The proximal humerus is the upper part of the arm bone, near the shoulder. After surgical repair, early gentle motion (like pendulum exercises) is balanced against protecting the repair from load and resistance.
This page explains how a operative 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.
The proximal humerus is the upper part of the arm bone, near the shoulder. After surgical repair, early gentle motion (like pendulum exercises) is balanced against protecting the repair from load and resistance.
Protecting fixation and restoring motion must be balanced carefully after proximal humerus surgery.
This fracture is generally treated with surgery to stabilize the bone while it heals. Your surgeon will explain the specific technique planned for your fracture pattern.
No formal immobilization is required; a sling is used for comfort.
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. Gentle pendulum exercises (letting the arm hang and gently swing) typically begin around 2 weeks.
Formal staged shoulder rehabilitation based on fixation, tuberosity healing, and surgeon protocol.
A 2-week skin check with suture removal, then a 6–8 week X-ray to confirm healing. An optional 3–6 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 arm protection; overhead/manual work after union and strength recovery.
Sports or High-Risk Activity: Often 4–6 months or longer depending on motion, strength, and sport.
Wound drainage, increasing pain, loss of fixation, neurovascular symptoms, infection, stiffness, or avascular necrosis.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
No formal immobilization is required; a sling is used for comfort.
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.