Breaking Point: Who's at Risk for Proximal Humeral Fractures?
Published: Jul 17, 2024
Proximal humeral fractures don't happen randomly. Certain factors can increase your risk of experiencing this painful shoulder injury. Understanding these risk factors is key to prevention.
Contents
The Age Factor
Age is a significant risk factor for proximal humeral fractures. These injuries are most common in older adults, with over 70% occurring in people over 60. The highest incidence is among those aged 73-78. As we age, our bones naturally become more brittle and susceptible to fractures, even from relatively minor falls.
The Gender Gap
Women are at higher risk for proximal humeral fractures than men. In fact, these fractures are three to four times more common in females. This gender disparity is largely due to the effects of menopause on bone density. After menopause, women experience a more rapid decline in bone mass, making their bones more fragile.

The Bone Density Dilemma
Low bone density is a major risk factor for proximal humeral fractures. Conditions like osteoporosis, which weaken bones, significantly increase the risk of fractures. Even a minor fall or bump can result in a fracture when bones are fragile. Regular bone density screenings can help identify those at risk.
Frequently Asked Questions
Yes, but they're less common and often result from high-energy trauma.
It can, by increasing fall risk and impacting bone health.
Yes, some medications can affect bone density or increase fall risk.
Yes, genetic factors can influence bone density and fracture risk.
Key Takeaways
Understanding your risk factors is the first step in preventing proximal humeral fractures and maintaining shoulder health.
Concerned about your risk for proximal humeral fractures? Chat with Doctronic to assess your risk factors and learn about prevention strategies.Related Articles
References
Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta Orthop Scand 2001; 72:365.
Chu SP, Kelsey JL, Keegan TH, et al. Risk factors for proximal humerus fracture. Am J Epidemiol 2004; 160:360.
Always discuss health information with your healthcare provider.