Introduction:

Fractures of the proximal humerus represent 4 to 6% of all fractures and 10% in some population groups. Surgical management allows anatomical healing of bones and soft tissues; promotes limb function and minimizes risk.

Objective:

To evaluate the different types of treatment for proximal humerus fractures from the presentation of four cases.

Case report:

Four patients were evaluated by the Constant scale, regardless of the surgical procedure. Three of them had a minimum follow-up of six months and exceeded 80 points. The other patient was kept in consultation for three months and achieved a score above 50.

Conclusions:

The surgical method should allow stable fixation for early joint mobilization. When choosing it, age, fracture geometry, bone quality and Hertel criteria must be taken into account.

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