Depends on the age of the child and degree of displacement
Non-Operative
For almost all children, will approach non-operatively
Excellent remodeling ability of bone and ROM to shoulder
Ortho consult is needed to determine the best approach
Sling and swathe splint, or coaptation splint
Gentle ROM in 1-2 weeks as tolerated
For almost all children, will approach non-operatively
Excellent remodeling ability of bone and ROM to shoulder
Ortho consult is needed to determine the best approach
Operative Indications
More than 45 degrees of angulation
Less than 50% apposition of<unk>  humerus and shaft
Open fractures
Neurovascular injury
Intraarticular fracture
Proximal humerus fracture 
Adult
Scaphoid fracture
Proximal
Humerus fracture
Shaft
Scapular fracture
Distal