Many proximal humerus (upper arm, near the shoulder) fractures that are well-aligned can be treated without surgery, with the shoulder protected from resistance while the bone heals.
This page explains how a nonoperative proximal humerus fracture is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
Many proximal humerus (upper arm, near the shoulder) fractures that are well-aligned can be treated without surgery, with the shoulder protected from resistance while the bone heals.
Prolonged sling use can create more disability from stiffness than the fracture itself once early stability is present.
This fracture is generally treated without surgery. Instead, it is protected in a cast, splint, or brace so the bone can heal in a good position on its own.
A sling.
No weight bearing (NWB) for about 6 weeks.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
No resistance or strengthening (NRM) for about 6 weeks.
Pendulum and staged shoulder motion when safe; formal therapy is often helpful after early healing.
A follow-up visit around 1–2 weeks to recheck alignment on X-ray, then a 6–8 week X-ray to confirm healing. An optional 6–9 month X-ray may be used to monitor final healing.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
Work or School: Desk work with sling accommodations; lifting and overhead work later.
Sports or High-Risk Activity: Often 3–4 months or longer after motion and strength recover.
Increasing displacement, neurovascular symptoms, uncontrolled pain, skin compromise, or inability to begin recovery.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A sling.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.