Dr. Abhinav Singhal is a highly skilled Orthopedic Surgeon in Ghaziabad with over 10 years of experience, specializing in joint arthroscopy, joint replacement, and complex trauma care.
A proximal humerus fracture is a break near the top of the upper arm bone (humerus), close to the shoulder joint. It’s more common in :-
Older adults (especially with osteoporosis)
After falls or direct trauma (e.g. car accidents, sports injuries)
1-part : No displacement or minimal shift
2-part : One part is displaced
3-part / 4-part : Multiple fragments, usually more severe and unstable
May involve the greater tuberosity, lesser tuberosity, surgical neck, or anatomical neck
Sudden severe shoulder pain
Swelling and bruising
Limited arm movement
Deformity or bump at the shoulder
Numbness or tingling if nerves are affected
X-ray : Confirms the fracture and its location
CT scan : Used for complex or displaced fractures to guide treatment planning
Recommended for:
Non-displaced or minimally displaced fractures
Patients with low activity level
High surgical risk patients (e.g. elderly with other health issues)
Treatment Includes:
Sling immobilization for 2–6 weeks
Pain control (NSAIDs or prescribed meds)
Physical therapy after initial healing
🟢 Success rate is high for stable fractures.
Considered for:
Displaced fractures
Multiple fragments (3 or 4-part)
Open fractures or nerve damage
Young or active individuals
Surgical Options :-
ORIF (Open Reduction and Internal Fixation) : Plates and screws hold the bone in place
Intramedullary nailing
Hemiarthroplasty : Replaces the humeral head
Reverse Total Shoulder Replacement : Used in severe or complex fractures, often in elderly
🧠 Recovery depends on :-
Age
Fracture severity
Treatment method
Adherence to physical therapy
Stiffness or frozen shoulder
Malunion or nonunion
Avascular necrosis (AVN) of the humeral head
Rotator cuff injury
Infection (post-surgery)
F&Q'sNot always—many fractures heal well without surgery, especially in older patients or if the fracture is stable.
Initially, movement is limited. Gradual return happens with therapy. Full use may take months.
Pain is managed with meds, and early gentle motion helps reduce stiffness and pain over time.
Yes, especially if the fracture affects the joint surface or isn’t aligned properly.
ACL reconstruction surgery involves replacing the torn ligament with a graft, usually taken from the patient’s own hamstring tendon or a cadaver donor. The goal of the surgery is to restore knee stability and function, allowing individuals to return to their pre-injury activity level.
Rehabilitation after ACL reconstruction surgery focuses on restoring range of motion, strengthening the muscles around the knee joint, improving balance and proprioception, and gradually reintroducing functional activities. The duration and intensity of rehabilitation may vary but typically involve several months of guided exercises and progressive training to optimize outcomes and safely return to sports or other activities.