The following case illustrates the problem of the osteoporosis in the treatment of the proximal humerus fractures. In addition, it highlights the need to avoid approximation of the articular surface with the proximal locking screws if a locking plate is used for the treatment of this fracture. In this case due to the young age and smoking status of the patient which would have compromised the healing of the tuberosities a hemiarthroplasty was not chosen.
3 months
4 months post op the hardware was removed to avoid penetration of the humeral head articular surface with the screws.
