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orthopaedics

Neer Classification (Proximal Humerus Fracture)

Classifies proximal humerus fractures by number of displaced parts. Guides conservative vs surgical management.

Score interpretation

Neer 1-part (minimal displacement)

→ Conservative: sling for 3-6 weeks; physiotherapy; good outcome expected

Neer 2-part fracture

→ ORIF or conservative depending on type; surgical neck fractures may need fixation

Neer 3-4 part fracture

→ ORIF or hemiarthroplasty; high AVN risk with 4-part; reverse shoulder arthroplasty in elderly

Interpretation bands for the Neer Classification. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.