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ORIF Proximal Humerus Fracture

Shoulder Service

Colorado Springs Orthopaedic Group

Your shoulder is one of the body's most mobile joints, allowing you to reach, lift, rotate, and perform countless everyday movements. Because of this mobility, the shoulder can also be susceptible to injuries, overuse, arthritis, and other conditions that cause pain and limit movement.

CSOG provides comprehensive evaluation and treatment for a wide range of shoulder conditions, from sports injuries and tendon problems to arthritis, instability, and fractures. Depending on your condition, treatment may include physical therapy, activity modification, medications, injections, minimally invasive procedures, or surgery.

Our shoulder specialists take the time to understand your symptoms, activity level, and goals so you can receive treatment designed to reduce pain, improve function, and help you get back to the activities that are important to you.

What are Proximal Humerus Fractures?

A proximal humerus fracture is a break in the upper arm bone near the shoulder joint. This type of fracture can severely affect the shoulder joint and immediate medical attention is required in order to preserve shoulder function. A fracture to the humerus bone is a possible consequence of a traumatic event, such as a fall or forceful collision.

What is ORIF?

Open reduction and internal fixation (ORIF) is a surgical technique employed for the treatment of fractures to restore the normal anatomy of the bone. ORIF of a proximal humerus fracture involves making a skin incision over the fracture site and attaching a metal plate to the humerus to hold the broken edges of bone in proper alignment, facilitating the healing of the fracture.

What is the Anatomy of the Humerus?

The upper arm bone connecting the shoulder and the elbow is called the humerus. The head of the humerus fits into a shallow socket in your scapula (shoulder blade) to form the shoulder joint. Towards the base of the humerus, the bone narrows down and connects to the elbow joint.

What Does Preparation for ORIF of a Proximal Humerus Fracture Involve?

ORIF is usually performed to treat severe fractures; it often takes place as an emergency procedure. Preparation for the procedure may involve the following:

  • A physical exam may be performed to look for injury to blood vessels and nerves due to the fracture.
  • An X-ray, CT scan, or MRI scan may be ordered to assess surrounding structures and the broken bone.
  • If performed as a planned procedure, you will be asked to avoid eating food 6-8 hours before surgery and some of your regular medications may have to be temporarily stopped.

What is the Procedure for ORIF of a Proximal Humerus Fracture?

  • The surgery is performed under sterile conditions in the operating room under general anesthesia.
  • An incision is made on the side or front of the upper arm to allow access to the humerus.
  • Your surgeon will put the fractured ends of your humerus back into position (reduction).
  • A metal plate is inserted and positioned over the humerus, and surgical screws are inserted to attach the metal plate to the bone.
  • After securing the bone in place, your surgeon will close the incisions with sutures or staples and cover it with a sterile dressing.

What Does Postoperative Care for ORIF of a Proximal Humerus Fracture Involve?

  • You will need to keep your arm immobile for several weeks by using a sling to allow for bone healing.
  • Your doctor will instruct you on dressings and incision care and applying ice to relieve pain and discomfort.
  • Physical therapy will be suggested at the appropriate time to prevent shoulder stiffness, strengthen muscles, and restore range of motion.
  • You will also be advised on a healthy diet and supplements high in vitamin D and calcium to promote bone healing.

What are the Risks and Complications of a Proximal Humerus Fracture?

Risks and complications of an ORIF of a proximal humerus fracture include:

  • Infection
  • Damage to nerves and blood vessels
  • Broken screws or plates
  • Failure to heal
  • Avascular necrosis
  • Loss of range of motion

For more information about our services or to schedule an appointment, call us at or click here to request an appointment online. We'll respond to you as soon as possible.

How Can You Reach CSOG Shoulder Center
  • Schedule An Appointment
  • Send a Referral
  • Send Medical Records
    Powershare Image Upload
  • Additional Inquires
Shoulder Center Specialists
Colorado Springs Locations
Orthopaedic Care Across Colorado Springs

Visit CSOG at convenient locations for specialty care, Express Care, imaging, therapy, and recovery support.

North Campus

4110 Briargate Parkway
Suite 300
Colorado Springs, CO 80920

Mon - Thu : 7:00 am to 5:00 pm
Fri : 7:00 am to 4:00 pm

Schedule an Appointment
South Campus

1655 Quail Lake Loop
Colorado Springs, CO 80906

Mon - Thu : 7:00 am to 5:00 pm
Fri : 7:00 am to 4:00 pm

Schedule an Appointment
East Campus

6140 Tutt Blvd
Suite 110
Colorado Springs, CO 80923

Mon - Fri : 7:00 am to 6:00 pm

Schedule an Appointment
Ready to Take the Next Step Toward Better Movement?

Whether you are dealing with a new injury, chronic pain, arthritis, or recovery after surgery, CSOG can help you find the right orthopaedic care path.

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idtitlepage_urlspecialty_idtypeslugstatus
156Arthritis of the Shoulder/shoulder/arthritis-shoulder-orthopaedic-specialists-colorado-springs-co/42arthritis-of-the-shoulder1
157SLAP Tears/shoulder/slap-tears-orthopaedic-specialists-colorado-springs-co/42slap-tears1
158Biceps Tendon Rupture/shoulder/biceps-tendon-rupture-orthopaedic-specialists-colorado-springs-co/42biceps-tendon-rupture1
159Rotator Cuff Tear/shoulder/rotator-cuff-tear-orthopaedic-specialists-colorado-springs-co/42rotator-cuff-tear1
160Shoulder Fracture/shoulder/shoulder-fracture-orthopaedic-specialists-colorado-springs-co/42shoulder-fracture1
161Shoulder Instability/shoulder/shoulder-instability-orthopaedic-specialists-colorado-springs-co/42shoulder-instability1
162Frozen Shoulder/shoulder/frozen-shoulder-orthopaedic-specialists-colorado-springs-co/42frozen-shoulder1
163Fracture of the Shoulder Blade (Scapula)/shoulder/fracture-shoulder-blade-scapula-orthopaedic-specialists-colorado-springs-co/42fracture-of-the-shoulder-blade-scapula1
164Shoulder Trauma/shoulder/shoulder-trauma-orthopaedic-specialists-colorado-springs-co/42shoulder-trauma1
165Shoulder Ligament Injuries/shoulder/shoulder-ligament-injuries-orthopaedic-specialists-colorado-springs-co/42shoulder-ligament-injuries1
166Shoulder Impingement/shoulder/shoulder-impingement-orthopaedic-specialists-colorado-springs-co/42shoulder-impingement1
167Shoulder Dislocation/shoulder/shoulder-dislocation-orthopaedic-specialists-colorado-springs-co/42shoulder-dislocation1
168Shoulder Pain/shoulder/shoulder-pain-orthopaedic-specialists-colorado-springs-co/42shoulder-pain1
169Shoulder Labral Tear/shoulder/shoulder-labral-tear-orthopaedic-specialists-colorado-springs-co/42shoulder-labral-tear1
170Anterior Shoulder Instability/shoulder/anterior-shoulder-instability-orthopaedic-specialists-colorado-springs-co/42anterior-shoulder-instability1
171Posterior Shoulder Instability/shoulder/posterior-shoulder-instability-orthopaedic-specialists-colorado-springs-co/42posterior-shoulder-instability1
172Clavicle Fracture/shoulder/clavicle-fracture-orthopaedic-specialists-colorado-springs-co/42clavicle-fracture1
173Arthritis of the Shoulder/shoulder/arthritis-shoulder-orthopaedic-specialists-colorado-springs-co/42arthritis-of-the-shoulder1
174SLAP Tears/shoulder/slap-tears-orthopaedic-specialists-colorado-springs-co/42slap-tears1
175Biceps Tendon Rupture/shoulder/biceps-tendon-rupture-orthopaedic-specialists-colorado-springs-co/42biceps-tendon-rupture1
idselect_typetablepartitionstypepossible_keyskeykey_lenrefrowsfilteredExtra
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