These fractures should be properly reduced to achieve good results in terms of stability, function and pain relief. The anatomical neck fracture is less stable than with valgus malalignment. This kind of fracture needs to be properly reduced to achieve good results in terms of stability, function and pain relief. In particular, the varus displacement needs to be restored in order to prevent a secondary varus dislocation or implant failure.
Operative fixation is the preferred treatment. However, the decision for surgery should also include the functional demands of the patients, the presence of comorbidities and the ability to undergo operative treatment.
Nonoperative treatment of minimally displaced fractures is largely satisfactory. Early assisted motion should be encouraged.