Optimal outcomes when managing fractures of the proximal humerus are contingent on the surgeon's knowledge of the fracture geometry, the quality of the bone, the patient's lifestyle, and an organized rehabilitation protocol. To assess the fracture pattern, the treating physician must know the anatomy of the proximal humerus and the appropriate imaging studies that need to be obtained. Proximal humerus fractures in elderly and young patients are very different. A patient's age, lifestyle, bone quality, and overall health impact heavily on treatment. Patients must be educated with regard to what a successful outcome means and the rehabilitation program that will help them reach that goal.
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