A comparative study between conservative and operative management in displaced proximal Humerus fracture

Proximal humeral fractures, defined as fractures occurring at or proximal to the surgical neck of the humerus. Nowadays proximal humeral fractures account for almost 7% of all fractures and make up 80% of all humeral fractures. In patients above the age of 65 years proximal humeral fractures are the second most frequent upper extremity fracture, and the third most common non-vertebral osteoporotic fracture after proximal femur and distal radius fractures. The treatment of this lesion depends on the conditions like the patient’s age, degree of fracture displacement, the amount of damage to the soft tissue, last systematic diseases; fractured bone resulted of pathology, degree of bone damages and experience of surgeon. It might be chosen from surgical or nonsurgical treatment. Although series of conservative treatment suggest that reasonable functional results can be achieved with immobilization alone, without the morbidity associated with surgical management, even in more complex fracture types. With this background we have chosen this topic as a comperative study to evaluate the results of conservative and operative study in displaced proximal humerus fracture.