Proximal Humeral Fractures in the Elderly - Treatment with an Intramedullary Nail

 

Proximal humeral fractures are common in older adults, and even a minor fall or twist can leave the upper arm bone damaged near the shoulder. While many of these injuries heal with simple conservative care, fractures that shift, break into multiple pieces, or threaten shoulder stability often need surgical intervention, such as an intramedullary humeral nail. Because elderly bones are weaker and heal more slowly, a poorly aligned fracture can lead to long-term stiffness, reduced mobility, and persistent pain. Intramedullary nailing offers a strong advantage by stabilizing the bone from within through a small incision, preserving blood supply and minimizing soft-tissue damage. This internal support allows early physiotherapy, reducing the risk of frozen shoulder and helping patients return to daily activities sooner. Although not perfect for every case, modern nail designs and careful patient selection make this technique a reliable choice for restoring comfort, function, and independence in elderly patients.