Outpatient management if closed and distally neurovascularly intact
Non Operative
85% Non-op, often with following features
Minimally displaced
Located at surgical neck non op if either 1 or 2 part
Greater tuberosity fracture with < 5mm displacement
Generally, "One-part" fracture of humeral head
Consider in advanced age, poor bone quality, non dominant hand, co-morbid disease, other injuries
Encourage range of motion within 14 days
Minimally displaced
Located at surgical neck non op if either 1 or 2 part
Greater tuberosity fracture with < 5mm displacement
Generally, "One-part" fracture of humeral head
Consider in advanced age, poor bone quality, non dominant hand, co-morbid disease, other injuries
Operative
More than one-part fractures
One part fractures of anatomical neck
Greater than 45 degree angulation
Greater tuberosity > 5mm displaced
Fracture of lesser tuberosity
"Floating" elbow, where forearm also has fracture
Proximal humerus fracture
Adult
Scaphoid fracture
Proximal
Humerus fracture
Shaft
Scapular fracture
Distal