and Gardner, 2012).
The shoulder joint is a ball (humeral head) and socket (glenoid fossa of the shoulder blade) joint. The shape of this joint allows a wide range of movement, similar to the hip joint, but with even larger possible motion.
This procedure is usually chosen in case of proximal humeral fractures and scapula/glenoid fractures
Usually those fractures can be left alone to heal conservatively; however, if this is not the case, the surgery of choice opts for: pates, sutures and other devices to fixate the bone fragments (Jo and Gardner, 2012). Protocols are based on maintaining range of movement in the early stage, progressing towards building up strength gradually and the middle and last phase of the rehabilitation process. Progression regarding improvement can continue up to 18 months to 2 years.
Jo M.J. and Gardner M.J., 2012, Proximal Humerus Fractures, Springer Current Reviews in Musculoskeletal Medicine, 5(3), pp: 192-198