Abstract: Introduction: There is lack of a unified established algorithm for the therapeutic 
management of proximal humerus fractures. The better functional outcome but relatively high 
complication rate in surgically treated patients requires optimization of techniques and 
methods.
Objective: To present optimal algorithm for the therapeutic treatment of different types of 
proximal humeral fracture.
Conclusion: The increased functional demands of patients after proximal humeral fracture 
lead to an expansion of the range of surgically treated ones. The individual approach, 
according to the patient’s fracture type and characteristics, determines the better functional 
outcome and the reduce complication rate of proximal humeral fracture in adults.
Key words: Proximal humerus, Augmentation, Shoulder arthroplasty

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