Proximal Humerus Fracture: Fix, Replace, or Let Heal.

Proximal humerus fractures occur frequently, especially in the aging population, and require a tailored approach considering patient-specific factors like age, activity level, and comorbidities. While nonoperative treatment is common, surgical options such as open reduction internal fixation, reverse total shoulder arthroplasty (rTSA), and hemiarthroplasty are available based on fracture complexity and patient needs. Recent studies highlight the potential benefits of acute rTSA over delayed procedures, emphasizing improved outcomes in range of motion and reduced complications. Treatment choice should align with the patient's functional goals and lifestyle, ensuring optimal recovery and satisfaction.