The proximal humerus (ball) typically fractures after a trauma such as a fall. This can result in pain and disability. It needs to be evaluated to determine the course of treatment. Most proximal humerus fractures are treated without surgery. However, some fractures require surgery. In addition, sometimes the rotator cuff tears at the same time the fracture occurs. This fracture almost always results in some loss of motion. Once healing begins (10-14 days), we recommend physical therapy to maintain as much motion as possible.